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COVID-19 Witness Signature & Attestation Page
Version Date: March 30, 2020
VA Documents and Forms
Version Date: September 1, 2015
Recruitment Letter Template
Version Date: May 14, 2010
Full Protocol Documents
Version Date: October 17, 2024
Data Use Agreement (DUA) Template – IHC
Version Date: June 9, 2008
Agreement for Public Ethnographic Studies
Version Date: October 17, 2024
COVID-19 Person Obtaining Consent Attestation Page
Version Date: March 30, 2020
Research Consent Process Worksheet – Obtaining Signed Consent During the COVID-19 Pandemic
Version Date: March 30, 2020
Blank Watermark Document
Version Date: February 1, 2019
CTSI Consent Executive Summary Template (CTSI Document)
Version Date: July 12, 2021
Debriefing Document Template
Version Date: July 20, 2011
Pregnancy Follow-Up Consent and Release of Information Authorization Template
Version Date: April 21, 2021
Translation Certification Letter Template
Version Date: December 27, 2022
Signature Block Samples
Version Date: March 8, 2024
LAR Signature Page
Version Date: March 8, 2024
Witness Signature Page
Version Date: November 20, 2011
Utah Population Database (UPDB) Consent and Authorization Requirements
Version Date: February 1, 2011
Humanitarian Use Device (HUD) Informed Consent Checklist
Version Date: June 5, 2024
Expanded Access Informed Consent Checklist
Version Date: June 5, 2024
Emergency Use Consent and Authorization Document Template
Version Date: January 6, 2015
VA Emergency Use Consent Document Template
Version Date: August 17, 2015
VA Humanitarian Use Device (HUD) Consent and Authorization Document Template
Version Date: August 17, 2015
VA IRB Documentation of Waiver of HIPAA Authorization for Research
Version Date: July 1, 2011
VA Revocation of Authorization for Use & Release of Health Information Form 10-10116
Version Date: September 1, 2015
Simple Referral Template
Version Date: October 22, 2024
Data Use Agreement (DUA) Template – UUHSC
Version Date: October 22, 2024
Material Transfer Agreement (MTA) Template
Version Date: October 22, 2024
Certification for Emergency Use of a Test Article without Informed Consent
Version Date: January 3, 2012
Case Report Using Existing Data Author Worksheet
Version Date: September 1, 2015
Data / Biospecimen Repository Management Plan Template
Version Date: February 18, 2022
Department of Defense (DoD) Supplement
Version Date: April 18, 2024
Exclusion of Research Data in EMR Request Form
Version Date: October 22, 2024
Payment Process Exception Request
Version Date: January 8, 2024
Privacy Protection Verification for Research Conducted in Schools
Version Date: August 15, 2017
Exemption Umbrella Annual Report Template
Version Date: September 1, 2013
Research Preparation Form
Version Date: July 21, 2014
Research Using Decedents’ Information Form
Version Date: October 23, 2013