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Investigator Forms

Please always check for current versions of forms on this website when preparing an application.

Addressing Agency-specific Requirements

• I1D FO4 Request for Research Involving the Department of Defense [docx]
  When submitting a new protocol for research sponsored by or involving personnel from the Department of Defense, complete this form to describe how additional, agency-specific requirements will be met:
• I1D FO5 Request for Research Involving the Department of Education [docx]
  When submitting a new protocol for research sponsored by the Department of Education or that takes place at a school that receives Department of Education funds, complete this form to describe how additional, agency-specific requirements will be met.

Adverse Events/Unanticipated Problems

• Policy I5D Noncompliance and the related procedures [pdf]
• Policy II2F Adverse Events and Unanticipated Problems [pdf]
• Reporting Form: Internal or Local Medical Event, Incident or Occurrence [docx]
  Reports from sponsors or safety committees about external events, problems, or findings that may not meet the definition for an unanticipated problem (refer to the policy or procedure for details) are to be summarized in the relevant sections of the Protocol Renewal Request form when the protocol is being renewed. Reports from sponsors or safety committees that require changes to the research protocol or consent form must be submitted immediately as modification requests, for IRB review and approval.
• Reporting Form: Unexpected Problems or Events [docx]
  Reports from sponsors or safety committees about external events, problems, or findings that may not meet the definition for an unanticipated problem (refer to the policy or procedure for details) are to be summarized in the relevant sections of the Protocol Renewal Request form when the protocol is being renewed. Reports from sponsors or safety committees that require changes to the research protocol or consent form must be submitted immediately as modification requests, for IRB review and approval.

Biomedical

• Biomedical Consent Form Template [doc]
• Biomedical Video/Photograph Consent Form [doc]

Conflict of Interest

• Conflict of Interest Disclosure Form [Web]
• Consulting Activity Approval Form [Web]
• Request to Serve as Principle Investigator Form [pdf]

Exempt Research

• Application for Exempt Research [docx]

Human Subjects Research Determination

• Application for Human Subjects Research Determination [docx]

Permission and Assent

• Parental Permission Form [doc]

Protocol Application

• Application for Research Involving Human Subjects [doc]

Protocol Modification

• Closure Form [docx]
  Use this form if you wish to close your protocol.
• Investigator/Research Personnel Change Form [docx]
  Use this form if you only wish to add/remove personnel; this form may not be used to change the Principal Investigator.
• Performance Site Change Form [docx]
  Use if you only wish to add/remove a performance site.
• Protocol Modification Request [docx]
  Use this form for multiple changes: protocol changes, revised consent documents, change in investigators/personnel and/or sponsor.

Renewal

• Protocol Renewal Request [doc]

Research Involving Protected Health Information

• UNR Authorization Form [doc]
• Waiver of HIPAA Authorization Form [doc]

Social Behavioral

• Social Behavioral Consent Form [doc]
• Social Behavioral Video/Photograph Consent Form [doc]

VA Sierra Nevada Health Care System (VASNHCS)

• VA HIPAA Authorization for Research Form [docx]
• VASNHCS Consent Form [doc]
• Waiver of HIPAA Authorization Form [doc]

You can also download Accessibility Tools and Helper Applications to open these files.