sickkids-uhn fmcf user registration form – non-academic ... · therefore must provide a valid uhn...

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SickKids-UHN FMCF User Registration Form – Non-Academic Users Account Information We require institutional email addresses for all PI's and Users - hotmail/gmail accounts are not valid. Investigators must provide documentation that they have Institutional Biosafety approval for use of any biohazardous agents that will be brought into our facility and therefore must provide a valid UHN Research Biosafety Certificate. This certificate must cover all work being conducted in the FCF facility. Please contact UHN Biosafety ([email protected]) to obtain more information on how to obtain a UHN Research Biosafety Certificate. Please email completed forms and an electronic copy of your UHN Research Biosafety Certificate to the FCF manager Sherry Zhao (from PI's institutional email account) to: “[email protected]PI Last Name PI First Name PI Phone PI Email Administrator Email Administrator Phone Mailing Address for Invoices Room/Building Street City, Province Postal Code Lab Members Approved to Use this Account for FMCF Services: User Last Name User First Name User Lab Phone User Email e.g. Smith John 416-123-4567 [email protected]

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Page 1: SickKids-UHN FMCF User Registration Form – Non-Academic ... · therefore must provide a valid UHN Research Biosafety Certificate. This certificate must cover all work being conducted

SickKids-UHN FMCF User Registration Form – Non-Academic Users Account Information

• We require institutional email addresses for all PI's and Users - hotmail/gmailaccounts are not valid.

• Investigators must provide documentation that they have Institutional Biosafetyapproval for use of any biohazardous agents that will be brought into our facility andtherefore must provide a valid UHN Research Biosafety Certificate. This certificatemust cover all work being conducted in the FCF facility. Please contact UHNBiosafety ([email protected]) to obtain more information on how to obtain aUHN Research Biosafety Certificate.

• Please email completed forms and an electronic copy of your UHN ResearchBiosafety Certificate to the FCF manager Sherry Zhao (from PI's institutional emailaccount) to: “[email protected]

PI Last Name

PI First Name

PI Phone

PI Email

Administrator Email

Administrator Phone

Mailing Address for Invoices Room/Building Street City, Province Postal Code

Lab Members Approved to Use this Account for FMCF Services: User Last Name User First Name User Lab Phone User Email

e.g. Smith John 416-123-4567 [email protected]

Page 2: SickKids-UHN FMCF User Registration Form – Non-Academic ... · therefore must provide a valid UHN Research Biosafety Certificate. This certificate must cover all work being conducted

UHN Research Biosafety Certificate#

All users listed have read and agree to abide by all Policies and Procedures of the SickKids-UHN Flow and Mass Cytometry Facility which can be viewed on our website (http://www.sickkids.ca/research/FCF/)

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Yes
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No