Uniform Biological Material Transfer Agreement (UBMTA)

Instructions:

1. Review, complete (fill in required information) and print out two (2) copies of the MTA.  Sign both agreements, obtain signatures from an individual authorized to sign on behalf of your institution, and return both agreements to the address listed below. Once the agreements are fully executed, one original will be returned to you for your files.

   OR

2. Review, complete (fill in required information) and print out one (1) copy of the MTA.  Sign the agreement, obtain a signature from an individual authorized to sign on behalf of your institution, and email a PDF of the partially executed agreement to ksulliva@fhcrc.org.  Once the agreement is fully executed, a PDF copy will be emailed to you for your files.

Mailing Address:

Fred Hutchinson Cancer Research Center
Industry Relations & Technology Transfer Office
Attention: Kristi Sullivan
P.O. Box 19024,
1100 Fairview Ave N., J5-110
Seattle, WA 98109-1024

Note: 

Please note that this form is for requests from academic or non-profit organizations only.

This form is not used to cover transfer of material to a company. If you wish to transfer materials to a company, please contact Kristi Sullivan directly at ksulliva@fhcrc.org.