Forms

Animal Care/Use
Name Description
Anesthesia/Surgery Record
Anesthesia/Surgery Record - Aquatics
Animal Cage Card Form
Animal Order Request Form (non-Rodent or Rabbit)
Animal Order Request Form (Rodents & Rabbits)
Animal Protocol Transfer Form
Euthanasia Request Form
Post Operative Record for Lab Animals
Tissue Request Form
Vertebrate Animal Classroom Use
Animal Subjects/IACUC
Name Description
Anesthesia/Surgery Record
Anesthesia/Surgery Record - Aquatics
Animal Order Request Form (Rodents & Rabbits)
Animal Protocol Transfer Form
Post Operative Record for Lab Animals
Tissue Request Form
Vertebrate Animal Classroom Use
Award Related
Name Description
Drug-Free Workplace Policy Agreement
Participation Agreement (PAG)
Pre-establishment of Account Agreement
Subcontract Approval and Sole Source Justification
Budget
Name Description
Cost Share Request Form - AY Faculty Salary
Pro Forma Budget Template
Compensation/Effort
Name Description
Summer Salary Waiver Request
Compliance
Name Description
Animal Cage Card Form
Assent Form for Adults with Cognitive Impairments
Assent Form for Children aged 7-12
Assent Form for Older Children/Young Adults Aged 13+
Baystate and UMass Collaborative Human Subjects Form
Conflict of Interest (COI) Disclosure Statement - Intellectual Property and Commercial Ventures
Counseling Resources Guidance
Debriefing Form - Deception
Debriefing Form - General
Determination of Human Subject Research Form
HIPAA Authorization Template
Informed Consent Template - Complex Biomedical - Revised
Informed Consent Template - Focus Group - Revised
Informed Consent Template - General - Revised
Informed Consent Template - iDXA
Informed Consent Template - International Affective Picture System (IAPS) - Revised
Informed Consent Template - Magnetic Resonance Imaging (MRI) - Revised
Informed Consent Template - Muscle Biopsy - Revised
Informed Consent Template - Online Survey - Revised
Informed Consent Template - Paper Survey Consent Paragraph
Informed Consent Template - Sensitive Topics - Revised
Informed Consent Template - Short Version of Written Consent
Informed Consent Template - Subject Recruitment Database
Informed Consent Template - Video Use - Revised
Informed Consent Template - VO2 Max - Revised
Outside Activities - Request for Prior Approval
PAR-Q Screener Script
Parent Permission for Minor to Participate in Research - Revised
Recruitment Database Application Form
Reviewer Checklist for Continuing Review
Reviewer Checklist for New Protocols
Student Consultation Registration Form
UMass COI/SFI NSF Disclosure form
Conflict of Interest
Name Description
Conflict of Interest (COI) Disclosure Statement - Intellectual Property and Commercial Ventures
Outside Activities - Request for Prior Approval
UMass COI/SFI NSF Disclosure form
Cost Sharing
Name Description
Cost Share Request Form - AY Faculty Salary
Data Access
Name Description
Contingent Worker Form
Human Subjects/IRB
Name Description
Assent Form for Adults with Cognitive Impairments
Assent Form for Children aged 7-12
Assent Form for Older Children/Young Adults Aged 13+
Baystate and UMass Collaborative Human Subjects Form
Counseling Resources Guidance
Debriefing Form - Deception
Debriefing Form - General
Determination of Human Subject Research Form
HIPAA Authorization Template
Informed Consent Template - Complex Biomedical - Revised
Informed Consent Template - Focus Group - Revised
Informed Consent Template - General - Revised
Informed Consent Template - iDXA
Informed Consent Template - International Affective Picture System (IAPS) - Revised
Informed Consent Template - Magnetic Resonance Imaging (MRI) - Revised
Informed Consent Template - Muscle Biopsy - Revised
Informed Consent Template - Online Survey - Revised
Informed Consent Template - Paper Survey Consent Paragraph
Informed Consent Template - Sensitive Topics - Revised
Informed Consent Template - Short Version of Written Consent
Informed Consent Template - Subject Recruitment Database
Informed Consent Template - Video Use - Revised
Informed Consent Template - VO2 Max - Revised
PAR-Q Screener Script
Parent Permission for Minor to Participate in Research - Revised
Physician Clearance Form
Recruitment Database Application Form
Reviewer Checklist for Continuing Review
Reviewer Checklist for New Protocols
Student Consultation Registration Form
Indirect Cost
Name Description
Indirect Cost Waiver/Reduction
Intellectual Property & Data
Name Description
Conflict of Interest (COI) Disclosure Statement - Intellectual Property and Commercial Ventures
Proposal Related
Name Description
Access Request - Contingent Worker Employee
Access/Change Request - Current Permanent Employee
Contingent Worker Form
Cost Share Request Form - AY Faculty Salary
Indirect Cost Waiver/Reduction
Late Proposal Approval Request Form
New Organization (i.e. Subcontractor) Request Form
Pro Forma Budget Template
Professional Name Request Form
SBIR Funding Agreement
Sponsor Request
STTR Funding Agreement
Sub-Recipient Commitment Form
Sub-Recipient Commitment Form (FDP Institutions only)
Summer Salary Waiver Request
Research Ethics
Name Description
Conflict of Interest (COI) Disclosure Statement - Intellectual Property and Commercial Ventures
Outside Activities - Request for Prior Approval
UMass COI/SFI NSF Disclosure form
Sponsor
Name Description
Sponsor Request
Subawards
Name Description
New Organization (i.e. Subcontractor) Request Form
Sponsor Request
Sub-Recipient Commitment Form
Sub-Recipient Commitment Form (FDP Institutions only)
Subcontract Approval and Sole Source Justification