MATERIAL TRANSFER AGREEMENT (MTA) ROUTING FORMMaterial Transfer Agreement • October 1st, 2020
Contract Type FiledOctober 1st, 2020MSU ORG#: MSU Fund Type: Provider Name: Provider Email: Provider Point of Contact: PI: Phone: Email: ID #: Co-PI: Phone: Email: Project Title: Name/Description of the Material: Remarks/Special Instructions (attach additional pages, if necessary): Conditions Requiring Special Consideration: Note: Protocols and special approvals should be prepared/requested AS EARLY AS POSSIBLE YES NO Is the Material to be used in living persons? If YES, please provide IRB approval # . Is the Material obtained from a living person? If YES, please attach a copy of the Provider's IRB approval letter. Is the Material a live vertebrate animal? If YES, please provide IACUC protocol # . Is the Material to be used in a live vertebrate animal? If YES, please provide IACUC protocol # . Is the Material radioactive, does it contain a radioactive source, or does the device generate ionizing radiation? Is the Material subject to hazardous materials transportation regulations? Is the Material classified as a R