Hardware Request

Hardware Request Form
Please use this form to request actions related to hardware, including shipping or delivery, returning, replacing, or updating the inventory status of Valis hardware (including ACAM kits, ValisR eCOA kits, eDiary Devices, Trial.Training tablets, and other Valis hardware).
Please enter the name of the study or research sponsor/company.
Please enter the study the request is related to, e.g. STUDY-101
Select the hardware the request pertains to