Print Name: Investigator of Record Sign Name: ____________________________ Date: NNTC Commercial Use Policy and Disclosure Recognizing that the individual repositories constituting the NNTC must be observant of their local institutional and state regulations, the Consortium can only issue broad guidelines for commercial utilization of its specimens. The individual institutions in which the repositories reside are charged with regulatory oversight of the tissue banking operations. Individual tissue banks within the Consortium may elect to fulfill or opt out of requests entailing commercial utilization. The NNTC will neither encourage nor restrict commercial access to its specimens. If an investigator conducting research with NNTC specimens previously distributed under a not-for-profit application, wishes to switch their utilization to commercial use, he or she must re-submit an application to the NNTC requesting permission for this switch. At that time, participating repositories will be given the option of either granting or denying permission for such utilization. Please answer the following question: Will the specimens you receive from the NNTC be used for any commercial purposes? Yes No Comment: PLEASE READ AND SIGN THE FOLLOWING STATEMENT: As the Investigator of Record, I understand and agree to the terms specified in the NNTC Commercial Use Policy. I also agree that my disclosure of commercial interests has been accurately reported on this application. If at some point, however, your commercial use status changes, I will promptly inform the members of the NNTC. Investigator of Record Name: Investigator of Record
Print Name: Investigator of Record Sign Name: ____________________________ Date: NNTC Commercial Use Policy and Disclosure Recognizing that the individual repositories constituting the NNTC must be observant of their local institutional and state regulations, the Consortium can only issue broad guidelines for commercial utilization of its specimens. The individual institutions in which the repositories reside are charged with regulatory oversight of the tissue banking operations. Individual tissue banks within the Consortium may elect to fulfill or opt out of requests entailing commercial utilization. The NNTC will neither encourage nor restrict commercial access to its specimens. If an investigator conducting research with NNTC specimens previously distributed under a not-for-profit application, wishes to switch their utilization to commercial use, he or she must re-submit an application to the NNTC requesting permission for this switch. At that time, participating repositories will be given the option of either granting or denying permission for such utilization. Please answer the following question: Will the specimens you receive from the NNTC be used for any commercial purposes? Yes No Comment: PLEASE READ AND SIGN THE FOLLOWING STATEMENT: As the Investigator of Record, I understand and agree to the terms specified in the NNTC Commercial Use Policy. I also agree that my disclosure of commercial interests has been accurately reported on this application. If at some point, however, your commercial use status changes, I will promptly inform the members of the NNTC. Investigator of Record Name: Investigator of Record
NNTC%20Specimen%20Request%20Application.docx