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IRB Forms


Note: Handwritten forms will not be accepted

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If you have any questions about a particular form, please contact our Office at
(732) 235-9807

Forms & Instructions:

New Submissions PDF Version Word Version
Institutional Review Board (IRB) Initial Application:
Full Board & Expedited Reviews  Revised 5-6-2009
PDF Word
Developing a Protocol PDF Word
IRB Submission Reminder List
   
IRB Application for Retrospective Chart / Record Review PDF Word
Exempt Review Application PDF Word
Request for Determination of “Non-Human” Subject Research PDF Word

Continuing Review PDF Version Word Version
Continuing Review Application   Revised 9-15-2009 PDF Word
Continuing Review Application for NCI CIRB Studies PDF Word
Final Study Report / Study Closure Form PDF Word
Expired Study Report Form PDF Word

Changes/Report Forms PDF Version Word Version
Modification Request Form   Revised 3-27-2009 PDF Word
Deviation Report Form PDF Word
Final Study Report / Study Closure Form PDF Word
Unanticipated Problems/Adverse Events in Human Subjects Research Report PDF Word


University Forms
Investigator Financial & Other Personal Interests Disclosure Form
UMDNJ Performance Site Forms
Revised September 2009

Investigators whose studies will be conducted at Robert Wood Johnson University Hospital or who intend to use RWJUH services during the course of a specific study must fill out the Resource Utilization Group (RUG) Allocation of Resources form and submit the application for approval.

Submit to:
Kellie Thomas
(732) 828-3000 ext. 8577

Your IRB submission:

  • RWJUH must be listed as a performance site on your application for IRB review. -and-
  • A copy of the RUG application must also be attached to your IRB submission.

NOTE: The IRB will process and review your study prior to final RUG approval; however, research cannot proceed at RWJUH without appropriate sign-off by the RUG. If you have any questions about the applicability or use of this document, please call the IRB at (732) 235-9806.

UBHC Approval: All research involving systematic participant recruitment within University Behavioral HealthCare (UBHC), research impacting on UBHC staff time, and/or research impacting on UBHC financial reimbursement must be reviewed and approved by the responsible Vice President or Director, the Chief Financial Officer, and the President and CEO, University Behavioral HealthCare, or their designee(s), prior to being submitted to the Institutional Review Board (IRB). See the UBHC policy, Research on Human Subjects for more details. 

NOTE: The IRB cannot process or review your proposed research activity without UBHC approval & signatures of UBHC administration on the completed Human Research form. If UBHC is added as a performance site through modification to your study, research cannot proceed at UBHC without IRB approval. If you have any questions about the applicability or use of this document, please call the IRB at (732) 235-9806.

Appendices for Applications

Useful documents to assist you in the completion of your Application when approval is based on the inclusion of this additional criteria:

Adobe Reader Download Adobe Reader for PDF documents

Meeting Schedule & Deadlines

If you have any questions about a particular form, please Contact our Office at
(732) 235-9807

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