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Forms

COMPLIANCE

Animal Subjects Research (IACUC)

Animal Welfare Training Verification

Annual Continuation Review/Modification/Final Report (Animal Subjects)

Application for Animal Subjects Committee (IACUC) Review

Occupational Health and Safety Program Verification

Rabies Pre-Exposure Immunization Declination Form

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Conflict of Interest

Potential Conflict of Interest Disclosure Form.

*See Guide to Managing Converging Interest

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Human Subjects Research (IRB)

Annual Report/Modifications or Final Report Form (Human Subjects)

Application for Human Subjects Committee (IRB) Review

• Cover Page
• Application for Exempt Review
• Application for Expedited Review
• Application for Full Review

Consent Forms

• Assent Form (for Participation in Research Activities – Minors)
• Informed Consent Form (for Participation in Research Activities - Adults)
  • Possible End Points
  • Sample PHI Statements
  • Who May Obtain Consent
  • With Whom PHI Will Be Shared and Why
  • Withdrawal Letter Template

HIPAA Authorization Form Template

Authorization for the Use and Disclosure of Personal Health Information Resulting from Participation in a Research Study