University Imaging Centers (UIC) Tissue Clearing Submission Form
Important: For inventory purposes each individual sample must be in it's own tube or container when dropped off. Thank you.
Sign in to Google to save your progress. Learn more
Email *
Name *
Principal Investigator *
PI Email *
Department *
Have you created your iLab Account? *
Please make sure your iLab account has been created before submitting. More information on creating your account can be found here (https://med.umn.edu/uic/imaging-equipment/equipment-reservation).
Required
EFS Payment String *
Is this project part of the Medical Discovery Team on Addiction P30 Grant? *
If "Yes", please include the name of the grant.
Are you already in contact with a UIC staff member regarding this service request?
 *
Grant Supporting the Project *
Brief Description of Project *
UIC Facility Drop-off *
Planned Drop-off Date & Time *
Please provide the date and time you plan to drop off your samples at the UIC facility selected in the previous question.

IMPORTANT: YOUR SAMPLES MUST BE DROPPED OFF IN TUBES AND INDIVIDUALLY LABELED FOR IDENTIFICATION. 
MM
/
DD
/
YYYY
Time
:
Sample / Section Quantity *
Sample Model *
Sample Description *
IMPORTANT: Have your samples been fixed in 4% PFA for 24 hours at 4˚C and transferred to PBS? *
If your samples are not in PBS please contact the clearing team at uic-staff@umn.edu for further instruction before submitting this form.
Date & Time your samples were put in fixative *
Please tell us the date and time your samples were put in fixative.
MM
/
DD
/
YYYY
Time
:
What type of labeling? *
Do you require the UIC to perform Antibody Labeling on your samples? *
Please provide additional labeling details including fluorescent protein and/or antibody. Provide a link to the antibody product. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities. Report Abuse
Google Forms