Joint Laboratory Use Agreement Form
Project Title
Principal Investigator (PI) Name
PI Department/Affiliation
Co-PI/Collaborator(s) Name(s)
Collaborator(s) Department/Affiliation(s)
Contact Email
Contact Phone
Lab Facility Name
Purpose of Use
Equipment/Resources Needed
Proposed Start Date
Proposed End Date
Anticipated Laboratory Hours
Number of Users
List of Users (Name & Affiliation)
Special Requirements or Notes
Agreement
I/We agree to abide by all laboratory rules and safety protocols.
PI Signature
Date
Lab Manager/Director Signature
Date