Division of Research

PREPARING YOUR PROPOSAL FORMS

Cost Share Form

Direct Charge Exemption Form

ePRAF Attachment for Clinical Trials

Extra State Compensation Justification

FIU Consultant Commitment Form

Internal Budget Sheet

Internal Budget Sheet - Extended

College of Medicine - COM Internal Budget Sheet

College of Medicine - COM Internal Budget Sheet - Extended

Investigator Report of Financial Interests in Research Form

9 month NIH Salary Cap Calculations

12 month NIH Salary Cap Calculations

NIH LRP Instructions & Certification

Subawardee Commitment Form

AWARD ADMINISTRATION FORMS

Advance for Research Payments

Bid Exemption Form

Budget Modification Form

Certification of Third Party Cost Share

Change of PI Request Form

Consulting Agreement/Amendment Request Form

Cost Sharing Verification Master Form

Cost Transfer - Transfer of Non-Payroll Charges Form

Cost Transfer - Transfer of Non-Payroll Charges Form Instructions

Gift Card Request For Research Subjects

NIH Assurance Form

No Cost Extension Form

Participant Payment Forms and Procedures

Participant Payment Fund Custodian Acknowledgement Form

Participant Payment Fund Extension Form

Pre-Award Release of Funds Form

Project Transfer Request Form

Research Subject Payment Form

Residual Balances Form

Subcontract Agreement / Amendment Request Form

Subproject Letter of Agreement Request Form

Transfer of Procurement Card Charges

RESEARCH COMPLIANCE FORMS

Institutional Review Board Forms (IRB)

IRB Proposal Template - Proposal Outline that Must be Submitted with Form A

IRB Application (Form A) - For Initial IRB Approval Submission Only

IRB Application (Form A-1) - Assists in Determining if IRB Review is Applicable

IRB Application (Form B-1) - For Research Amendments or Modifications

IRB Application (Form B-2) - For Annual Renewal or Project Completion Report

IRB Application (Form C) - For Projects Requiring Data and Safety Monitoring

IRB Application (Form D) - For Reporting Protocol Deviations

IRB Application (Form E) - For Determining if Eligible for WIRB Submission

IRB Application (Form H) - For Requesting Waiver of HIPAA Authorization

Consent Translation - Affirmation Form for Translated Consent Documents

Institutional Animal Care & Use Committee Forms (IACUC)

Form A (MS Word) - For Initial Submissions

Form B (MS Word) - For Protocol Amendment/ Modification, Continuation and Termination Submissions

IACUC Tissue Only Form - (Get form)

IACUC Attending Veterinarian Training Verification Form (AV Form) to provide specialized training for personnel - (MS Word)

Animal Purchase Request Form - for ordering animals to the Laboratory Animal Research - (MS Word)

Adverse Event Form

Institutional BioSafety Committee Forms (IBC)

FIU IBC Exemption Request Form

FIU IBC Recombinant DNA & Gene Transfer Application Form

FIU IBC Renewal

FIU IBC Amendment

Adverse Event Form

Conflict of Interest (COI)

Outside Activity/Conflict of Interest Electronic Reporting System applies to all benefits eligible faculty and staff members and to all persons conducting research)

Request for Exemption Disclosure and Monitoring Plan

Laboaratory Animal Research (LAR)

Animal Purchase Request Form - for ordering animals to the Laboratory Animal Research

Export Controls Forms (EC)

Record of Review for Export Control

Certification on the Handling of Export-Controlled Information (.pdf ||.doc ) By signing this form, the Principal Investigator certifies responsibility and penalties associated with export controlled information.

TECHNOLOGY MANAGEMENT FORMS

Intellectual Property Disclosure Form

Participation & Confidentiality Agreement

ADMINISTRATIVE FORMS

Agreement Request Form

Confidentiality Agreement for Clinical Trials Form

Confidentiality Agreement - General

Division of Research Report Request Form

Equipment Transfer Request Form

Social Security Number Collection Notice