Equipment Repair

Instrumentation Service is provided for the following College of Medicine departments:

Name * Required
First Last
Email * Required
Enter Email Confirm Email
Phone * Required
Please provide the best number to reach you during work hours.
Principal Investigator Name

Please provide the name of the P.I./Faculty member who is responsible for the instrument. List "None" if a name is not applicable.
Department * Required
- Biochemistry & Molecular Biology
- Neurobiology & Developmental Science
- Physiology & Biophysics
- Microbiology and Immunology
- Pharmacology & Toxicology
- Other
Which department is responsible for the instrument?
Other Department

If you selected "Other" above, please enter the department name here.
Room Number * Required

Room number where the instrument is located.
Instrument Type * Required

Please provide the instrument type. (e.g. Centrifuge, HPLC, Shaker, Microscope, etc.)
Make * Required

Instrument Make (e.g. Beckman, Fisher Scientific, Eppendorf, etc.)
Model * Required

Instrument Model (e.g. Optima TLX, 5430R, LS531, etc.)
Serial Number

Instrument Serial Number
UAMS Tag Number
Description of Problem * Required
Please let us know the issues you are experiencing with the instrumentation and any additional related comments.

College of Medicine