UW Research

Forms and Templates

*IRB Protocol, No Contact with Subjects


This form is used in conjunction with Zipline to submit an application to the IRB. Use the No Contact form only if you will have no interaction of any kind (in person, email, internet, social media, etc.) with your subjects.

Use the APPLICATION IRB Protocol if you will interact with subjects, such as with a web based-survey, telephone interview, focus groups, blood draw, etc.

The form must be submitted as a Word document (not PDF or other format).

Change Notes

Minor clarification to UW Medicine security review question – 11.29.2023
Clarify consultation question; make it clear an identifiable LDS created for an investigator’s own use requires a HIPAA waiver – 10.02.2023
Revise data sharing question for clarity and to add advisory point about UW Medicine security review for machine learning using UW Medicine PHI – 06.29.2023
Remove taxonomy emphasis for all references – 06.01.2023
Revision in response to NIH DMS policy; remove mandatory reporting question; other minor changes – 11.30.2022