Skip to main content

Alphabetical Listing of IRB Forms

TitleNotesRevision
A: Researcher Assurance
L: Conflict of Interest
U: Department of Defense
Assurance letter for NIH Certificate of Confidentiality03/03/2020
Closure Certification for Biologic Specimens Bank03/11/2016
Confidentiality Agreement for Data and/or Specimens03/11/2016
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 Review03/17/2017
EXCEL version
Cumulative Deviation Table for Continuing Review05/09/2013
Data Sharing Form Template (non NIH)11/08/2019
Debriefing Form02/27/2024
Emergency Use10/07/2019
Emergency Use: Chair Letter12/20/2022
Emergency Use Checklist11/02/2016
Emergency Use Consent (if one not available from sponsor)12/15/2006
Emergency Use Independent Physician Certification06/13/2008
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: ResearchLive
HIPAA – Stand-alone Authorization Form — ENGLISH03/15/2019
HIPAA – Stand-alone Authorization Form — SPANISH12/22/2022
HIPAA – Stand-alone Authorization Form — HINDI12/22/2022
Informed Consent FormsUse 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.Live
Introductory Questionnaire for Data Transfer StudiesThis 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 Assurance03/11/2016
Planned Deviation Form01/18/2024
IRB-01 Protocol TemplateSample protocol with helpful information to remember/consider when writing your protocol. 03/09/2004
IRB-02 Protocol Template07/18/2023
Protocol Template for AI Models using Retrospective Data03/26/2025
Quality Improvement vs Research Determination Form10/25/2019
Request to Cede Review- Sponsor Attestation Form09/09/2025
Unaffiliated Investigator Agreement (OHRP’s Individual Investigator Agreement)01/09/2024
Visiting Researcher Agreement08/20/2019