Submission Forms & Templates
This page houses IRB submission forms and templates that should be used for submissions to the UNM IRB. Forms are IRB application documents and Templates are sample documents, such as the protocol, consent forms and recruitment materials that provide standardized language as well as help text for researchers.
| File Name | Document Description | Category | Version Date |
|---|---|---|---|
| Drug Information Form | Provide information related to use of an investigational drug | Forms | 06/01/2021 |
| Consent Form - Additional Elements | Additional elements that may be required in the consent form (e.g. Certificate of Confidentiality, HIPAA, tDCS, EEG, specimen collection, injury language, mTurk requirements, etc.) | Templates | 10/21/2019 |
| Device Information Form | Provide information related to use of an investigational device | Forms | 01/21/2020 |
| Consent Form - Survey/Interview/Focus Group | Simplified informed consent template | Templates | 01/21/2019 |
| Consent Form - Standard | Informed Consent Template | Templates | 01/21/2019 |
| Department of Defense Information Form | Form to ensure research includes all DoD requirements | Forms | 10/01/2018 |
| Request for External IRB Review | Request for deferral of oversight to external IRB | Forms | 05/23/2022 |
| PI Eligibility Request Form | Request an exception to PI Eligibility policy | Forms | 02/04/2018 |
| Personnel List External | List active research team members and associated role | Forms | 05/23/2022 |
| Individual Investigator Agreement | For External Partner PIs whose institution does not have an FWA | Forms | 10/16/2017 |
| Event Report | Provide information related to adverse event or unanticipated problem | Forms | 08/04/2017 |
| Deferred Projects Annual Report | Provide status update of project deferred to external IRB | Forms | 08/04/2017 |
| HIPAA Waiver Request | Request a waiver of HIPAA Authorization | Forms | 06/12/2017 |
| Scientific Validity Review Form | Provide documentation of review of scientific validity | Forms | 04/24/2017 |
| Recruitment Script | Sample recruitment script | Templates | 07/05/2016 |
| Recruitment Email | Sample recruitment email | Templates | 07/05/2016 |
| Recruitment Flyer 3 | Recruitment flyer in a poster style | Templates | 07/05/2016 |
| Recruitment Flyer 2 | Another recruitment flyer with pull tabs; different style | Templates | 07/05/2016 |
| Recruitment Flyer 1 | Sample recruitment flyer with pull tabs | Templates | 07/05/2016 |
| HIPAA Authorization | Separate HIPAA Authorization for use of PHI through covered entities | Templates | 04/29/2016 |
| Translation Certification Form | Certify the qualifications of the translator used for research documents | Forms | 12/02/2015 |
| Child Assent Form | Generally for use with youth ages 7-11. | Templates | 09/28/2015 |
| Protocol Deviations Report | Provide information on protocol deviations that occurred since last review | Forms | 09/16/2015 |
| Protocol Deviations Report | Provide information on protocol deviations that occurred since last review | Forms | 09/16/2015 |
| Protocol | Research Protocol Template | Templates | 06/01/2022 |
| Closure Application | Provide information about the project being closed | Forms | 06/24/2022 |
