FORM CLT-1 - fws 2026

1. Click ‘Get Form’ to open FORM CLT-1 in the editor.
2. Begin by entering the 'Name of Drug' as Chloramine-T, followed by the 'INAD Number' which is 9321.
3. Fill in the 'Proposed Use of Drug' section, specifying treatment for bacterial gill disease or certain flavobacteriosis.
4. Input the 'Date of CVM Authorization Letter' and 'Date of Drug Receipt'.
5. Record the 'Amount of Drug Received', 'Drug Lot Number', and 'Study Worksheet Number'.
6. Complete the investigator's details including 'Name', 'Address', and 'Location of Trial'.
7. Indicate whether it is a pivotal or non-pivotal study by selecting yes or no.
8. Provide estimates for the number of treated and control animals, along with previously used animals.
9. Fill in the study protocol number, approximate trial dates, species information, maximum daily dose, and method of administration.
10. Lastly, ensure both Investigator and Study Monitor sign and date the form before submission.

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