Summary: REQUEST FOR CONFIDENTIAL DISCLOSURE AGREEMENT (CDA)
University of Virginia
Please provide the following information for the Department and Faculty Member who will be
disclosing and/or receiving confidential information.
Please provide the following information for the recipient/disclosing organization who will be
exchanging confidential information with the University of Virginia.
Point of Contact:
1. Who is disclosing and/or receiving the confidential information?
Check one: UVA is only receiving information
UVA is only disclosing information
UVA is both receiving and disclosing information
2. What is the subject matter of the discussions?