IRB Forms & Templates

compass pointing toward integrity

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

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