Alphabetical Listing of IRB-01 Forms
| Title | Revision | |
|---|---|---|
| Addenda | ||
| A: Researcher Assurance | ||
| Assurance letter for NIH Certificate of Confidentiality | 03/03/2020 | |
| Closure Certification for Biologic Specimens Bank | 03/11/2016 | |
| Confidentiality Agreement for Data and/or Specimens | 03/11/2016 | |
| Continuing Review for sIRB Studies Only (UF IRB of record) | ||
| Adverse Event Summary Table (sIRB only) | 01/07/2020 | |
| Deviation Tracking Log (sIRB only) | 01/07/2020 | |
| Subject Enrollment (sIRB only) | 01/07/2020 | |
| Cumulative Adverse Event Table for Continuing Review | 03/17/2017 | |
| EXCEL version | ||
| Cumulative Deviation Table for Continuing Review | 05/09/2013 | |
| Data Sharing Form Template | 11/08/2019 | |
| Emergency Use | 10/07/2019 | |
| Emergency Use Checklist | 11/02/2016 | |
| Emergency Use Consent (if one not available from sponsor) | 12/15/2006 | |
| Emergency Use Independent Physician Certification | 06/13/2008 | |
| Adverse Event Reporting Form | ||
| GWAS Data Sharing Plan Template | 06/07/2017 | |
| HIPAA – Certificate for Preparatory Research (UF/Shands version) | 03/11/2016 | |
| HIPAA – Certificate for Research with Decedents Info (UF/Shands version) | 03/11/2016 | |
| HIPAA – Disclosure Tracking Log: Research | Live | |
| HIPAA – Stand-alone Authorization Form | 03/15/2019 | |
| Informed Consent Forms | Live | |
| Use this link to visit a separate page dedicated to Informed Consent Forms. All of the different templates are available as well as other resources and instructions. | ||
| Introductory Questionnaire for Data Transfer Studies | 03/11/2016 | |
| This is only to be used by faculty who are new to / joining UF who are simply bringing their previously collected research data with them for continued analysis. No additional study interventions or data collection remain. A: Researcher Assurance | ||
| Principal Investigator Change | 06/13/2008 | |
| Revision to permanently change the PI – signed by the old/departing PI and the new PI must also submit a revision in myIRB. Note: changing the PI on a study that is normally reviewed at the full Board must also be reviewed at full Board, so please take note of our full Board deadlines /irb01/deadlines.html. | ||
| Protocol | 03/09/2004 | |
| Sample protocol with helpful information to remember/consider when writing your protocol. Read Protocol Template Guidelines before completing the protocol form. You may use the sponsor’s protocol or GCRC protocol if available. | ||
| Quality Improvement vs Research Determination Form | 10/25/2019 | |
| Unaffiliated Investigator Agreement (OHRP’s Individual Investigator Agreement) | 05/23/2017 | |
| Visiting Researcher Agreement | 08/20/2019 | |