IRB Forms & Templates

compass pointing toward integrity

For questions or concerns, contact us at researchintegrity@fau.edu

Templates Description Category Version Date
Templates
Form 100
Description
Exempt and Minimal Risk Research OR Waiver of Documentation Consent
Category
Template
Version Date
2/24/2024
Templates
Form 101
Description
Biomedical Research Consent
Category
Template
Version Date
12/09/2024
Templates
Form 102
Description
Non-Biomedical Research Consent
Category
Template
Version Date
2/24/2024
Templates
Form 103
Description
Assent for Ages 7-12
Category
Template
Version Date
2/24/2024
Templates
Form 104
Description
Assent for Ages 13-17 or Persons with Impaired Decision-Making Capacity
Category
Template
Version Date
2/24/2024
Templates
Form 105
Description
Parental Permission/Research Consent
Category
Template
Version Date
2/24/2024
Templates
Form 109
Description
Greater than Minimal Risk Protocol
Category
Template
Version Date
8/11/2023
Forms Description Category Version Date
Forms
Form 106
Description
Human Subjects Research Determination Form
Category
Form
Version Date
8/11/2023
Forms
Form 107
Description
Request for Waiver of HIPAA Authorization Requirement
Category
Form
Version Date
2/24/2024
Forms
Form 108
Description
Promptly Reportable Information Form (PRIF) (previously SAE/UP)
Category
Form
Version Date
2/24/2024
Forms
Form 110
Description
Translation Affirmation Form (Funded Studies Only)
Category
Form
Version Date
3/26/2024
Forms
Form 111
Description
Study Closure
Category
Form
Version Date
3/26/2024
Forms
Form 115
Description
Request for Institutional Authorization Agreement [IRB Reliance]
Category
Form
Version Date
3/26/2024
Forms
Form 115a
Description
Institutional Authorization for Florida Atlantic Lead
Category
Form
Version Date
3/26/2024
Forms
Form 115b
Description
Individual Investigator Agreement
Category
Form
Version Date
3/26/2024
Forms
Form 116
Description
Non-Key Study Personnel
Category
Form
Version Date
9/3/2024
Recruitment Materials Description Category Version Date
Recruitment Materials
Flyer #1
Description
Florida Atlantic Branded Recruitment Flyer Template (partial banner)
Category
Template
Version Date
8/11/2023
Recruitment Materials
Flyer #2
Description
Florida Atlantic Branded Recruitment Flyer Template (boxed Owl logo)
Category
Template
Version Date
8/11/2023
Recruitment Materials
Flyer #3
Description
Florida Atlantic Branded Recruitment Flyer Template (triangular header)
Category
Template
Version Date
8/11/2023
Recruitment Materials
Flyer #4
Description
Florida Atlantic Branded Recruitment Flyer Template (slanted banner)
Category
Template
Version Date
8/11/2023
IRB Reviewer Checklists Description Category Version Date
IRB Reviewer Checklists
Checklist 200
Description
Criteria of Approval
Category
Checklist
Version Date
8/11/2023
IRB Reviewer Checklists
Checklist 201
Description
Research Involving Pregnant Women
Category
Checklist
Version Date
8/11/2023
IRB Reviewer Checklists
Checklist 202
Description
Research Involving Prisoners
Category
Checklist
Version Date
8/11/2023
IRB Reviewer Checklists
Checklist 203
Description
Research Involving Children
Category
Checklist
Version Date
8/11/2023
IRB Reviewer Checklists
Checklist 204
Description
HIPAA Waiver or Alteration
Category
Checklist
Version Date
8/11/2023
IRB Reviewer Checklists
Checklist 205
Description
Research Involving Cognitively Impaired Adults
Category
Checklist
Version Date
8/11/2023
Supplemental Research Documents Description Category Version Date
Supplemental Research Documents
Letter of Cooperation
Description
Guidance and template for researchers for external and internal collaborations
Category
Supplemental
Version Date
8/1/2023