Alphabetical Listing of IRB-01 Forms

Title Revision
A: Researcher Assurance

L: Conflict of Interest

U: Department of Defense


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
Deviation/Non-Compliance Reporting Form
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 (non NIH) 11/08/2019
Emergency Use 10/07/2019
Emergency Use: Chair Letter 12/20/2022
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
NIH Data Management and Sharing Form (GWAS, GDS, DMS) 01/25/2023
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 — ENGLISH 03/15/2019
HIPAA – Stand-alone Authorization Form — SPANISH 12/22/22
HIPAA – Stand-alone Authorization Form — HINDI 12/22/22
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
Planned Deviation Form 1/18/2024
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) 01/09/2024
Visiting Researcher Agreement 08/20/2019