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This Web site is intended to provide public service. Some of these forms are designed and supported by other members of the research community, not by the MU Office of Research. There is absolutely no guarantee that a particular form will be accepted by an agency. The printout of each form may be different using different computer, software and printer combinations. Some of the agencies are more particular about the forms. Keep in mind that, while these forms have been accepted by various agencies in the past, they are not "official" forms and may be rejected in the future. Therefore it is your own responsibility to make sure that a form will be accepted by the agency.

If you have forms that you've created and used successfully or enhancements to the forms presented here, please email the Webmaster so that we can update our archive.

Campus Institutional Review Board

 

 

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Note All Campus IRB Forms may be accessed by logging onto the eIRB web site.

Compliance

 

 

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Conflict of Interest disclosure form

PDF

August 07.

Health Sciences Institutional Review Board

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Health Sciences Accounting Form (subject payment)

Word

Last updated: March 21 2007

Health Sciences Medical Application

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Behavioral Sciences Application

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Exempt Application

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Amendment Request

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Adverse Event Report

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Continuing Review Report

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Exempt Review Report

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Deviation/Violation Report

 

Link

HSIRB only. Please log in to eIRB.

Health Sciences Completion/ Termination/ Withdrawal Form

 

Link

HSIRB only. Please log in to eIRB.

Protocol Outline

Word

Last updated: June 7, 2007

HSIRB Consent Forms

 

 

 

Consent Form to Participate in a Research Study

 

Word

HSIRB Form. Last updated: October 2004

Database Consent Form

 

Word

HSIRB Form. Last updated: April, 2008

Tissue Banking Consent Form

 

Word

HSIRB form. Last updated: May 2003

Veterans Affairs Consent Form

 

Word

HSIRB form. Last updated: June 2007

Assent Form

 

Word

HSIRB Form. Last updated: April, 2008

Waiver of Documentation of Consent Template

 

Word

For use by HSIRB or Campus IRB investigators

Request for Waiver of Consent

 

Word

For use by HSIRB or Campus IRB investigators

HIPAA Forms

 

 

 

Waiver of Authorization Guidance

PDF

Word

For use by HSIRB or Campus IRB investigators

Waiver of Authorization Form

PDF

Word

For use by HSIRB or Campus IRB investigators

Data Use Agreement

PDF

Word

For use by HSIRB or Campus IRB investigators

HIPAA Authorization Guidance

PDF

Word

For use by HSIRB or Campus IRB investigators

HIPAA Authorization Form

PDF

Word

For use by HSIRB or Campus IRB investigators

Data Collection using Preparatory To Research Guidance 45 CFR 164.512

PDF

Word

For use by HSIRB or Campus IRB investigators

Data Collection using the Preparatory To Research 45 CFR 164.512

PDF

Word

For use by HSIRB or Campus IRB investigators

Research on Decedent's Information

PDF

Word

For use by HSIRB or Campus IRB investigators

HIPAA De-Identification Cerfitication Form

PDF

Word

For use by HSIRB or Campus IRB investigators

Veterans Affairs HIPAA Authorization Form

 

Word

 

Veterans Affairs Waiver of HIPAA Authorization Form

 

Word

For use by HSIRB or Campus IRB investigators

Veterans Affairs HIPAA Preparatory to Research

 

Word

 

Funding - Internal

 

 

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PRIME, MU's Matching Fund Program

 

Link

 

UM Research Board

 

Link

 

Programs Reviewed by the Research Council

 

Link

 

Office of Animal Resources

 

 

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Office of Animal Resources forms

 

Link

 

OAR: Animal Order Form

 

Link

 

Office of Grant Writing & Publications

 

 

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Faculty Grant Writing Institute Application

PDF

Word

For summer 2008.

Grant Writer Survey

PDF

 

 

Grants.gov

 

Link

 

U.S. Department of Education forms

 

Link

 

U.S. Department of Energy forms

 

Link

 

U.S. Department of Agriculture NRI

 

Link

 

MU Payment Voucher

 

Excel

 

MU Travel Voucher

 

Excel

 

Office of Sponsored Programs Administration

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MU Conflict of Interest and Requirements for Public Disclosure Form

PDF

Word

 

MU Consulting Agreement

PDF

 

Last update: September 2007

Amendment to MU Consulting Agreement

PDF

 

Last update: October 3, 2007

Speaker/Lecturer Agreement

PDF

 

Last update: September 2007

Independent Contractor Documentation

PDF

 

 

OSPA Subcontract Information form

PDF

Excel

Last update: June 2008

Full Costing Budget Template

 

Excel

Last update: January 2008

Request for university contribution of facilities and administrative (indirect) costs

PDF

 

Last update: January 30, 2008

Subrecipient and Vendor Determination Checklist for Sponsored Projects

 

Excel

Last update: June 23, 2008

National Institutes of Health

     

NIH Forms

 

Link

 

NIH-NSF Financial Disclosure Form

PDF

 

Last updated: February 14, 2008

National Science Foundation

     

NSF Fastlane @ MU

 

Link

Register for NSF FastLane.

NSF Proposal Preparation and Award Administration Information

PDF

Link

Updated: September 2004

Test Server for Fastlane

 

Link

Explore Fastlane capabilities. You don't need to establish an account, but you can't save documents.

NIH-NSF Financial Disclosure Form

PDF

 

Last updated: February 14, 2008

Office of Technology Management & Industry Relations

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Invention Disclosure Form (UM-UW Form 16C)

 

Word

 

Plant Variety Disclosure Form (UM-UW Form 16D)

 

Word

 

Research Division Fiscal

 

 

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MU System: Finance Forms

 

Link

 

MU System: Human Resource Forms

 

Link

 

Employee Travel Request

 

Word