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 Budget Extensions, No-Cost Extensions 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 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 New Subrecipient Entity Certification - Domestic Subrecipients New Subrecipient Entity Certification - Foreign Subrecipients Pregnant Women Prior Approval Prisoners Report of New Information Research with Children SCRI Staff Assignments Signature Delegation Single IRB Status Report Subaward Monitoring Translation, Consent Forms Zipline

Owner All HSD ORC ORIS OSP GCA

Media type	Name	Updated	Subject	Owner	Download
	HIPAA Authorization Template	11/30/2022	HIPAA Authorization	HSD
	External Reliance HIPAA Waiver Request	07/27/2023	HIPAA Authorization	HSD
	HIPAA Authorization, Pregnant Partner Template	06/03/2022	HIPAA Authorization	HSD
	INFORMATION SHEET HSAP	04/18/2017	Human Subjects Assistance Program	HSD
	WORKSHEET Human Subjects Research Determination	01/26/2023	Human Subjects Research	HSD
	CITI DON Course Registration Instructions	12/10/2018	Human Subjects Training	HSD
	*IRB Protocol	11/29/2023	IRB Application	HSD
	*IRB Protocol, No Contact with Subjects	11/29/2023	IRB Application	HSD
	WORKSHEET IRB Review Outcomes	12/28/2021	IRB Review	HSD
	WORKSHEET Criteria for IRB Approval	12/29/2022	IRB Review	HSD