All Temple University investigators must comply with University procedures concerning selected chemical agents that could have serious adverse health consequences for humans. The University must have accurate information on the use and/or possession of the chemical agents listed.

The University Environmental Health and Safety Committee (EHSC) is gathering this data on behalf of the University.

Download Select Chemical Substance Form:

	For Word format, click here
	For Adobe .pdf format, click here

Please fax your responses to 2-1600, to the attention of David McDonough. If you do not use any of the listed substances please mark X at () to the left of “I do not use any of these agents” and fax it to 2-1600. In addition, please make sure that the Dean gets a copy. Thank you for your cooperation.