Get Aphis-cdc Form 4a Referencelab_sampleprovider - Select Agents - Selectagents

The APHIS-CDC Form 4A ReferenceLab_SampleProvider is vital for reporting the identification of select agents and toxins from clinical or diagnostic specimens. This guide provides step-by-step instructions to ensure a smooth and accurate online submission process.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Complete Section A, which captures reference laboratory information. Ensure to enter the name of the person completing the sections, followed by their email address, registration status, contact information, and entity details.
3. Move on to Section B where you will describe the select agent or toxin identified. This includes filling out the type of agent or toxin, the date of identification, sample IDs, and origin information.
4. In Section B, specify the disposition of the select agent or toxin, whether it was transferred, destroyed, or retained.
5. Proceed to Section C, focusing on sample provider information. Similar to Section A, include the individual’s name, email, registration status, and laboratory details.
6. Then, complete Section D, where you will document the specifics of the specimens provided to the reference laboratory, along with tracking their identification and handling.
7. Once all sections are filled out completely, review the entered information for accuracy, ensuring all required fields are completed.
8. After confirming that all information is correct, users can save changes, download a copy of the form, print it, or share it as necessary.

Begin your online submission process today by completing the APHIS-CDC Form 4A.