UW logo
Human Subjects Division (HSD)


Document Details

Last Updated 05/31/2016
Version 1.50
Filesize 1.9 MB
Audiences HSD Staff, IRB Member
Doc Type Form
Use of HSD PDF Forms

HSD Forms are compatible with Adobe Reader, Version 10 and higher, though we recommend use of the most recent version. You may receive messages from Adobe to upgrade.

For Mac users: be sure to open the form in Adobe Reader or Acrobat.

download Adobe Reader



This is a multi-purpose PDF "smart" form that documents the transfer or review responsibility from one UW IRB to another UW IRB, from a UW IRB to a Non-UW IRB and from a Non-UW IRB to a UW IRB.

Change Notes

  • Related to Ver. 1.50, noted 05/31/2016 @ 08:10pm
    Updated instructions for paper vs. Zipline applicatons
    - sherrye
  • Related to Ver. 1.40, noted 05/13/2015 @ 03:59pm
    Updated so that Team operations leads may transfer studies between UW IRBs.
    - sherrye
  • Related to Ver. 1.30, noted 07/25/2014 @ 11:14am
    Replaced Assistant or Associate Director titles with HSD Management for clarity. Updated committee drop down list.
    - sherrye
  • Related to Ver. 1.20, noted 03/06/2014 @ 12:36pm
    Minor bug fixes.
    - sherrye
  • Related to Ver. 1.10, noted 11/01/2013 @ 01:06pm
    Updated from digital signatures to image signatures.
    - sherrye
  • Related to Ver. 1.00, noted 10/19/2013 @ 05:12pm
    Updated name to new naming convention on website.
    - sherrye
  • Related to Ver. 1.00, noted 06/28/2013 @ 10:42am
    Document newly added.
    - sherrye