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Request for Technical Assistance Form

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Client or Company Requesting Technical Assistance


Client or Company Name *
Please enter Client or Company Name.
Contact Name *
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Phone Number *
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Fax Number 
Title 
Email Address *
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Street Address *
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Mailing Address 
City *
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State *
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Zip Code *
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Number of Employees 
SIC/NAICS Code 
Percent Foreign-Owned 
Request for Technical Assistance


Describe your request for technical assistance, including nature of the problem and its symptoms. *
What are your expectations regarding the outcome of technical assistance from the Idaho National Laboratory? *
Check all INL mission areas that apply to your request: *
National and Homeland Security
Nuclear Energy
Energy and Environment
To the best of my knowledge, the technical assistance requested of the Idaho National Laboratory is not reasonably available in the private sector. *
Yes
No


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Page Contact: Stephanie Cook | (208) 526-1644 | Email Contact​​​​