VORL MMM Service Request Form (Internal)

Medical Modeling & Manufacturing Service Request

Please use this form for TEAM prototyping services when directly affiliated with UC
Request Date (Today's Date)

MonthDayYear
Your Contact Information:
Name*

First NameLast Name
Phone Number*
E-mail*
Department*

VMTHOther
Other Department Selection*
Primary Investigator (PI) or Veterinarian*
Billing Method*

Aggie Enterprise - GL Chart String (43 digits)Aggie Enterprise - PPM Chart String (29 digits)I'm not sureI'd like to pay privately (External client)
GL Chart String*
Paste here, format: 0000-00000-0000000-000000-00-000-0000000000-000000
PPM Chart String*
Paste here, format: 0000000000-000000-0000000-000000
Please contact your account manager, PI, or Instructor for help with this region of the form. You are looking for either an "Aggie Enterprise GL Chart String" or an "Aggie Enterprise PPM Chart String."

If charging a GL chart string (Format: 0000-00000-0000000-000000-00-000-0000000000-000000-0000-000000-000000), then we need the following:

Entity
Fund
Department
Purpose
Account
Project
Program
Activity

If charging a PPM chart string (Format: 0000000000-000000-0000000-000000), then we need the following:

Project
Task
Organization
Expenditure Type

DO NOT SUBMIT A REQUEST WITHOUT CORRECT ACCOUNT CREDENTIALS.

"TBD," A person's name, or a Student/Employee ID number are NOT acceptable inputs.

If you are unable to obtain an Aggie Enterprise Account String, you'll need to submit a request as an External Client. Note that external clients are subject to additional processing, and increased rates (per university requirement).
Not a problem - As an "external client," please use this form instead:

Link to External request form

FAQ: What is an external client, and what is the consequence of being billed as such?

An external client is simply the name we assign to those who wish to use the lab's services, but aren't paying from a research account, or department account.

Per requirement from the University, you will be subject to external rates (higher), and will not be permitted hands-on access to any equipment.

Service Details:
Notes, disclosures, and expectations:

1. Most printing and laser cutting requests take ~2 days, but more extensive requests generally take longer, and depend on facility workload.

2. Clinically urgent requests will always take top priorty.
Project Name*
Basic Description of your project:*
Requested Date of Completion*

MonthDayYear
How would you like to schedule a meeting before we begin your effort?*

ZoomIn-personPhone CallNo thanks, already had a meeting or none needed
Service(s) in this request:*

3D Printing3D ScanningCustom Design or Development
How would you like to specify your desired 3D printing technology, and materials?*

I've already spoken to a VORL lab member, and they understand these detailsI'm not sure and I'd like a VORL lab member to review my files, and explain my options by way of discussion (email, call, etc.)
General Information on 3D Printing:

Please see our website for more details on what 3D printing offerings we can provide, as well as this spreadsheet for a general idea on pricing.
File Upload
Please upload relevant files below. If your file type of choice is rejected, please compress your file into a zip archive to permit the upload.

We accept CAD, STL, or VMTH Patient ID#
VMTH Patient ID#
File Upload

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Medical Modeling & Manufacturing Service Request

Your Contact Information:

Service Details:

File Upload

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