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.  What is being shipped?

3.  Are the materials considered Equipments or Assets?

     Yes   No

     If yes, please contact the Materials Management Department.

4.  a.  Name of person/organization receiving material: 

     b.  Location of person/organization Receiving Material: 

     c.  Is the person/institution receiving the material a US citizen/US organization?

     Yes    No   Don't Know

    If you checked "No" or "Don't Know" contact OSP.

5.  Is the material covered by a Texas State University patent, copyright or trademark?

     Yes    No 

    If you checked "Yes", contact OSP.

6.  Is the material confidential or priprietary to Texas State University or any other party?

      Yes    No 

   If you checked "Yes", contact OSP.

7.  Is the material hazardous?

     Yes    No 

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

8.  Does the material fall under export control regulations?

     Yes    No 

   If you checked "Yes", contact OSP.

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

      Yes    No 

   If you checked "Yes", contact OSP.

10.  Are you shipping animals?

       Yes    No 

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

11. Were any federal funds used in the development of the material?

       Yes    No 

   If you checked "Yes", contact OSP.

12. Are any special safety standards needed?

       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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