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	Letter of Intent - Application Form
	To request specimens from ACSR, you must submit a Letter of Intent Application form.
	Standard Letter of Intent - Application Form and Instructions
	HTML format Microsoft Word format PDF format
	Short Form Application
	In some cases, a one-time request for five specimens or fewer can be requested using the Short Form Application. Short Form - HTML format Instructions - HTML format Short Form Instructions - Microsoft Word format Short Form - Microsoft Word format Short Form - PDF format Instructions for Short Form - PDF format
	Send completed LOI and Progress Report Forms to: Debra Garcia Operations Director, Central Office and Data Coordinating Center 1001 Potrero Avenue Building 3, Room 207 San Francisco, CA 94110-1317 Tel: 415 206-5268 Fax: 415 206-3765 Email: dgarcia@acsr.ucsf.edu
	Progress Report Form
	Microsoft Word format