The Rockefeller University » Transgenic Services Laboratory

IVF Services - Strain Recovery from Frozen Sperm (IVF)

Instructions: (All fields are required unless otherwise specified.)
Complete form. Click printer icon (top right of page). Select printer: Adobe PDF. Save and e-mail the PDF as an attachment to Rada.Norinsky@rockefeller.edu.

Laboratory (PI):

Contact Investigator:

CBC Protocol Number:

Account# (*full PTAEO required!)
(Project/Task/Award/Expenditure/Org):

Phone:

E-mail:

Male Information

Male Strain Name:

Genotype:

Male Genetic Background::

Male age:

Number of Males submitted:

Original Housing Room Number:

Health Status of the Room/Date Last Checked by CBC:

Frozen Sperm

Vials/Straws: Straws Vials

Frozen Sperm Volume
NB Volume suggestion IVF≥100µl:

Female (Embryo Donors) Information

Genetic background of female (embryo donors) strain:

Genotype:

Desired vendor: JAX Taconic Farms Charles Rivers Lab

Sperm thawing protocol MUST be provided.