641—128.1 (145B) Application. An institution as defined in Iowa Code section 145B.1 may make application to the department for authority to request dogs from a pound. Such application shall be on a form furnished by the department, and will include the following:
	 128.1(1) Name and principal function of institution;
	 128.1(2) The name and title of its principal officer or manager;
	 128.1(3) The names and qualifications of the principal persons in charge of research or teaching involving the use of dogs;
	 128.1(4) The names and qualifications of the principal persons in charge of dog care;
	 128.1(5) A description of the physical facilities available for the care and custody of dogs;
	 128.1(6) A general statement of the use proposed to be made of dogs.