ACTRI TRT Services Request Form

ACTRI TRT Center Services Request Form
Translational Research Technology Support

TRT provides a one-stop shop of flexible laboratory-based services for translational studies to ACTRI members and external collaborators. Services include biorepository, sample acquisition, and laboratory (bio-analytical and assay development). [Learn more]
Please specify what type of Laboratory Services you are requesting:*

BiobankingBiomarker ConsultationProcessing of Tissue, Blood, Biofluids

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

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

First NameLast Name
Fund Manager Email:*
example@example.com
Method of Recharge:*

PTF Number [Chart String]ACTRI Provided Voucher [details]
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 Voucher (if applicable)

If you have already obtained an ACTRI-issued voucher for TRT services, please enter the information below. Otherwise, click here to view more information on ACTRI voucher terms. Please contact ctri-fin-recharges@health.ucsd.edu for any voucher-related questions prior to submitting your request!
Voucher Number:
Starts with "JF-VOU-"

ACTRI TRT Center Services Request Form