Office of Research Assurances

Institutional Review Board (IRB)

Human Subject Forms & Templates


On January 21, 2019, changes to the Federal Policy for the Protection of Human Subjects (also known as the Revised Common Rule) are scheduled to take effect.

In order to comply with the revised Federal Regulations, the IRB has updated some of its Forms and Templates. Please use the updated versions below:

  1. Exempt Application
  2. Consent Template
  3. Assent Template (Ages 7-10)
  4. Assent Template (Ages 11-14)
  5. Assent Template (Ages 15-17)
  6. Parent Permission Form Template

Please feel free to contact us if you need additional information or assistance at irb@wsu.edu or 509-335-7646.


Forms
Exemption Determination Application   DOC (revised Febraury 4, 2019)
Non-Exempt Application   DOC (revised February 1, 2019)
Amendment Request   DOC  
Personnel Amendment   DOCX  
Continuing Review Form   DOC  
Closeout Report Form   DOC  
Adverse Event Form PDF RTF  
Reporting Deviations   DOC  
Templates
Guidance on Writing Consent Forms PDF    
Consent Template   RTF (revised December 5, 2018)
Assent Template (Ages 7-10)   RTF (revised December 5, 2018)
Assent Template (Ages 11-14)   RTF (revised December 5, 2018)
Assent Template (Ages 15-17)   RTF (revised December 5, 2018)
Parent Permission Form Template   RTF (revised December 5, 2018)
Addendums
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  
Guidance
Application Instructions and Guidance PDF    
IC Adult Checklist - HRPP Staff   DOC  
IC Adult Checklist - HRPP Staff Permission And Assent   DOC  
Application Review Checklist PDF    
Office of Research Assurances, P.O. Box 643143, Neill Room 427, Washington State University, Pullman WA 99164-3143
If you have any questions, please contact the IRB at irb@wsu.edu or (509) 335-7646.