MVLS Material Transfer Agreement (MTA) Questionnaire
The purpose of this form is to provide the necessary background information to expedite the review of
the MTA terms/conditions associated with access and use of any third party Material. This information
will help us to ensure that any third party requirements both complement and preserve your current
and future research interests, while ensuring full compliance with funder terms. To facilitate matters
please complete the brief questionnaire below.
1. PI/Project Details
Name:
Enter PI name
Email:
Enter email address
School/Institute:
Please select
Tel No:
Enter extension/external line
Date:
Enter date of submission (today)
Organisation providing material:
Enter name of organisation
Project Name:
Enter name of Research Project
Funder Name:
Enter name of Funder(s)
Award Letter:
If available, please embed here*
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2. Additional Information
a) Please provide a brief description of the Material requested.
For instance, it would be helpful to know the name, the source, whether this is a compound, cells, disease
model etc.
3. Additional Details
b) Please provide a brief description of how this Material will be used
Please provide details of the full research programme (e.g. aims, objectives, participants)
c) Is this Material or suitable alternative freely available in the public domain or accessible
from another source?
Yes
No
Not sure
If ‘yes’, please expand on alternative sources and why this provider is preferred.
Please provide sufficient detail to allow us to assess the value of the Materials and the fairness of the
MTA terms
d) Are you aware if there are any existing patents associated with this Material or other
alternative sources?
Yes patents
No patents
Not sure
3. Third Party Obligations
a) Please indicate how the purchase of this Material is being funded?
Internally-funded research programme
Non-commercially funded research programme
Commercially-funded research programme
If either the ‘Non-commercially-funded’/’Commercially-funded’ box is checked please
provide details of the funding organisation(s) supporting this research:
Where there is Funder involvement, we will need to consult the terms and conditions to ensure that there are no
conflicts. If available, please provide a copy of the Award Letter, as requested above. If you are aware of any
potential conflicts, please provide details.
b) Will your intended use of this Material result in its incorporation into your pre-existing
intellectual property/know-how?
Please note that MTAs will often include terms governing the ownership and use of not only the
Materials, but unmodified derivatives, modifications and progeny. If any of the results of your research
could come within these categories, please highlight and provide details.
4. If the MTA terms/conditions governing the use of this Material place any restriction of your
research outputs i.e. access/use of the results, publication, and/or potential
exploitation/commercialisation, will this present any issues or impact on your
current/future research activities?
Yes
No
Not sure
Please expand briefly on your above selection choice.
Please note that MTAs often include terms such as a prohibition against use for commercial purposes, a
prohibition on transfers to any third parties and include obligations to redact, remove or anonymise certain
information in publications. Please note that these restrictions may apply to unmodified derivatives,
modifications and progeny.
4a. Will any students be working with this material?
Yes
No
Not sure
4b. If 'yes', is an assignation agreement in place to cover the student's results of this
research?
Yes
No
Not sure
4c. If ‘no’, please complete attached Assignation Questionnaire to allow us to generate an
agreement.
MVLS Student
Assignation Questionnaire.docx
5. Are there any third party providers who are also involved, or could become involved, in the
Research Project?
Please provide details of any third party providers who are involved or potentially could become involved
in the Research Project. Please provide details of any third party providers who have also provided
materials for the Research Project and forward any existing MTAs in place with these third party
providers.
6. If access to this Material is considered important to your on-going research activities
please provide a brief statement indicating why?
Please provide details such as anticipated results, potential intellectual property generated, relationship
benefits.