International Shipping Screening Form
Do not ship anything prior to this form being approved!
Is the recipient the person who will be using the item, or is it just an intermediary (i.e. administrative assistant) and the item will be ultimately used by someone else (i.e. a PI or a researcher)?
What is it? What does it do? Is it a system? Use scientific and generic terms.
Was the item purchased/made using sponsored project funds? If so, provide project details
Does this shipment involve any items related to existing Material Transfer Agreements (MTA), Confidential Disclosure Agreements (CDA), or other Licensing Agreements concerning Intellectual Property?
Is this shipment related to a current or completed sponsored project at the UM?
Provide the sponsored project details (e.g. sponsor, award/grant number, title, PI, etc.)
Why is the item being requested/shipped? What will it be used for? What is the ultimate purpose?
Explain how shipping/sharing this item with international entities benefits the UM and supports the University's goals and mission?
If you have more items going to the same recipient/end-user, provide their names below and fill out a new form for each form. You can skip all Recipient Info if filled out immediately after this one.
Please upload any documents relevant to this request
I certify that the provided responses are accurate and complete to the best of my knowledge. I understand that further information might be requested. I confirm that no items will be shipped prior to receiving an email approving this shipment.
Typing full name will serve as a signature