Forms and Templates

Forms, templates, and worksheets from the Office of Research.

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Type All Applications / Forms Agreement Checklist / Matrix Executive Order External Page or Resource GIM / Policy Manuals Media Fact Sheet Procedures & Guidance Report Stats and Rankings Templates / Worksheets Tool (SAGE, MyResearch, etc) Training Course Materials (Required training or CORE courses)

Subject All Assent Assurance CITI Registration Clinical Trials Compassionate Use Consent Controlled Information Categories for Classified or Restricted Research Delayed Onset Human Subject Research Department of Defense Department of Energy Department of Justice Device Emergency Use Devices Drug or Biologic, Emergency Use Drugs, Biologics, Botanicals Electronic Consent Emergency Medicine Emergency Use End of Award Engagement Engagment Environmental Protection Agency eSignature, eConsent Exemption Expedited Review Export Control External IRB F&A Waiver Faculty Reduced Responsibility Status Involving External Funding FDA, Drugs, IND Requirements FDA, IDE Requirement Genomic Data Sharing HIPAA Authorization Human Subjects Assistance Program Human Subjects Research Human Subjects Training Intellectual Property IRB Application IRB Review Join an IRB Local Context Multi-site or collaborative research Multi-Site Research, Collaborative Research Mutual Non-Disclosure Agreement Sample Neonates New Subrecipient Entity Certification Pregnant Women Prior Approval Prisoners Report of New Information Research with Children SCRI Staff Assignments Signature Delegation Single IRB Status Report Subaward Monitoring Transfer Review Translation, Consent Forms Zipline

Owner All HSD ORC ORIS OSP GCA

Media type	Name	Updated	Subject	Owner	Download
	TEMPLATE HIPAA Authorization	06/03/2022	HIPAA Authorization	HSD
	TEMPLATE HIPAA Authorization, Pregnant Partner	06/03/2022	HIPAA Authorization	HSD
	WORKSHEET Options for IRB Actions	05/26/2022	IRB Review	HSD
	SUPPLEMENT Multi-site or Collaborative Research	05/26/2022	Multi-Site Research, Collaborative Research	HSD
	End of Award Request Form	05/20/2022	End of Award	OSP
	OSP Staff with delegated signature authority	05/03/2022		OSP
	EXAMPLE Consent, Exempt Research	05/02/2022	Exemption
	TEMPLATE Consent Form, Emergency or Compassionate Use	04/28/2022	Emergency Use	HSD
	SUPPLEMENT Department of Defense	04/28/2022	Department of Defense	HSD
	INFORMATION SHEET Local Context Profile	03/31/2022	Local Context	HSD