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University of MarylandRegistration Document for Field Experiments
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Principal Investigator: ________________________________________________
Department: _______________________________________________________
Building: ______________________________Phone: _______________________
Location of Field Experiment: __________________________________________
Transgenic Crop or Organism: _________________________________________
Brief description of field experiment, including nature of transgene(s) and expected gene product(s):
PI Signature: __________________ Date: __________ Phone: ______________________
Please attach copies of the following APHIS permit documents, as appropriate:
[ ] Biotechnology Permit
[ ] EA (Environmental Assessment) - summary only
[ ] Acknowledgment of Notification
Mail to:
Biological Safety Officer
Department of Environmental Safety
3115 Chesapeake Building
or FAX: (301)314-9294
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Registration document reviewed by: _________________________________________
Date _______________________________
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