IRB Forms & Templates
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 | 12/09/2024 |
| 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 |
| Form 117 | Biomedical Research Consent LAR | Template | 5/29/2025 |
| Form 118 | Non-Biomedical Research Consent LAR | Template | 5/29/2025 |
| 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 |