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 [email protected].


PI Name, Department
If "other" material selected above, enter the description here.
Files must be less than 2 MB.
Allowed file types: rtf ods zip.
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.