Please fill out and submit this form when shipping samples to BioSEND. After submission, please print a copy of the form to include with your submission. If you prefer to not use the online system, you may download a pdf version of this form from the sidebar to the right.

Contact Information

Subject Information

Ship Frozen Shipments Monday-Wednesday ONLY! Ambient Shipments (purple-top EDTA tube) may be shipped Monday-Thurdsay (preferably Monday- Thursday) provided they are received at Indiana University within five days of collection. This form must be completed for shipment of all research samples. This form will serve as notification to Indiana University and the DMR of sample shipment. Place a copy in the shipment box and file a copy of the completed form in the study binder. Ensure all frozen shipments are filled with dry ice.

Sample Information

Draw Date Specimen Type # of Tubes Sent Notation of Problems