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FOR AND ABOUT IRB MEMBERS
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FOR RESEARCH PARTICIPANTS
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ABOUT UCLA IRBS
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Forms
IRB Application Forms
(Quick Links to Documents Below)
ARRA IRB Pre-Assignment Request Form
Application for the Involvement of Human Participants in Biomedical Research
Application for Social Behavioral & Educational Research (SBER) & Health Services Research (HSR)
Application for Research Involving No Subject Contact
Application for Continuing Review
Application Supplements
Exempt Certifications
Application Submission Checklists and Reference Tools
Checklist for New SBER and HSR Submissions
Checklist for New Biomedical Submissions
Expedited Review Reference Tool
Expedited Review Request Form
Amendment Cover Sheet and Checklist
Checklist for Continuing Review Application
International Research Checklist for Researchers
Assent, Consent and Screening Templates
Social Behavioral, Education and Health Services
Biomedical
Proxy Informed Consent
Media Interview Requests
HIPAA
HIPAA Authorization for Research
HS-1(a) HIPAA Research Application
(to be used only for amendments of approved studies on the old version of the HS-1 application)
HIPAA Authorization for Research (Spanish)
Post Approval Reporting Forms and Decision Trees
Emergency Use of a Test Article
Summary Sheet of Post-Approval Reporting Requirements for Investigators
Adverse Events
Protocol Violations, Deviations and Incidents
Other Safety Reports
Other Forms
Final Study Close-Out Report Form
PI Self Certification for Determining Whether Human Subjects Are Involved in Research When Using or Obtaining Coded Private Information and/or Biological Specimens
Decision Tree for Determining Whether Human Subjects are Involved in Research When Obtaining Private Information and/or Human Biological Specimens
Form to Request to Defer Review of Human Subjects Research in Accordance with the Memorandum of Understanding (MOU) between RAND and UCLA
Administrative Review for Human Research Studies Not Being Conducted by a UCLA Principal Investigator But Accessing UCLA Facilities, Patients or Personnel (Faculty, Staff or Students)