Application for Collection of Tissues & Other Biospecimens
  1. Obtain an approved protocol or an exemption for your research project from the Institutional Review Board for Health Sciences Research . The BTRF may supply you with anonymous or de-identified samples that may allow you to obtain a waiver of informed consent or a "not human subject research" status. Send a copy of the IRB review to the address given below.  Collection or distribution of tissue will not occur until this documentation is provided!
  2. Obtain the appropriate training, approval, equipment and supplies to work with human tissue and or fluids. See the Biosafety Committee web-page for more information.
  3. Complete the application form. Please consider your needs carefully. The larger the specimen aliquot that you request, and the more strict the conditions that you specify, the greater the difficulty we have in fulfilling your request. Please feel free to discuss your requirements with the the Biorepository Manager or the Faculty Director (see Contacts ). Send the form to the Biorepository Manager:

                            Craig Rumpel
                            Dept. of Pathology
                            P.O. Box 800214 
                            Ph. 982-6453 PIC#1269  email: crumpel@virginia.edu  

By completing the application and initiating your request, you indicate that you understand and will comply with the following conditions:

  1. You will comply with the provisions of the IRB approval regarding human subjects research.
  2. The Biorepository does not screen samples or subjects for any type of infections, and therefore the researchers and all laboratory personnel should observe universal precautions. You must understand that in receiving anonymous or coded-linked samples, subject identity cannot or will not be disclosed even in the event of exposure of laboratory personnel to potentially infectious material. It is assumed the investigator adheres to all University of Virginia policies and procedures regulations regarding biohazardous materials, including the appropriate training of, and notification of risk to, all personnel exposed to these materials.
  3. All University of Virginia policies and procedures regarding transfer of material to a third party apply to these biospecimens. The transfer of coded-linked and/or identified human materials to individuals or entities not authorized by the IRB-HSR is a violation of Federal Law.
  4. You will reimburse the BTRF according to the published fee structure for materials and services that you receive.
  5. To justify the investment by UVA in this facility, you must agree to acknowledge the contribution of the Biorepository and Tissue Research Facility in any publications arising from the use of these samples. We also request that a copy of the manuscript(s) be sent to us upon publication.