INSTRUCTIONS

  1. Complete a draft of the form and print out a copy for your file (if desired) then click ‘Submit’.
  2. Once the form is submitted, it cannot be modified further. However, you may communicate additional information by contacting info@sbirsttrmall.com

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STORY SUBMISSION SOURCE

*Name: 
*Organization: 
*Tel:  Ext:  Fax: 
*Email: 


*STORY CATEGORY (SELECT ONE)



SBIR/STTR STORY IDENTIFICATION AND ORGANIZATIONAL CONTACTS

SBIR/STTR Topic Number: 
*Title: 
Contract Number: 


Small Business Company Information

*Company Name: 
*Company Contact: 
Address: 
Tel:  Ext:  Fax:  E-mail: 


Technical Point of Contact (TPOC):

Name: 
Address: 
Tel:  Ext:  Fax: 
Email: 



SBIR/STTR Program Manager:

Name: 
Address: 
Tel:  Ext:  Fax: 
Email: 



SPO Transition Office/Contact (Transition Story Only)

Name: 
Address: 
Tel:  Ext:  Fax: 
Email: 



Air Force Requirements

Briefly (3 or 4 sentences) describe why the Air Force needed the technology.



SBIR/STTR Technology

Briefly (4 or 5 sentences) describe the SBIR/STTR Technology.



Potential Air Force Impact (For Innovation Story)

How/where may this technology make an impact on the Air Force?



Transition Impact (For Transition Story)

How/where is the technology being used today? What Air Force /DoD system/subsystem does it support?
How will this technology make an impact on the Air Force?



Company Impact

What was the SBIR/STTR Program meant to the small business in terms of commercial sales/company
growth/product development? This statement may be in the form of a quote from the President/CEO.




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