Use this form in conjunction with Zipline to provide additional information about research-related problems or events to the Human Subjects Division (HSD) for review.
DO NOT use this form with applications submitted on paper.
Remove “Zipline” from title – 06.26.2020
Added new questions to capture information on safety monitor or DSMB reports and researcher-proposed corrective and preventive action (CAPA) plan – 01.03.2020
Clarified HSAP section about subject injury compensation – 01.12.2018
Fixed broken link – 06.23.2017