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How to fill out the Application - Cambridge Public Health Department - Cambridgepublichealth online
Filling out the Application for Recombinant DNA Users Permit is a crucial step for institutions looking to utilize recombinant DNA technology. This guide provides clear and detailed instructions on how to successfully complete the application online, ensuring compliance with the Cambridge Public Health Commission's requirements.
Follow the steps to complete your application smoothly.
- Click ‘Get Form’ button to obtain the application form and open it in the editor.
- Begin by filling in your institution or company's name in the designated section. Ensure that all provided information is accurate and corresponds to official records.
- Provide a valid mailing address and phone number for effective communication during the application process.
- Enter the name and address of the chief executive officer of your institution/company, ensuring that both office and home contact information are included.
- List the name and address of the officer in charge of RDNA experimentation and use. Include their office and home phone numbers as well.
- Attach a separate list of members of the Institutional Biohazard Committee, including their titles, academic degrees, and contact information, while designating the member approved by the Cambridge Health Policy Board.
- Affirm the truthfulness of the application by having the chief executive officer sign and date the application in the provided spaces.
- Review the agreement section, noting the conditions for issuance of the RDNA user permit, and ensure that your institution agrees to comply with all regulations.
- Attach a copy of your institution’s Health and Safety Manual along with an outline of the proposed safeguards and training programs for personnel using RDNA.
- Finally, list the facility locations for RDNA use, including the identification of rooms used for BL - 3 experiments and their compliance status with applicable guidelines.
- Once all sections are complete, save your changes, download a copy for your records, and print the form if necessary for submission.
Start filling out your application for the Recombinant DNA Users Permit online today!
Cambridge Health Alliance is a public entity subject to the Massachusetts Public Records Law, M.G.L. Ch. 66, §10. You may make a public records request in person at the CHA executive offices or in writing to CHA's Records Access Officer.
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