Policies and Forms
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Routing Form for Grants/Contracts (2017) |
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Proposal Budget Template (2016) |
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General Education Provisions Act (GEPA) Statement for Grants (2015) |
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IRB Forms |
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Human Subjects Investigators Manual (2017) |
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Human Subject Research Worksheet (2017) [Required with all research applications] |
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IRB Research Application (2017) |
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Exempt Review Status Form (2017) [Required in supplement with all research applications involving surveys] |
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Existing Information/Biospecimen Research Application Form (2017) |
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| Data Use Agreement Form (Pacific is the data recipient) (2017) |  Word |
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Data Use Agreement Form (Pacific is the data provider) (2017) |
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Informed Consent Checklist (2017) |
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SAMPLE Consent Forms (2017) |
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Broad Consent Checklist and Sample Form |
Word |
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Sample Long Form |
Word |
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| Sample Short Form | Word |
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| Sample Short Form Summary of the Oral Presentation | Word |
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| Sample Children's Assent | Word |
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| Sample Parental Consent | Word |
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| Sample Consent for Non-Sensitive Questionnaires | Word |
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Protocol Revision Form (2017) |
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Active Protocol Status Report (2017) |
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Cooperative Agreement (2017) |
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External Investigators Agreement Form (2017) |
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IRB Authorization Agreement Form (2017) |
Word |
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HIPAA Questionnaire (2017) |
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HIPPA Authorization Form (2017) |
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Noncompliance Form (2017) |
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Adverse Event/Unanticipated Problem Reporting Form (2017) |
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Radiation Safety Forms |
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Radioactive Materials Purchase Endorsement (2014) |
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Radioactive Materials Survey (2014) |
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Radioactive Material Usage/Inventory (2010) |
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Inspection and Survey Checklist (2010) |
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