ACTRI Evaluation Service Request Form

-- Project Info Section
Project Information
Project Title*
Project Description (brief)*
Please specify the Evaluation service(s) you need:*
Supporting File(s)

Browse Files
If more than one, please upload as zip file! Cancelof
PI Information
PI First Name*
PI Last Name*
PI Full Name
PI Email*
example@example.com
PI Department*
Please indicate PI's ACTRI membership level:*

General (existing or pending)Associate (existing or pending)Affiliate (existing or pending)No membership / Don't know
If you are not an ACTRI member yet, please click here to review membership eligibility criteria and submit your application. Once submitted, please select the applicable membership level from the above options to proceed.

-- Recharge Section
Recharge Information
Please provide valid fund manager and OFC chart string information for recharge purposes.

Click here to review current ACTRI recharge rates.
Fund Manager Name*

First NameLast Name
Fund Manager Email*
example@example.com
OFC Project:*
Always required! (7 digit numerical value)
OFC Task:*
Always required! (1-3 digit numerical value)
OFC Funding Source:
Required for sponsored projects only! (5-7 character alphanumerical value)
Award #:
Providing incorrect or incomplete OFC chartstring information will require further clarification and delay the process! Contact your fund manager or use the chartstring verification tool (requires VPN connection) to ensure chartstring accuracy prior to submission.

ACTRI Evaluation Services Request Form