Policies, forms and agreements relevant to Harvard faculty inventors and external entrepreneurs, investors, and industry professionals.

MTA Submittal Form

Please select the type of organization from which you are requesting the material.

 Non-profit institution
      If you are requesting a material from a university or other academic research institution.
 For-profit organization
      If you are requesting a material from a for-profit organization.

Incoming Material - Non-profit Institutions

Please take a few moments to provide us with some information pertaining to your request. The more information you provide, the easier it will be for OTD to process your request.

1. Contact information of the individual requesting the material:

First name:
 Last name:
 Phone:
 Fax:
Email address:
Title:
Department:
Mailing address:

Are you the Principal Investigator?

Yes No

If not, name of Principal Investigator:

Is the PI an HHMI Investigator?

Yes No

2. Contact Information of the Provider:

3. Please specify the Harvard School to which you belong:

FAS
HMS
HSPH
HSDM
SEAS

4. Material being requested from the Provider:


5. Provide a short description of your research in which the Material will be used:

6. Will you be (check all that apply):

Modifying the Material?
Using it as it is?

7. Has the Material been published on?

Yes
No

8. Will you be receiving any confidential information along with the Material?
Yes
No

9. Please specify the funding source(s) to be used for your research (check all that apply):
Industry sponsor name(s):
Federal contract(s) or grant(s): sponsor name(s)
Nonprofit grant: grantor name(s):
Gift funds giver name(s):
Other

10. If the Provider requires you to send them a copy of your manuscript before it is published, would that be acceptable to you?
Yes
No

11. If you have the Provider’s MTA, please attach it to your request prior to submitting.

12. Please provide any other pertinent email correspondence or information related to your request that you think will help expedite the process.

To complete your request, please click the "submit" button:

Incoming Material - For-profit Organizations

Please take a few moments to provide us with some information pertaining to your request. The more information you provide, the easier it will be for OTD to process your request.

1. Contact information of the individual requesting the material:

First name:
 Last name:
 Phone:
 Fax:
Email address:
Title:
Department:
Mailing address:

Are you the Principal Investigator?

Yes No

If not, name of Principal Investigator:

Is the PI an HHMI Investigator?

Yes No

2. Contact Information of the Provider:

3. Please specify the Harvard School to which you belong:

FAS
HMS
HSPH
HSDM
SEAS

4. Material being requested from the Provider:


5. Provide a short description of your research in which the Material will be used:

6. Will you be (check all that apply):

Modifying the Material?
Using it as it is?

7. Are you planning to (check all that apply):

Investigate the Material itself (e.g., properties, new uses)?
Use the Material as a research tool to study things other than the Material itself?

8. Has the Material been published on?

Yes
No

9. Will you be receiving any confidential information along with the Material?

Yes
No

10. Please specify the funding source(s) to be used for your research (check all that apply):
Industry sponsor name(s):
Federal contract(s) or grant(s): sponsor name(s)
Nonprofit grant: grantor name(s):
Other

11. Will the Material be commingled with materials received from third parties?

Yes
No

If yes, what are these other materials and who provided them?


12. If you have the Provider’s MTA, please attach it to your request prior to submitting.

13. Please provide any other pertinent email correspondence or information related to your request that you think will help expedite the process.

To complete your request, please click the "submit" button: