| IRB Application Forms
Human Subjects
Application to Use Human Participants
in Research MSWORD FILE
IRB
Policies and Procedures MSWORD FILE
IRB Application Form RTF
- Rich Text Format Downloadable
Application to Use Human
Participants in Research PDF FILE
IRB Policies and Procedures
PDF FILE
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BEFORE SUBMITTING IRB - Application
Submission Check List
IRB Renewal Form
Use this form when your
research lasts longer than one year and you would like to
continue the research protocol. This would be one year from your
original IRB applications approval.
IRB
Renewal Form MS WORD
PDF Renewal Form
IRB Protocol Change Form
Use this form for submitting changes to your originally approved
IRB application. This includes any minor changes to your approved
human subjects protocol. Minor changes are approved fairly quickly,
but should the changes to your human subjects protocol be so
extensive they change the the entire methodology then a new IRB
application submission will be required.
IRB Protocol Change Form in MS Word
PDF Protocol Change Form
IRB Adverse Event Reporting Form
Use this form to submit a report of an unanticipated event (harm
caused to human subject(s)), either an (AE) Adverse Event or a (SAE)
Serious Adverse Event. No matter how minor the event. This is a
mandatory federal requirement from the Office of Human Subjects
Protections (guidance)
that Adverse or Serious Adverse Events are required to be submitted
and reported to the designated institutional IRB. Fill in the form
and answer the questions and submit a copy to the IRB Coordinator in
the Office of Academic Research, CSUSB, Room AD-179.
Failure to notify the IRB of AE's or SAE's may result and
disciplinary action by the CSUSB IRB under the CSUSB faculty and
student misconduct policies in addition to notifying the Federal Office of Human
Subjects Protections.
Adverse Event Reporting Form
Animal Subjects
Application
to Use Animals for Research or Teaching MSWORD FILE
Animal Research Renewal
Form MSWORD FILE
Application
to Use Animals for Research or Teaching PDF FILE
Animal Research Renewal
Form PDF FILE
Sample Forms
ATTENTION:
The sample Informed Consent form is for reference only, please format your
Informed Consent so that it is unique to the research protocol being conducted. Use the
OHRP Informed Consent checklist (see bottom) to ensure you are including
all the required elements of Informed Consent AND additional elements as
appropriate. This will help in the processing, review, and final approval of
your application.
Sample
Debriefing Form MSWORD FILE
Sample Informed
Consent Form MSWORD FILE
- This sample was not intended to be used as boiler plate (to
be copy and pasted). Write the informed consent in your own
words appropriate to the survey population you are researching. See PDF copy for example and OHRP
Informed Consent checklist below.
Sample Video-Audio
Informed Consent Form MSWORD FILE
Sample
Debriefing Form PDF FILE
Sample
Informed Consent Form PDF FILE
Sample Video-Audio
Informed Consent Form PDF FILE
More On
Informed Consent & Assent
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