Freezer Storage Application | Biobehavioral Research Lab

If you have samples currently stored elsewhere and wish to move them to BBL freezer storage, please complete this form.

Requester name:(Required)

First Last

Requester email:(Required)

Enter Email Confirm Email

Address of sample location/current freezer storage unit:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please indicate the type of samples you wish to store with the BBL:(Required)

Whole blood or blood components (human)

DNA/RNA extraction (human)

Fecal (human)

Saliva (human)

Blood or tissue (mouse/rat)

Blood or tissue (avian)

Blood or tissue (reptilian)

DNA/RNA extractions (non-human)

Other

If "other" is selected above, please elaborate below:

Sample quantity by type:(Required)

Please indicate how many of each type of sample you wish to store (e.g. human plasma: 58 tubes; human whole blood: 100 tubes, etc.)

How many boxes do you wish to store with the BBL?(Required)

Please include total number of boxes, regardless of sample type.

Type of freezer storage desired:(Required)

Sample documentation:(Required)

Drop files here or

Accepted file types: csv, xls, xlsx, txt, Max. file size: 250 MB, Max. files: 10.

Please upload a file that contains the following sample information: sample ID, sample type, box ID where stored and sample location inside box

IRB documentation:(Required)

Drop files here or

Accepted file types: pdf, doc, Max. file size: 250 MB, Max. files: 2.

Please upload your IRB associated with the samples you are interested in storing with the BBL.

Name

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