Commodity Classification Request
Information Sheet
Name of UTMB Faculty (Provider):
Department:__________________
Anticipated date of transfer:_______
For the Exporting of Tangible Materials/Commodities:
1. State the full name of the material that you intend to send:
2. Give a brief description (200 words) describing the material
3. State one published journal/articles involving your work with the material, include the citation:
4. State one published journal/articles that describe the material that you are intending to send:
5. State the amount of the material you will send:
6. Name the Recipients of the material, including address and entity, country.
7. State the reason for transferring the material
8. State what the Recipients are intending to do with materials.
9. Are the materials publicly available?
10. Are the materials commercially available?
11. Attach Your Curriculum Vitae
I, __________________, certify that I have completed this information to the very best of my knowledge
and that the information is true and accurate. I understand that this information will be submitted to
the Department of Commerce to assist in the commodity classification determination.
Signature of UTMB faculty:_____________________
Date: ________________