Outgoing Non-Human MTA Request Form

If your outgoing MTA transfer does not meet the criteria for Do-It-Yourself Non-Profit MTAs or a company is requesting materials from your lab, fill out this form to request assistance with your transfer.

If you have any questions about filling out the form, contact us at mta@ucsf.edu or your ITA Professional.

Outgoing Non-Human MTA Request Form

PI Name, Department
If Recipient contact is not the PI, provide PI information here (Name, Email)
If "other" material selected above, enter the description here.
UC case number of disclosed material (e.g. SF####-###)

After you press "Submit," you will receive a confirmation screen that the form has been sent to our office. If you do not receive this confirmation, please try again or contact us if you have any problems.