Forms

Animal Care/Use
Name Description
Anesthesia/Surgery Record
Anesthesia/Surgery Record - Aquatics
Animal Cage Card Form
Animal Order Request Form
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
Post Operative Record for Lab Animals
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 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
Event Tracking Log
HIPAA Authorization Template
Informed Consent Template - Complex Biomedical - Revised
Informed Consent Template - Focus Group - Revised
Informed Consent Template - General - Revised
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
Protocol Deviation/Violation Report Form
Recruitment Database Application Form
Reviewer Checklist for Continuing Review
Reviewer Checklist for New Protocols
Significant Adverse Event Report Form
Student Consultation Registration Form
UMass COI/SFI NSF Disclosure form
Unanticipated Problem Report Form
Conflict of Interest
Name Description
Conflict of Interest 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 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
Event Tracking Log
HIPAA Authorization Template
Informed Consent Template - Complex Biomedical - Revised
Informed Consent Template - Focus Group - Revised
Informed Consent Template - General - Revised
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
Protocol Deviation/Violation Report Form
Recruitment Database Application Form
Reviewer Checklist for Continuing Review
Reviewer Checklist for New Protocols
Significant Adverse Event Report Form
Student Consultation Registration Form
Unanticipated Problem Report Form
Indirect Cost
Name Description
Indirect Cost Waiver/Reduction
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 Form
Summer Salary Waiver Request
Research Ethics
Name Description
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 Form
Subcontract Approval and Sole Source Justification