University of Alabama

Research Involving Transgenic Plants - Biological Safety Program

Investigator  ________________________________________________________________

Building(s)  ________________________________         Room(s)  ____________________ 

Dept  ____________________________________           Date  _______________________

Will you construct the transgenic plants yourself?      Y / N

IF NO:

    Please specify the source of the plants:

    If the source is outside the University, please answer the following:

         Have you received authorization from the appropriate federal, state, and local regulatory agencies to acquire these materials?       Y / N

                   Have you complied with federal, state, and local shipping regulations?   Y / N

Do these experiments involve:

           The production of sexual or asexual botanical reproductive structures of transgenic plants that have the potential for being released?     Y / N      If yes, please identify:

            Plants modified by recombinant DNA that are noxious weeds or that can interbreed with noxious weeds?  Y / N

            Plants in which the introduced DNA represents the complete genome of a non-exotic infectious agent?  Y / N   If yes, please identify:

            Plants associated with recombinant DNA-modified non-exotic infectious agents, microorganisms, or animals which have a recognized potential for serious, detrimental impact on managed or natural ecosystems?    Y / N

            Plants associated with recombinant DNA-modified exotic infectious agents, microorganisms, or animals, which have no recognized potential for serious detrimental impact on managed or natural ecosystems?    Y / N

Please indicate the method of transformation:

Plant name (genus and species):

Give a brief description of the production of the transgenic plants and their uses:

List all sites where transgenic plans are used or grown: