Agreement for Services Request Form

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In order for any external client to have services and analysis completed, they must establish an Agreement for Services with UC Riverside and the corresponding Principal Investigator and Lab. Please complete the following form in order for us to draft an agreement to send to the indicated signer. Once established, you will be able to submit a request for service.

Agreement start dates will be the first day of service and will end 1 year from that date. Agreement will need to be renewed after this time.

If you should have any questions, please contact our Financial Analyst at Brian.Wright@ucr.edu

Email *

Company Name *

Lab or PI *

Option 10 Response (Not Required)

Client Name *

Do you already have an Agreement for Service established? *

Yes

I am not sure (Please complete form)

Company Address *

Name and Title of Authorized Signer *

E-mail Address for Authorized Signer *

A copy of your responses will be emailed to the address you provided.

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