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» Institutional Review Board (IRB)
» Institutional Animal Care and Use Committee (IACUC)

Each university member is expected to report actual or suspected violations of laws, regulations, VCU policies and procedures or other misconduct. Management has a special duty to recognize and report violations.

VCU IRB Forms

Submit all forms to:

• VCU Office of Research Subjects Protection
• 800 East Leigh Street, Suite 3000
• Box 980568
• Richmond, VA 23298

**NOTE: The DHHS Office of Human Research Protections (OHRP) has recently re-designed its website.  We are aware that many links are being updated and, as a result, links to OHRP webpages within our documents may be broken.  To link to specific OHRP webpages, please go to the main OHRP page - http://www.hhs.gov/ohrp/ - and use the menu to navigate to OHRP resources cited in VCU IRB materials or use key words with the search function.

Most of the following forms are in Microsoft Word format , unless otherwise noted.

NOTE: VCU IRB forms are revised periodically. When preparing a submission, please be sure to use the most current versions of the forms by referring to this website and linking to the forms below. (The IRB will accept the preceding version of the form for 30 days following the posting of a revised form.)

Submission Forms

Click here for VCU IRB Submission Tips and Instructions

• Initial Review Submission Form (rev 9-1-12)
• VCU Research Plan Template (rev 9-1-12)
• Click here for specific examples of what to consider including in each section of the Research Plan.
• Exempt Review Submission Form (rev 9-1-12)
• Study Personnel Roster (rev 9-1-12)
  • The "VCU Conflict of Interests in Research" Policy was revised effective 8/24/12. Please review the Policy here.
  • The Personnel Roster has been updated to capture information necessary to comply with this Policy. Use of the updated Personnel Roster (IRB Template Rev. Date header of 9/1/12 or later) may begin as of 9/1/12, and will be required with Initial or Continuing Review submissions received on or after 10/1/12.
• Study Personnel Information and Change Form (rev 9-1-12)
• Appendix A: HIPAA (6-1-11)
• Change in Research Submission Form (rev 9-1-12)
• Continuing Review Form (rev 9-1-12)
• Children-Subject Form (rev 7-30-08)
• Pregnant Women, Fetuses, Neonates-Subject Form (rev 6-1-08)
• Prisoner-Subject Guidance and Form (5-15-06)
• Study Closure Form (rev 2-15-09)
• Appeal Form (rev 9-1-09)
• Principal Investigator Eligibility Form (rev 1-1-12)
  • For non-employees of VCU/VCUHS who have a VCU faculty status. For further information regarding the utilization of this form, refer to section A.2 here.

HIPAA Forms

• Review Preparatory to Research form
• Data Use Agreement
• Authorization template (6-1-11)
• Research with Decedent form (6-1-11)

To learn more about HIPAA guidance, please visit:
www.research.vcu.edu/irb/hipaa-guidance.htm

Submission Instructions

• Submission Instructions for the Addition of Independent Investigators (6-23-06)
• Submission Instructions for the Addition of Non-VCU Institutions/Sites (Domestic and Foreign) (rev 6-1-08)

Conflict of Interest

• See Study Personnel Roster instructions above for information regarding reporting ‘investigators’ financial interests

VCU IRB Reporting Forms [click here for tutorial ]

• VCU IRB Prompt Reporting Form for UPs (rev 3-1-08)
• VCU IRB Non-Prompt Reporting Form (rev 1-15-08)

Consent & Assent Templates

• Biomedical Consent Template (rev 5-16-12)
• Practical Aspects of Informed Consent-PowerPoint presentation January 2012
• Social-Behavioral Consent Template (rev 5-16-12)
• Social-Behavioral Assent Template (6-28-06)
• Guidance for preparing forms and consents

IRB Membership

• IRB Membership Application