This page contains forms and applications to be submitted to UCR's research committees. For links to supplementary information that may be useful to researchers and committee members, please visit the Resources page.

• Institutional Review Board (IRB)

  Institutional Review Board

  For new submissions, please access UCR's Kuali Protocol Page. You should access UCR’s Kuali Protocol Page for submission of the following: 

  1. To create and submit a new application to the IRB for review. 
  2. Submit an amendment for requesting changes to approved IRB applications.
  3. Submit a request for renewal to keep the study active. 
  4. Submit a request to retire or close a study.
  5. Provide an Event Report to notify the IRB of reportable events (e.g., non-compliance, unanticipated problems, protocol deviations) within 10 working days of discovery.
  6. Submit a Not Human Subjects Research (NHSR) Determination request to assess what kind of review or information will be required; helps the ORI assess whether an activity is 'human subjects research' according to federal regulations.

  For additional information regarding the transition to Kuali IRB protocols and available training opportunities, please visit: research.ucr.edu/kuali-research. This site will be continually updated with IRB information and resources as they become available. You can also reach out to the IRB for assistance at irb@ucr.edu.

  Relevant Forms for Researchers

  • HIPAA Authorization Form
    • Spanish version
  • HIPAA Waiver Form
  • UCR Administrative Review for Human Research Studies Being Conducted by Non-UCR Principal Investigators Accessing UCR Facilities, Patients or Personnel
  • Riverside Unified School District - Research Instructions
  • Certificate of Translation Form - used to certify the accuracy of translation for non-English participant materials (e.g., informed consent, recruitment, measures, etc.)

  Resources

  • Researchers and committee members can find more information in the IRB section of the Resources Page.

  Archived Forms

  These forms are now intended as reference materials, as all new applications, amendment requests, etc., should be submitted via UCR's Kuali Protocol Page. If your application, amendment request, etc., was submitted prior the Kuali go live date and is still “pending”, you may need to reference/use these materials. Please contact IRB personnel at irb@ucr.edu if you have any questions.

  Previous IRB Application and Roster Form:

  • IRB Application form - submit this form, adding the Project Roster and all relevant information as appendices
  • Project Roster - required appendix for IRB Application, used to identify all research personnel associated with a project

  Previous Forms for Continuing Review:

  • Amendment request form - Used for requesting changes to approved IRB applications. Please note: changes to the Project Roster ONLY do not require submission of the Amendment request form. Email irb@ucr.edu directly with project roster changes.
  • Continuing review/closure form
  • Event Report Form - used to notify the IRB of reportable events (e.g., non-compliance, unanticipated problems, protocol deviations) within 10 working days of discovery. NOTE: Emergency protocol deviations as a result of the COVID-19 outbreak can be reported to the IRB after the hazard has passed. Contact irb@ucr.edu with any questions.

  Other:

  • Determination of Activity Form - used to assess what kind of review or information will be required; helps the ORI assess whether an activity is 'human subjects research' according to federal regulations - Students may not submit their own Determinations. Instead, these forms should be submitted by UCR faculty advisors/researchers.
• Institutional Animal Care and Use Committee (IACUC)

  Institutional Animal Care and Use Committee (IACUC)

  Access UCR's Kuali Protocol Page to create or edit an Animal Use Protocol (AUP).

  Additional Protocol Related Forms

  • Satellite Facility Husbandry SOP Template
  • Appendix A: Hazardous Materials Information
  • Survival Surgery Record
  • Non-Survival Surgery Record
  • Kuali Personnel Add Form

  Training Forms

  • OHP Enrollment Form (Animal Handler & User Medical Questionnaire)
  • Lab Training Record
  • Lab Training Checklist

  Resources

  • Researchers and committee members can find more information in the IACUC section of the Resources page.
• Conflict of Interest Committee (COI)

  Conflict of Interest (COI)

  Forms

  Federal and State Conflict of Interest forms are in Kuali.

  To complete the submission of a disclosure:

  • Log into: Kuali Research COI Dashboard

  • Click the blue ‘update disclosure’ button in the upper right corner.

  • Use the navigation buttons (next, save, etc.) in the left sidebar to navigate through the sections and answer the questions.

  • Your disclosure will be complete when you click the ‘submit’ button that will appear in the left sidebar on the last page.

  Resources

  Investigators and committee members can find additional information in the COI section of the Resources page or the Conflict of Interest (COI) committee page.

• Stem Cell Research Oversight Committee (SCRO)

  Stem Cell Research Oversight Committee (SCRO)

  Submit these forms to: scro@ucr.edu

  • SCUA
    • Stem Cell Use Authorization (SCUA) Application
  • SCUA Amendments
    • Stem Cell Research Oversight Committee AMENDMENT
    • Stem Cell Research Oversight Committee AMENDMENT - with Vertebrate Animals

  Resources

  • Researchers and committee members can find more information in the SCRO section of the Resources Page.
• Dual Use Research of Concern (DURC)

  Dual Use Research of Concern (DURC)

  Listed Agent Use Authorization