UW Research

Forms and Templates



This form is used in conjunction with Zipline to submit an application to the IRB. If you anticipate that you will have no contact with subjects, such as with a medical records review, use the form: ZIPLINE APPLICATION: IRB Protocol, No Contact with Subjects.

Change Notes

Removed all references to Confidentiality Agreements and to state law RCW 42.48 – 07.28.2019
Instructions about accessibility issues; new set of questions about return of individual research results; revise deception question; remove questions (newborn blood spots; retrospective/prospective data); minor wording, link and numbering corrections – 04.12.2019
Updated consent questions to conform with revised Common Rule; other minor fixes and updates – 11.30.2019
Many minor updates related to Zipline upgrade, see release notes for details – 08.24.2018
Minor revisions to clarify the intent of various questions – 01.12.2018
Corrected question 8 directional and typos – 06.23.2017
Corrected formatting – 04.14.2017
Updated links and fixed typos, clarified deception question – 04.05.2017