If your lab is sending data or data sets to a company, please fill out this form.
If the recipient is a non-profit or governmental organization, contact the Office of Sponsored Research: firstname.lastname@example.org
* indicates required fields.
Principal Investigator *
SU Lab Contact/Admin Name & E-mail *
Recipient Institution/ Company Name *
Recipient Contact Name & E-mail *
Is the Data considered sensitive or does it contain confidential information?
Was the Data collected at Stanford? If not, where was it collected?
Please provide IRB protocol #(s) :
Are you collaborating with the Recipient?
How will the Recipient use the Data?
Do you have any concerns about the Recipient’s use of the Data? If so, describe:
Attach the Word version of the agreement, if available. Do not have the PI sign the agreement until it has been reviewed by ICO:
Your E-mail *
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: email@example.com
Please skip. Do not fill this out.