The form templates are available here so that the requestor may become familiar with the information which will be requested on web request forms. The templates are not editable and cannot be used to submit a request. You may submit a request from our list of Currently Available Collections.

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Request Identifier
Create a nickname for your reference
Requestor Information

Support Information
Please specify if you require a letter by a certain date. Note that a letter is generally prepared within six weeks of receiving criteria applicable to the requested study.
Approximately how many years has the lead investigator been involved in scientific research?
If funding is not yet available, please indicate anticipated primary funding source.
Request Details
Please select the studies you would like to request. If requesting SWAN, that is the only study you may request.
A brief overview of your research needs.
Describe any additional requirements pertaining to the biospecimens themselves, such as anticoagulant used, additives, preservatives, etc.
Describe the characteristics of the subjects to be searched for available specimens. Criteria might include gender, age, disease status, genotype, etc. Be as specific as possible.
Only applicable for studies that have more than one specimen draw point. If any visit is acceptable, please indicate so. Refer to the "Available Biospecimens" tables on each study description page for more information regarding the available visits for each material type. If more than one visit is requested, please indicate if you can accept subjects that have specimens available from at least one, but not all of the requested visits.
Approximate count of subjects required for your study. This may be the same as the number of specimens if only one draw and material type is needed per subject.
Approximate count of specimens required for your study. This may be more than the number of subjects if more than one draw and/or material type is needed per subject.
Please include units.
Please include units.
Describe the assay(s) to be performed and include any test volume requirements.
Describe the assay kit(s)/platform(s) to be used, if applicable.
Also describe your intended use of covariates from study datasets, if applicable.
A "Yes" response defines this as a "Commercial Purpose" request.
Were you an investigator with the original (parent) study(ies) referenced in this request?
Study data must be maintained in a secure and controlled environment
e.g. Amazon Web Services, Microsoft Azure, Google Cloud Platform / what tools will be used and how these tools relate to the project