Streamlyne - Account creation request form

Dear UPRCCC Streamlyne user.

Please complete this form to request access to the UPR Comprehensive Cancer Center Streamlyne System. Access will be provided to individuals identified as key personnel within a research grant or IRB protocol and validated by their Principal Investigators. You can also request by this form the inclusion or modification of sponsors, organizations, or contacts to the address book. Creating or including information into the system can take up to 5 business days. Please request the creation or inclusion of information into the system in a timely manner so your research team does not get behind within the schedule

First Name:

* must provide value

Last Name(s):

* must provide value

Contact e-mail:

* must provide value

Contact phone:

* must provide value

Select the one that best describes your role within the UPRCCC :

* must provide value

Other role at UPRCCC:

* must provide value

Contract number:

* must provide value

Contract end date:

* must provide value

M-D-Y

Primary Research Division Affiliation?

* must provide value

Primary Academic/ Institutional Affiliation:

* must provide value

Other academic institution:

* must provide value

Other academic institution in the United States:

Which academic degree are you currently pursuing?

* must provide value

Other academic degree:

Other division/office:

Private industry name:

* must provide value

Please provide the following information regarding the Principal Investigator you are working with.

Are you currently working with any UPRCCC-appointed investigators?

* must provide value

Yes

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Name of the Principal Investigator you are working with:

* must provide value

Other investigator:

* must provide value

Provide reasons to request an account:

* must provide value

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Please select the type of information you would like to include within the UPRCCC Streamlyne system.

Type of request:

* must provide value

In the Streamlyne system, a Person typically refers to an individual with a role within the system, such as a Principal Investigator (PI), Co-Investigator, Research Administrator, or any other staff member who requires direct access to the system. It is subject to compliance with institutional IT policies and regulations.

For whom am I requesting this account?

* must provide value

First Name:

* must provide value

Last Name(s):

* must provide value

Individual's Affiliation to UPRCCC:

* must provide value

Other affiliation:

* must provide value

Contract number:

* must provide value

Role at UPRCCC:

* must provide value

Start date:

* must provide value

M-D-Y

End date:

Base Salary:

* must provide value

E-mail to be used for the Streamlyne account:

* must provide value

Phone Number:

* must provide value

Citizenship status*

*Required in the system.

* must provide value

eRa Commons Username:

ORCID Id:

Primary Organization Name:

* must provide value

Organization Address:

Please include PoBox/Road, state, and country.

* must provide value

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Organization Zipcode:

* must provide value

Organization phone number:

* must provide value

Organization fax number:

Organization Website:

Please select the type of access you request to be granted:
(approval is conditioned to compliance with institutional policies and regulations)

* must provide value

Access to create/modify IRB protocols

Access to view IRB protocols

Access to assist in proposal development

Other

Provide the IRB protocol numbers you aim to be granted access:

* must provide value

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Provide the proposal number (s) you aim to be granted access:

* must provide value

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In the Streamlyne system, the Sponsor refers to the external organization, agency, or entity providing funding or other support for a research project or grant. This can include:

• Federal agencies (e.g., NIH, CDC, DOD)
• Foundations and non-profits (e.g., American Cancer Society)
• Industry partners (e.g., pharmaceutical companies)
• State or local governments

The Sponsor is responsible for setting funding terms, compliance requirements, and reporting obligations for the awarded project. Use this template to request a new sponsor be added to the system.

Type of request:

* must provide value

Streamlyne Sponsor ID:

* must provide value

Sponsor Name:

* must provide value

Sponsor Acronym:

Organization Address:

Please include PoBox/Road, state, and country.

* must provide value

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Sponsor Zipcode:

* must provide value

Sponsor Type:

* must provide value

Sponsor Unique Entity ID (UEI):

Sponsor DUNS Number:

Sponsor Tax ID:

Sponsor website:

* must provide value

In the Streamlyne system, an organization refers to an entity such as a university, hospital, research institute, or company involved in research administration, compliance, and grant management. Organizations are used to accurately track affiliations, manage funding relationships, and ensure compliance with institutional and sponsor requirements.

To request the creation of a new organization in Streamlyne, please include below the required information.

Type of request:

* must provide value

Streamlyne Organization Id:

* must provide value

Provide the information as it should appear in the Streamlyne record requesting to be modified.

Primary Organization Name:

* must provide value

Organization phone number:

* must provide value

Organization fax number:

Organization Address:

Please include state, country and zipcode.

* must provide value

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Organization Website:

* must provide value

Organization Tax ID:

Organization Unique Entity ID (UEI):

Organization DUNS Number:

Organization Federal Wide Assurance Number:

Animal Welfare Assurance Number:

In the Streamlyne system, a contact in the address book refers to an individual associated with an organization who plays a role in research administration, proposal submission, grant management, or IRB external individuals. Contacts can include principal investigators, department administrators, institutional officials, or sponsored programs representatives. Each contact entry typically includes details such as name, title, organization affiliation, email address, phone number, and role within the system. Maintaining accurate contact records ensures efficient communication and compliance with institutional and sponsor requirements. Please provide the following information to request the creation of a contact within the address book.

Type of request:

* must provide value

Streamlyne Address Book Id:

* must provide value

Provide the information as it should appear in the Streamlyne record requesting to be modified.

First Name:

* must provide value

Last Name(s):

* must provide value

Role at UPRCCC:

* must provide value

Contact e-mail:

* must provide value

Contact Phone:

* must provide value

Primary Organization Name:

* must provide value

Organization phone number:

* must provide value

Organization fax number:

Organization Address:

Please include state, country and zipcode.

* must provide value

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Organization Website:

* must provide value

By submitting this form, you acknowledge that you will comply with all applicable federal, local, and institutional policies for using institutional electronic systems. Any violations will automatically cancel your Streamlyne user privileges and could be subject to applicable penalties. For more information, visit: www.cccupr.org

After submitting this form, please allow up to 5 labor days for your account to be created or updated. Once set, a system administrator will contact you.

* must provide value

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