Embryonic Stem Cell Generation Service Request (Bold Fields required)
PI Last Name:
Account:
What is the BioSafety Level?
BSL1
BSL2
BSL3
(Most work is BSL1)
Name of Allele:
Genetic Background:
How well does this line breed?
very poorly
poorly
well
Male Mouse Age (wks):
Number of Males:
Female Mouse Age (wks):
Number of Females:
Location of Mice (facility and room):
Other information: