Request - Office of the Interior

To: Office of the Convocate of the Interior
Subject: Medical Request Form MRF 150.17: Sin'dorei and Other Humanoid Cadaver Request Form

From: Jakobus Nachtengaal                      
License number: 153337815                     
Special privileges: A, B , C , F , H, P , X , Z         

I request approval for the receipt of fresh cadavers or specimens from the Silvermoon Anatomy Board. Implicit in signing this document, requestor swears that the purposes of study do not include Necromancy or the returning to life of cadavers or specimen.

Quantity __20____ Description: Sin'dorei Male&Female, <48 hour post mortem, any ages

For medical, clinical. Research study use (describe):

Specimens will be used as controlled biological samples for various experimental procedures involving the gastrointestinal and metabolic systems.     

The cadaver(s) are to be received on:Every morning, Mon-Sun, before 11AM

 The work on the cadaver(s) will be performed in:
Brill

 When not in use the cadaver(s) will be housed in secure storage at:
A room adjacent to my laboratory, secured by physical (mechanical) and magical means, cooled by magical coolant (crystal), backup cooling through mechanical coolant (gas canister).          

The cadaver(s) will be returned to the Silvermoon Anatomy Board on: Never                        

All persons who will be working on the cadaver(s) or specimen(s) have received current training on blood borne pathogens (Attach list of personnel involved with the project with names, license numbers and special privileges.

 P.I Name: Jakobus Nachtengaal Mailbox: 14, Brill

Signature ______(SIGNED)__________ Date: March 18 

Send this form to: Office of the Interior, Silvermoon.

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FOR OFFICE USE:
I have reviewed the information on this request and approve the request to be forwarded to the Convocate of the Interior, as per guideline 150: Requests for Special Review. License and special priviledges of requestor have been verified. 

_______Flynn Sell'dan_______________ Date______Sunday, March 21______

Special Privileges key: A – Physician, B – Surgeon (spec.), C – Chemical and Synthetic curatives, F – Professor of Medicine, H – Herbalist (full priviledges incl. but not limited to otherwise illegal substances), P – Psychological (Mental) Treatments, X – Classified Research, Z – Production, Testing and Administration of Alchemical Substances.