VIRB Supplemental Form
What are you submitting? (check all that apply)
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Addendum (i.e., requesting changes to existing approved project)
Renewal (i.e., requesting an extension of existing approved project)
What is your unique IRB Reference number? You can find this 6-digit number on your official determination letter.
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What is the project name as it appears on your IRB determination letter?
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What is the email address of the project lead? (this is who will be notified of the approval of this addendum and/or extension decision)
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example@example.com
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PART 1: RESEARCHER INFORMATION
Has your research team changed since your initial application?
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Yes
No
How has your team changed? Include the names and emails for A) new members of the team to be added to the record, and B) former members of the team to be removed from the record.
If you have added new members to your research team, please upload their human subjects training certificate(s) here.
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Protocol Changes
Please use the following space to describe the changes you will be making to your research procedures. Any adaptations to your materials, protocols, recruitment strategy, etc. should be reported here.
Use this space to upload new versions of your materials/measures/etc.
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PART 6: VERIFICATION & SUBMISSION
Verification of Details: By signing below, you are verifying the accuracy of the information enclosed in this form.
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