| Before you can carry out research with humans or vertebrate animals
-- and before you apply for external funding for any kind of project --
certain internal reviews and approvals have to be completed. For a discussion
of the rationale behind these requirements, see Who
Signs for What and Why.
In all forms, the signatures you will need to obtain before submitting
your application are marked by a "@" sign.
In this section you can see the forms to be used for these internal
reviews and approvals. You can print them from your browser screen to fill
out with a typewriter, or you can download them in a number of electronic
formats. These allow you to fill out the forms on your computer
and print them directly. Forms are available in Wordperfect
and Microsoft Word for Windows. You can download them online by clicking
here
or you can pick up a disk copy from the Office of Research Development
Resource
Room.
To find out which forms you will need for particular types of projects,
see the Forms Checklist.
ADMINISTRATIVE APPROVAL FORMS
D-I ADMINISTRATIVE APPROVAL FORM
All applications for external funding and all applications
for Scientific Committee (IRB) approval must be accompanied by this form.
It consists of the following:
D-I.a
Project Description
D-I.b
Institutional Commitment of Resources
D-I.c
Resource Approvals
D-I.d
Pathology Resources
D-I.e
Financial Summary
D-I.f
Administrative Agent Approval
D-I.g
Finance Office approval
D-I.h
Institutional approval
D-II OTHER ADMINISTRATIVE FORMS
TO BE USED AS NEEDED
Submit the following only if applicable:
D-II.
a. Pharmacy Commitment Form:
If Pharmacy services
will be required over and above those needed for routine patient care
D-II.
b. Laboratory Commitment Form:
If Laboratory services
will be required over and above those needed for routine patient care
D-II.c.
Research Safety Form:
If your research project
will use hazardous materials or radioisotopes other than those needed for
routine patient care; or if you will use recombinant DNA in your
research
D.II.
d. Financial Interest Statement:
If you have a significant
financial interest in the research project under review
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SCIENTIFIC COMMITTEE (IRB) FORMS
For an explanation of the policies and procedures for Scientific Committee
review and oversight, see Guidelines for Research
Investigators.
D-III Initial
IRB Approval: Full or Expedited Review
D-III.a
Investigators' Acknowledgment
D-III.b
Abstract of Research Proposal
D-III.c
Description of Subjects
D-III.d
Request for Waiver of Consent or Waiver of documentation
D-III.e
Request for Expedited Review
D-III.f
Request for Exemption from Review
D-IV
Scientific Committee Report Forms
D-IV (PWS) Pregnant Women, Neonates
D-IV.a Progress Report Form
Used to apply for re-approval
by the Scientific Committee when approval is due to expire, also used as
a final report when closing out a study. Must be sent to the IRB annually.
D-IV.b Adverse Event Report Form
Used to report serious
and unexpected adverse events in clinical research
D-IV.c Amendment Cover sheet
D-IV.c Oncology Amendment
D-IV WS DS Wards of state and detainees
D-V
Sample Consent Forms
Instructions
D-V.a.
Consent for Competent Adults
D-V.b.
Consent & Assent for Minor Subjects
D-V.c.
Consent & Assent for Persons Lacking Decision-Making Capacity
D.V.d.
Suggested Language to Use in Writing Consent Forms
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ANIMAL COMMITTEE (IACUC) FORMS
Please contact Funeka Sihlali at 312-864-4821 or funekasihlali@yahoo.com
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