UNIVERSITY OF PITTSBURGH \ FORM  INSTRUCTION GUIDE



FORM TITLE:              POLICY/PROCDURE APPROVAL
NUMBER:                  FORM 0001 PITT 1173
PROCEDURE:               01-01-01 / 01-01-02


ENTER THE FOLLOWING INFORMATION WHERE INDICATED:

    1.    Policy/Procedure Document Number

    2.    Page Number(s) of Policy/Procedure Approval Form(s)

    3.    Date

    4.    Specify Policy Document or Procedure Document

    5.    Category Title

    6.    Section Title

    7.    Subject Title

    8.    Author of the material

    9.    Coauthor, if applicable

   10.    Required Approval Signatures with dates