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CIBMTR Center Closure or Withdrawal from Participation

Center Information

CIBMTR Center Closure or Withdrawal from Participation

Use this questionnaire to indicate that your center will no longer be submitting any data to CIBMTR. If you just want to change the type of reporting that you do, please go to the CIBMTR Reporting Change Questionnaire HERE.

Be sure to get to the end of the questionnaire and get a confirmation of the information you have submitted for your records. Further work on this issue will be done via CIBMTR Center Support. 

If you come to a question where an answer is not readily available, you may use the "Save and Continue" feature starting at the top of page two to get a link to return to the questionnaire where you left off and continue responding without creating a CIBMTR Center Support ticket.

When you submit your response you will receive an email notification with your support ticket number within 2 business days of completing the questionnaire. If you do not receive a ticket number, please contact cibmtr-centermaintenance@nmdp.org.

All subsequent communication will be done via the CIBMTR Center Support ticket.

Thank you!
1. Where is your center located? *This question is required.
2. Have you already created a CIBMTR Center Support ticket for this request or do you need one created? *This question is required.
A ticket will be created for your center status change in CIBMTR Center Support based on your response and your response will be attached. You will receive a notification with your ticket number within two business days.
We will attach a copy of your response to the ticket in CIBMTR Center Support.
CSM00
3. Who can we contact if we have questions about the information provided here? *This question is required.