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Main Campus Forms Templates

Templates and forms on this menu have been designed to include elements required for social, behavioral, and other studies that include activities or procedures that are generally minimal risk.

Documents are in Word [DOC] format unless otherwise noted.

Consent Documents, Consent Cover Letters, Consent Information Sheets, Consent Scripts, Etc.
FORMS Tracked Changes Version Date
Consent Document Template Tracked Changes 10.25.2013
Consent and Authorization Document (for Minimal Risk Research) Template Tracked Changes 09.28.2015
Consent and Authorization Cover Letter Document Template Tracked Changes 10.25.2013
Consent Cover Letter Template Tracked Changes 11.20.2011
Debriefing Document Template Tracked Changes 07.20.2011
Witness Signature Page Tracked Changes 11.20.2011
Parental Permission Documents
FORMS Tracked Changes Version Date
Parental Permission Document Template Tracked Changes 10.25.2013
Parental Permission and Authorization Document (for Minimal Risk Research) Template Tracked Changes 09.28.2015
Assent Documents
FORMS Tracked Changes Version Date
Assent Document Template Tracked Changes 02.08.2012
Translated Consent Documents
FORMS    
Please see the Health Sciences Forms & Templates page.    
Recruitment Materials, Advertisements, etc.
FORMS Tracked Changes Version Date
Recruitment Letter Template   05.14.2010
External Sites and Agreements Documents
FORMS Tracked Changes Version Date
Data Transfer Agreement (DTA) Template   09.15.2008
Data Use Agreement (DUA) Template - UUHSC   09.15.2008
Reliance Agreement (RA) Template Tracked Changes 07.30.2014
School Principal & District Permission Letter Template   10.08.2012
Other Documents
FORMS Tracked Changes Version Date
Case Report Using Existing Data Author Worksheet Tracked Changes 11.13.2010
Exemption Umbrella Annual Report Template   09.01.2013
Expired Study Continuation Request Form Tracked Changes 01.03.2012
Payment Process Exception Request Form Tracked Changes 01.03.2012
Report Form for Public Ethnographic Studies   N/A
Agreement for Public Ethnographic Studies   N/A
"What Are These Documents For?" Guides
FORMS Tracked Changes Version Date
Consent Cover Letter Instructions for Use [PDF]   04.16.2010
Short Form Consent Instructions for Use, etc. [PDF] Tracked Changes [PDF] 07.09.2012
Last Updated: 5/16/17