Forms

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Disclosure Form

Skip the paper forms and submit a disclosure using the online disclosure form found on Emory ideaGate. The system will collect all of the pertinent information and signatures. The system requires a valid Emory netid. ideaGate will automatically update your disclosure with pertinent information.

Petition for Release or Assignment

Item	File Type	Posted Date
Petition for Release or Assignment	PDF	06/19/2017

Where do I send this?

Material Transfer Agreements (MTAs)

Incoming Material Transfer Agreements: Skip the paper forms and use the online form found on Emory contractConnect. The system will collect all of the pertinent information. Form name: Incoming Material Transfer (MTA). The system requires a valid Emory netid. Send correspondence to ott-mta@emory.edu.
Outgoing UBMTA Material Transfer Agreements: Skip the paper forms and use the online form found on Emory contractConnect. The system will collect all of the pertinent information. Form name: Outgoing Material Transfer (MTA). The system requires a valid Emory netid. Send correspondence to ott-mta@emory.edu.
Bi-lateral (reciprocal)Material Transfer Agreements: Skip the paper forms and use the online form found on Emory contractConnect. The system will collect all of the pertinent information. Form name: Bi-lateral (reciprocal) Material/Data Transfer. The system requires a valid Emory netid. Send correspondence to ott-mta@emory.edu.
Clinical Material Transfer Agreements: Agreements for the transfer of any drugs devices, etc. to be used in/on/with human subjects: Send to osp-contracts@listserv.cc.emory.edu.

Data Transfer/Use Agreements (DTA/DUAs)

Incoming Data Transfer/Use Agreements: Skip the paper forms and use the online form found on Emory contractConnect. The system will collect all of the pertinent information. Form name: Incoming Data Use (DUA/DTA). The system requires a valid Emory netid. Send correspondence to ott-mta@emory.edu.
Outgoing Data Transfer/Use Agreements: Skip the paper forms and use the online form found on Emory contractConnect. The system will collect all of the pertinent information. The system requires a valid Emory netid. Send correspondence to ott-mta@emory.edu.

Outgoing DUA Type	Process	Responsible Office
Sending Emory data out to a non-profit domestic entity that is consistent with the low risk outgoing data use criteria.	Emory PI obtains IRB determination, drafts on appropriate template per the Low-Risk Process detailed on this webpage, completes a form in Emory OTT contractConnect. Form name: Low Risk Outgoing DUA Attestation Form	Emory OTT
Sending Emory data out to an NIH repository per NIH grant required terms.	Emory PI prepares the necessary documentation per instructions from Emory IRB data sharing website under Five Things for Institutional Certification and sends them to irb@emory.edu.	Emory IRB
Aggregated data	These do not require a DUA although an Emory University Investigator may wish to protect such data by means of another type of agreement such as a Confidentiality Agreement or Collaboration Agreement.	Emory PI
All other outgoing data transfers.	Emory PI completes a questionnaire found in Emory OTT contractConnect. Form name: Outgoing Data Use (DUA/DTA)	Emory OTT

Bi-lateral (reciprocal) Data Transfer/Use Agreements: Skip the paper forms and use the online form found on Emory contractConnect. The system will collect all of the pertinent information. Form name: Bi-lateral (reciprocal) Material/Data Transfer. The system requires a valid Emory netid. Send correspondence to ott-mta@emory.edu.
Data Transfer Agreements Involving Human Subjects: that are part of an Emory clinical trial agreement, sponsored research agreement, or contract specifically governing human subject interaction/intervention by the Emory investigator where the prime funding agreement is currently under negotiation, send to osp-contracts@listserv.cc.emory.edu.

Other Agreement Types

Non-disclosure agreements (CAs, CDAs, RDAs, NDAs): With an industry party pertaining to non-clinical research send to ott-mta@emory.edu. With an industry party pertaining to clinical research send to osp-contracts@listserv.cc.emory.edu. With a non-industry party pertaining to non-clinical or clinical research send to osp-contracts@listserv.cc.emory.edu. Received in relation to consulting agreements, please use the eCOI system.
Industry contract (e.g., clinical trial, research, amendments, research services, incoming subcontracts): with funding or changing funding: Please work with your RAS unit to route through the EPEX system which can be found here Compass Login. If there is not funding or changes in funding send to osp-contracts@listserv.cc.emory.edu.