Office of Research and Innovation Forms A-Z

Click here for IACUC forms.

A

Accelerated CDA Template

Accelerated Clinical Trial Agreement (ACTA) Template

Administrator Monthly Purchasing Card Reconciliation Checklist for Sponsored Projects

Administrator New Award Set-Up Checklist

(VCU Health System) Ancillary Services Request Form and Process

Ancillary Services Request – Sample

Authorization template (6-1-11)

Authorized Users Signature Log I

Authorized Users Signature Log II-V

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B

Banner Account Request Form

Biomedical Consent Template

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C

WIRB Change in Research Submission Form - click on menu item, "Forms Related to Ongoing Research"

Checklist – Applying for Schedule I Registration

Checklist – Applying for Schedule II-V Registration

Checklist for Sponsored Project Monthly Reconciliation & Analysis

Clinical Research Compliance Documentation Checklist (click appropriate icon for respective format)

Clinical Research Coverage Analysis Forms

Clinical Research Appointment Scheduling Guide

ClinicalTrials.gov Account Create Form

COI Investigator Designation Form

Consent Short Forms for Non-English Speaking Subjects
Note: To be used in conjunction with the full English language consent form

Consent Template for Humanitarian Use Device (HUD)
Note: To be used in conjunction with HUD patient labeling

Controlled Substance Dispensing Record

Controlled Substance Disposal Log

VCU Controlled Substances Inspection Form

Controlled Substance Inventory Record

Controlled Substance Transfer Invoice

Controlled Substance Usage Log

Cost Sharing Authorization Form

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D

Data Use Agreement

Data Use Agreement Request Form

Disposition of Research Data Form

VCU-DNA Consent Addendum

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E

E-Closeout Form-Clinical Research

E-Closeout Form-General

E-Closeout Form-Industry Research

External IRB Clinical Trial-VCU Consent Template (rev. 3/17/16)

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F

F&A Exemption Request Form (click appropriate icon for respective format)

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G

Generic Proposal Face Page - A. Publow(for use when sponsor form set does not include signature page)

Generic Proposal Face Page - M. Wiggins(for use when sponsor form set does not include signature page)

Grant Transfer Between Institutions Form

Guidance for preparing forms and consents

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H

HIPAA Full Waiver of Authorization - click on menu item, "Supplemental initial review forms"

HIPAA Partial Waiver of Authorization - click on menu item, "Supplemental initial review forms"

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I

VCU IDC Uniform Guidance Letter to Sponsor

VCU IDC Uniform Guidance Letter to Subrecipient

Industry Clinical Trial Internal Budget Template

WIRB Initial Review Submission Form

Intellectual Property Definitions

Invention Disclosure Form

Investigator Submission Form for Multi-Center Trials – should be used by investigators participating in multi-center protocols for which the protocol has already been reviewed by WIRB

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J

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K

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L

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M

MTA Request Form - Incoming Material

MTA Request Form - Outgoing Material

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N

New Sponsor Form

NIH eRA Commons Account Request Form

No-Cost Extension Request Form

No-Cost Extension Requests Instructions

NSF Fastlane Account Request Form

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O

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P

Personnel Screening Form

Principal Investigator (PI) Eligibility Exception Form

Principal Investigator ARRA Reporting Form

Principal Investigator Eligibility Form

Proposal Budget Worksheet-Detailed, 1-5 Year Project

Proposal Budget Worksheet-Loaded, 1-5 Year Project

Proposal Budget Worksheet-Modular, 1-5 Year Project

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Q

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R

RAMS-SPOT SF424 Detailed Subaward RR_Budget

Research Appointment Scheduling Form

Research Appointment Arrival Form

Research with Decedent form (6-1-11)

Research Repository Consent Template (v. 6/8/17)

VCU Respiratory Care Services Request Form

Review Preparatory to Research form

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S

Sample Completed DEA Application – Hard Copy (Schedule I)

Sample Completed DEA Application – Electronic (Schedule II-V)

Sample Completed VCU Controlled Substances Inspection Form

Sample Completed Virginia Board of Pharmacy Application

Site Specific Application for Relying on VCU’s IRB

VIRGINIA Site Specific Application for Relying on VCU’s IRB

Sponsored Project/Research Volunteer Documentation Form

Sponsored Project/Research Volunteer Safety Form

Social-Behavioral Assent Template

Social-Behavioral Consent Template

Study Closure Form (rev 2-15-09)

WIRB Study Closure - click on menu item, "Forms Related to Ongoing Research"

Subaward Request Form

Subaward Modification Request Form

Subrecipient Commitment Form

Subrecipient Initiation and Tracking Checklist

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T

Telephone Screening Consent Template (rev. 3/17/16)

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U

Unanticipated Problem Reporting Forms - click on menu item, "Forms Related to Ongoing Research"

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V

VCU Health System Employee Approval Form (To Participate in Sponsored Project Activities)

Verbal HIPAA Authorization Template (rev. 3/17/16)

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W

WIRB Checklist

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X

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Y

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Z

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