IUB human subject forms

For all applications you will need to download the appropriate forms into your word processing software.  To access the forms choose the link below that corresponds to your software package. 

For guidance on submitting applications to the IUB IRB, see the IRB Instruction Packet.

For new exempt research studies, please submit the following forms:

• Exempt Research Checklist
• All research instruments, e.g. surveys, questionnaires, etc.

For new expedited research studies, please submit the following forms:

• Documentation of Review and Approval
• Expedited Research Checklist
• Summary Safeguard Statement
• Informed Consent Statement, as applicable
• Supporting documents, e.g. recruitment materials, surveys, questionnaires, etc.
• Studies subject to HIPAA only:
• Recruitment Checklist
• Authorization for the Release of Health Information for Research

For new full board studies, please submit the following items:

• Documentation of Review and Approval
• Summary Safeguard Statement
• Informed Consent Statement, as applicable
• Supporting documents, e.g. recruitment materials, surveys, questionnaires, etc.
• Protocol (see sample protocol for guidance, if needed)
• Studies subject to HIPAA only:
• Recruitment Checklist
• Authorization for the Release of Health Information for Research

Depending on your study, additional forms may be necessary:

• Amendment Form
  
• Assent To Participate in Research
• Noncompliance Reporting Form
• Sample Protocol

Continuing Review and Closeout

• Continuing Review - Open to Enrollment
• Continuing Review - Closed to Enrollment
• Closeout Report

Informed Consent

• Checklist

Vulnerable Population Request Forms

Children Request Form

Inclusion of Cognitively Impaired Individuals

Inclusion of Pregnant Women, Human Fetuses, and Neonates

Prisoner Request Form