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Research Microscope Lab

Ϲ HRPP and IRB Forms

IRB Forms including agreement and IND exemption request forms.

IRB Forms

Agreement of Investigator Responsibilities (DOC)
This must be submitted whenever there is a change in Principal Investigator

Attestation for Ceded Reviews & Projects (DOCX)
This attestation should be completed by the investigator in the process of requesting a ceded review or in the establishment of a reliance agreement of IRB review.

De-identified Data Agreement (DOC)
Model letter to include in IRB submissions when receiving or providing de-identified samples to/from other institutions

Electronic Copy Certification for paper Informed Consents (DOCX)
For projects which seek to archive paper informed consents electronically in accordance IRB SOP: Research Consent Storage: Electronic Copies of Paper Informed Consent Forms.  

IRB Reliance Request Form (DOCX)
Use this form to request Ϲ to serve as the IRB of record or defer IRB oversight when a project may involve 2 or more institutions.

ICH-GCP E.6 Checklist for Investigators (DOCX)
An attestation to confirm Investigators will follow ICH-GCP E.6 requirements for project.