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Material Pickup Request

Contact

 
  (920) 424-3215
  risk.safety@uwosh.edu
  214 Dempsey Hall

 

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Animal Activity Request

This form is to be used to request to bring an animal(s) on campus for purposes other than teaching, research, or testing. Note that this form should be completed 2-4 weeks prior to the first date the animal(s) would be on campus.
  • Date Format: MM slash DD slash YYYY
  • Animal activity time frame
  • Indicate the UWO campus where the animal activity will take place
  • Include building and room number, if applicable
  • SpeciesTotal NumberUWO OWNED (Include animal handler's name, contact information, & UWO Animal Certification Documents (Put *N/A* if not applicable))PRIVATELY OWNED (Include Owner/Animal Handler's Name and Credentials, Contact Information, USDA dealer number (Put *N/A* if not applicable)) 
  • (Examples: Post signage for persons with allergies, handler present at all times, etc.)
    (Example: If the event is to be held in Polk Library, has the library director been notified of the event date, time and location?)
  • Drop files here or
    If bringing a therapy animal to campus, attach proof of current membership with an accredited organization (i.e., Therapy Dogs International (TDI)). Additional information may be requested after form submission.
  • Date Format: MM slash DD slash YYYY