RNHPIR Request Form

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GENERAL GUIDELINES

ONLINE REQUEST FORM
PRINTABLE REQUEST FORM


The NIH/NCRR funded Resource for Nonhuman Primate Immune Reagents provides 10-20 µg of recombinant protein and/or 10 µg of recombinant DNA constructs to requestors for a nominal fee to cover production costs. Investigators may request up to 10 different recombinant proteins/calendar year. Requests for larger quantities will need to be justified in the Request Form and negotiated with the facility director.


Nonhuman primate reagents are provided for research purposes only. Their use for commercial purposes is prohibited unless additional agreements are negotiated with the Emory University Office of Technology Transfer.


Requests are made using the Request Form provided online on this site. This Request Form may be emailed or mailed to the Facility address given below or sent via Fax at 404-712-1771. If the Requestor chooses to email the Request Form, such emailed Request Form shall constitute agreement of the Requestor and, if appropriate, the Requestor’s Institution, to the terms for receiving the reagent(s) as provided on the Request Form. The Resource Committee meets every 2 weeks to review, approve and prioritize the requests. Requestors will be notified by email of approval or disapproval of their requests as well as an estimation of time needed to fulfill the request, within approximately 2 weeks of receipt of requests.


Each batch of recombinant nonhuman primate cytokines provided will be tested for biological activity and absence of toxin using the LAL test.


Request of new reagents not listed on this site and custom preparation of DNA constructs for expression of cytokine reagents will be evaluated by the Resource Committee and honored pending adequate justification and feasibility.


Quality control of reagents produced and provided by this facility includes the following:

     - Recombinant proteins:

       Quantification of cytokine via standardized EIA, quantification of biological activity using appropriate bioassays (if available) and verification of absence of endotoxin using the LAL assay.

     - Expression constructs and cDNA clones:

       Complete sequence analysis of inserted fragments and procurement of the map of the provided constructs

The Address of the Facility is as follows:

     Resource for Nonhuman Primate Immune Reagents

     Woodruff Memorial Building Rm 2339
     Emory University
     101 Woodruff Circle
     Atlanta, GA 30322
     Email: rnhpir@emory.edu
     Phone: 404-712-1767
     Fax: 404-712-1771


Cost for shipping will be assumed by the requestor by providing a FedEx or another carrier shipper account number (or by making arrangements for prepaid shipments). DNA plasmids will be shipped at ambient temperature unless specifically requested otherwise, lyophilized proteins at 4°C and soluble recombinant proteins on dry ice (provided by the facility).


All publications of studies using these reagents are required to acknowledge the source of the reagents as the NIH/NCRR funded Resource for Nonhuman Primate Immune Reagents. Copies of publications using reagents from the Nonhuman Primate Immune Reagents should be forwarded to the Resource for Nonhuman Primate Immune Reagents, Woodruff Memorial Building Rm 2339, Emory University, 101 Woodruff Circle, Atlanta, GA 30322.


Reagents are shipped with several inserts including i) a form to confirm receipt of the reagent(s) which must be completed and returned to the facility; ii) a form containing technical information and specification for each reagent provided and use restriction; and iii) a survey form.


Survey forms are necessary to provide the facility with a feedback on the quality and use of the reagents produced, as well as technical problems and discoveries encountered by users. Therefore, each recipient of reagents must complete the survey form and return it to the facility.


Direct technical inquiries or information about approved requests to Dr. François Villinger at 404-712-2838 or fvillin@emory.edu.


RESOURCE FOR NON HUMAN PRIMATE IMMUNE REAGENTS

REQUEST FORM

REQUESTOR's NAME: REQUESTOR's INSTITUTION:
 
 
TITLE:  
 
 
TELEPHONE: FAX:
 
EMAIL:  
 
 
SHIPPING COMPANY: SHIPPING ACCOUNT NR:
   
FULL SHIPPING ADDRESS (Reagents cannot be shipped to a post office box):
 
INSTITUTION TYPE (Select one):     Non-profit Organization       Commercial Organization
 
RESEARCH SUPPORT:
 
NIH (specify types and grant/ award numbers): OTHERS:
 
REAGENT(S) REQUESTED:
 
Species
Type of reagent
Amount
Use in vivo (select)
 
 
 
 
 
 
 
 
 
INTENDED USE (Title and abstract):
 I have read and agree to the terms and conditions of these guidelines.
 

