Office of Research Assurances

Institutional Review Board (IRB)

Human Subject Forms & Templates

Exemption Determination Application   DOC
Non-Exempt Application   DOC
Request for Amendment   DOC
Continuing Review Form   DOC
Closeout Report Form   DOC
Adverse Event Form PDF RTF
Reporting Deviations   DOC
Guidance on Writing Consent Forms PDF  
Consent Template   RTF
Assent Template (Ages 7-10)   RTF
Assent Template (Ages 11-14)   RTF
Assent Template (Ages 15-17)   RTF
Parent Permission Form Template   RTF
Addendum 1 Expedited Categories and Determination   DOC
Addendum 2 Research with Children   DOC
Addendum 3 Research with Prisoners   DOC
Addendum 3A Research with Prisoners   DOC
Addendum 4 Alteration of Informed Consent Process   DOC
Addendum 5 Waiver of Documentation of Informed Consent Process   DOC
Addendum 6 Waiver of Informed Consent Process   DOC
Addendum 7 HIPAA Authorization Form & Appendix A   DOC
Addendum 8 Investigational Drugs, Other Drugs, & Devices   DOC
Addendum 9 Blood, Tissue, Bodily Fluids, or Other Biological Specimens   DOC
Addendum 10 Confidentiality Agreement   DOC
Application Instructions and Guidance PDF  
Adult Informed Consent Checklist PDF  
Parental Permission & Child Assent Checklist PDF  
Application Review Checklist PDF  
Institutional Review Board, P.O. Box 643005 Albrook 205, Washington State University, Pullman WA 99164-3005
IRB Coordinator: Malathi Jandhyala,, Phone: 509-335-3668, Fax: 509-335-6410
Director, Office of Research Assurances: Michael Kluzik, Phone: 509-335-9553