Collaborative Research Service Sample Submission

Collaborative Research Service Request Form

Please use this form to request services and to submit samples.

Phone

This field is for validation purposes and should be left unchanged.

Contact Person(Required)

First Last

Phone

Email(Required)

PI Name(Required)

First Last

PI Email(Required)

Submission Date

Department Name

Fiscal Contact Name

First Last

Fiscal Contact Email

Billing Cost Center (CC00XXXX)(Required)

Billing Worktag (GR, GF, PR, or PG)(Required)

Do you have IRB approval?

Yes

Not Applicable

UW or External #

Service Requested:

Metagenomics

Chromatin Analysis (CUT&Tag, ATAC-seq)

Illumina Short-Read Sequencing

Ultima Sequencing

ONT Long-Read Sequencing

Other

# of Samples:

Sample Notes:(Required)

Sample Information upload

Accepted file types: xlsx, doc, pdf, Max. file size: 24 MB.