Data Use Agreement Intake Form

If your lab is receiving data or data sets, please fill out this form. If the provider is a non-profit or governmental organization, contact the Office of Sponsored Research: osr_intake@stanford.edu

* indicates required fields.

CONTACTS







DATA








Will the Data be used to further develop an invention that has been disclosed to the Stanford Office of Technology Licensing?


COMPLIANCE


Does the Data include personally identifiable information (PII) or personal health information (PHI)? *


RESEARCH


Select the funding source(s) for the research project (check all that apply):


Have any of the involved Stanford researchers received gift funds from the Provider?

Do any of the involved Stanford researchers have a financial relationship with the Provider? (Check all that apply):

Have all participating Stanford researchers who are currently identified, including postdocs, students and visiting scholars, signed Stanford’s Patent and Copyright Agreement (SU-18 or SU-18A)? *

After you click “Submit Form” below, you will receive an e-mail confirmation. We will contact the Principal Investigator and individual(s) identified as the Lab Contact/Admin about next steps. For questions, please contact: ico@stanford.edu