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HCS SRF User Authorization Form - mssm

HCS SRF User Authorization Form - mssm 2025

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The document is a user authorization form for the MSSM High-Content Screening Shared Research Facility, requiring details from the Principal Investigator, including their name, department, title, and contact information. It also includes sections for listing authorized personnel, fund number, expiration date, and requires the Principal Investigator's signature.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Principal Investigator’s Name and Department in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the Title and Box Number. These details help in categorizing your request within the facility.
Input the Life Number, which is essential for tracking purposes.
List all Persons Authorized to Use Facility. Include their names clearly to avoid any confusion during access.
Provide contact details such as Telephone and Email for each authorized person, ensuring they are reachable for any follow-up.
Enter the Fund Number and Expiration Date accurately to maintain compliance with funding requirements.
Finally, have the Principal Investigator sign and date the form at the bottom before submission.

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