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: APPLICATION IRB Protocol, No Contact with Subjects.

Change Notes

Addition of REDCap as option for e-consent; restructure COVID review question; addition of UW Youth Program ancillary review question – 10.15.2020
Clarifications on participants older than 85 – 08.14.2020
Updated COVID-19 questions – 08.12.2020
Remove “Zipline” from document title and from documents referenced within; other, minor wording updates to several questions – 06.26.2020
Added questions related to COVID-19 protections – 06.16.2020
Updated instructions and clarifications about how to fill out the form for multi-site and collaborative study designs; revised PHI question to get more detailed information about how it is accessed; updates to formatting, typos, links, and remove references to Zipline pages that are renamed-11.15.2019
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