1. Please provide

     First Name   Last Name

     Fax Number    Department: 

     Phone Number   Extension   Email

    **Please check to be sure your phone number and email address are correct.

2.  Is this a standard catalog order?

     Yes   No

3. How will the material be shipped? 

4.  Is the material confidential or proprietary to Texas State University or any other party?

     Yes    No 

    If you checked "Yes", contact OSP.

5.  Is the material hazardous?

     Yes    No 

   If you checked "Yes", contact OSP, EHS&RM and Materials Management.

6.  Does the material fall under export control regulations?

     Yes    No     Don't Know

   If you checked "Yes" or "Don't Know" , contact OSP.

7.  Does the material contain RNA/DNA or biological samples?

      Yes    No 

   If you checked "Yes", contact OSP, EHS&RM and Materials Management.

8.  Are you receiving animals?

       Yes    No 

   If you checked "Yes", contact OSP, EHS&RM and Materials Management.

9. What is the source of the materials?

10. Does the source require an agreement be signed?

       Yes    No 

        If you checked "Yes", contact OSP.

11.  Are the materials research tools developed by other institutions or organizations?

        Yes    No 

        If you checked "Yes", contact OSP.

12.  Will the materials be used in research that is federally funded?

        Yes    No 

Completed submissions will result in a confirmation email to the address you provided.

If you do not receive a confirmation, please contact OSP at 245-2102.

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