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IRB Forms


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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

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Full Board and Expedited Application
  • Developing a Protocol
  • IRB Submission Check List
IRB Application for Retrospective Chart / Record Review
Exempt Review Application
Request for Determination of "Non-Human" Subject Research

CONTINUING REVIEW

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Continuing Review Application
Final Study Report / Study Closure Form
Expired Study Report Form

CONSENT FORMS

 
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Word Version
Adult Consent Form Template  
Assent Form  
Use of Cell Lines  

Document Translation/Foreign Language Interpreting Services

   

CHANGES/REPORT FORMS

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Modification Request Form
Deviation Report Form
Final Study Report / Study Closure Form
Unanticipated Problems/Adverse Events in Human Subjects Research Report

UNIVERSITY FORMS

Investigator Financial & Other Personal Interests Disclosure Form
UMDNJ Performance Site Forms

RUG Application: 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:
Mr. Aron Schlam
VP of Operations
RWJUH Administrative Bldg., 3rd floor
(732) 937-8577

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:

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Meeting Schedule & Deadlines

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

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