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Forms & Templates


Below you will find the forms and templates required for submission by the IRB.

New Study Submission
Instructions:

Download and save each form. For check-boxes, use the mouse to click.

If you need help deciding if your study may qualify for Exempt status, use the following decision chart.

The "Standard Face Page" should be on the top of your submission.

word New Study Submission Form
word Protocol Summary Form
word Standard Face Page
word Informed Consent Template (bottom of this page)
     
Revisions Requested by the IRB/ Approved with Conditions
 

After the Principal Investigator submits a study, the IRB may ask for revisions or place conditions on the study before final approval is granted. For example, the IRB may request revisions after the IRB staff, designated IRB reviewers, or the Full Board reviews the study.

Instructions: To fulfill the conditions, print out and send your revisions to the IRB office (ENG 270). Complete the (a) Standard Face Page, marking the (b) Revisions Requested by the IRB box. (c) Print out and re-submit the pages of your protocol which require the revisions (e.g., if the revisions are only to the consent form, submit only the consent form). (d) submit a cover memo referencing the revisions by the corresponding item number in the attached email letter. (e) Highlight, bold, or underline each revision referencing them by the corresponding item number in the attached email. (f) Include a copy of the emailed letter requesting revisions. Once you have fulfilled the conditions, you will be notified by email with a formal letter attached that your protocol is approved.

     
Continuing Review / Completions / Closeouts
Instructions:

See Section C of the Continuing Review Form for instructions on what documents to include.

The "Standard Face Page" should be on the top of your submission.

word Continuing Review Form
word Protocol Summary Form
word Standard Face Page
word Informed Consent Template (bottom of this page)
     
Modification/Amendment
Instructions:

The "Standard Face Page" should be on the top of your submission.

word Modification/Amendment Form
word Standard Face Page
word Informed Consent Template (bottom of this page)
     
Reportable Events
Instructions:

Download and save each form. Each form is set to "form fields". Use the mouse or "tab" key to move from one grayed field to another; text will wrap around. For check-boxes, use the mouse to click.

The "Standard Face Page" should be on the top of your submission.

word Reportable Event Form
word Standard Face Page
     
Informed Consent/Assent Templates
Instructions:

Use the consent/assent template based on the appropirateness of your study. Multiple consent/assent forms may be required depending on your subject population.

word Informed Consent Instructions
word Adult Informed Consent Template
word Adult Informed Consent Template (Example)
word Parent and Child Consent Template (use for children ages 14 and up)
word Minor Assent Template (use for children ages 7-13)
word Online Survey Consent Template
word Letter Format Consent Template
word Short Version Consent Template
   
Updated September 2007
Benjamin Kennedy