 

In response to the Requestor’s request for the reagent(s) identified above, the Resource for Nonhuman Primate Immune Reagents (“RNPIR”) ask that the Requestor’s Institution and the Requestor agree to the following before the Requestor receives the reagent(s):

     1. The reagent(s) requested above are made available as a service to the research community.

     2. The reagent(s) will be used for teaching and academic research purposes only.

     3. The Requestor agrees to acknowledge the source of the reagent(s) as the NIH/NCRR funded Resource for Nonhuman Primate Immune Reagents and forward copies of publications using reagents from the Nonhuman Primate Immune Reagents to the Resource for Nonhuman Primate Immune Reagents, Woodruff Memorial Building Rm 2339, Emory University, 101 Woodruff Circle, Atlanta, GA 30322.

     4. Any reagent delivered pursuant to this agreement is understood to be experimental in nature and may have hazardous properties. The United States government and/or RNPIR and/or Emory University MAKE NO REPRESENTATIONS AND EXTEND NO WARRANTIES OF ANY KIND,  EITHER EXPRESSED OR IMPLIED. THERE ARE NO EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS  FOR A PARTICUALR PURPOSE OR THAT THE USE OF THE REAGENTS WILL NOT INFRINGE ANY PATENT, COPYRIGHT, TRADEMARK, OR OTHER PROPRIETARY RIGHTS. Unless prohibited by federal and/or state law, the Requestor and/or Requestor’s  Institution assumes all liability for damages which may arise from its use, storage, or disposal of the reagent(s). RNPIR and/or Emory University will not be liable to the Requestor and/or the Requestor’s Institution for any loss, claim or demand made by the Requestor and/or the Requestor’s  Institution, or made against the Requestor and/or Requestor’s Institution by any other party, due to or arising from the use of the reagent(s) by the Requestor and/or Requestor’s Institution, except, to the extent permitted by federal and/or state law, when caused by gross negligence or willful  misconduct of the RNPIR.

     5. Requestor shall directly supervise all users of the reagent(s) and shall assume responsibility for assuring that those users are cognizant of and comply with safety standards and good laboratory practices.

     6. The reagent(s) will not be transferred to any third parties except as permitted under a written agreement between the Requestor and RNPIR.

     7. The reagent(s) will not be used in humans or for any clinical diagnosis. The intent of these conditions is to protect both the rights and the welfare of  human subjects.

     8. The reagent(s) provided by the RNPIR will be used in animals only as prescribed in: Public Health Service Policy on Humane Care and Use of  Laboratory Animals, March 1996 or the latest version thereof (Copies may be obtained from the NIH division of Animal Welfare, Tel.: 301-496-7163 or the US Government Printing Office, Publication No. 249-260).

     9. The reagent(s) are provided for a nominal fee to reimburse RNPIR for production costs. The amount for the requested reagent(s) is: __________.


         The Requestor and, if appropriate, the Requestor’s Institution should sign this Request and return by mail or fax to:

         Download Printable Form (Adode Acrobat PDF)

         Resource for Nonhuman Primate Immune Reagents
         Woodruff Memorial Building Rm 2339
         Emory University
         101 Woodruff Circle
         Atlanta, GA 30322

         Email: rnhpir@emory.edu
         Phone: 404-712-1767
         Fax: 404-712-1771


Alternatively, the Requestor may email this Request and return to the email address given above. If the Requestor chooses to email this Request, such emailed Request shall constitute agreement of the Requestor and, if appropriate, the Requestor’s Institution, to the terms for receiving the reagent(s) as provided herein.

Requestor will be notified by email of approval or disapproval of their Request as well as an estimation of time needed to fulfill the request within approximately 2 weeks of receipt of Request.

Requestor                                                            Requestor’s Institution
Name: _____________________________      Name: _____________________________
Title: ______________________________       Title: ______________________________
Date: ______________________________      Date: ______________________________