Forms and Bulletins

Forms

These forms may be printed and filled in by hand and submitted with original signatures or the Word documents may be filled in electronically, printed and submitted with original signatures.

• Checklist for Research Involving Children
• Checklist for Research Involving Neonates
• Checklist for Research Involving Pregnant Women and Fetuses
• Checklist for Research Involving Prisoners
• Authorization Agreement for Organization with an IRB
• Authorization Agreement for Organization without an IRB

Examples/Samples

• Informed Consent and Assent Instructions
• Informed Consent Form
• Informed Assent Form
• Participant’s Bill of Rights for Medical Research (English & Spanish)
• Participant’s Bill of Rights for Non-Medical Research (English & Spanish)
• Data Security Requirement Letter
• Data Security Letter Template
• Template for Departmental Letter of Support

Bulletins

IMPORTANT – ADVERSE EVENT/UNANTICIPATED PROBLEMS REPORTING REQUIREMENTS:
Adverse Events, Unanticipated Problems, Data Security Breaches, and Protocol Deviations are submitted via a Report Form on IRBmanager. Report Forms can only be accessed on IRBManager. For additional information, please see the CPHS IRBManager Manual for Researchers on how to submit an Adverse Event/Unanticipated Problems Form or call the CPHS main line at (916) 651-5599 for assistance.