IRB - Example Documents

Example Documents and Templates

All IRB forms are in IRB Manager and we no longer accept paper forms.

Please review the IRB Manager page for helpful information related to protocol submission.

The example documents below may be used as a guide to supplement your IRB Manager submissions as indicated.

Templates for Research Use:

"Drawing" Sample Language

In-Home Visit Safety Plan

Consent Form Templates:

Sample Consent Form

Sample Child Assent

Sample Parent Consent

Waiver of Consent Form

Miscellaneous Forms/Templates:

Sample Letter for Mailed Letter

Sample Recruitment Flyer

Verification of Translation Accuracy

Transcriptionist Contract

Example Permission to use Data Letter

Study Data Transfer Request Form (transferring data from PAU to another institution)

Reliance Agreement - PAU Reviewing IRB

Reliance Agreement - PAU Relying on Other IRB

PAU IRB Individual Investigator Agreement

IRB Approval Certification Involving Non-PAU Affiliated Sites

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