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Forms listing

This page contains links to forms only.  It is recommended that you also consult the full information on the relevant pages which includes detailed information regarding site specific requirements, submission dates and the different requirements for single-site and multi-site research

A

Adverse Event Reporting Form (v10; October 2019) 

Agreement - Medicines Australia Clinical Trial Research Agreements

Agreement - Medical Technology Association of Australia Clinical Investigation Research Agreement

Agreement - Company Supported Study

Amendment Request Form (HREC)

Annual Report and Self Audit Form (HREC) (v25; October 2019)

Annual Safety Report [download form DHHS website]

 

C

Please note that the Eye and Ear Common Application Form (CAF) is no longer accepted.

Change of a Research Team Member (HREC) (v7; September 2019)

Research Project Application Cover Sheet (MS Word; v14 Aug 19)

 

D

Data Safety Monitoring Board Reporting Form (v1; October 2019)

 

F

Final Report (HREC)

 

G

Governance Cover Letter and Checklist (RGA)

 

H

Head of Supporting Department Declaration

Honorary Appointment Application Form (September 2019; MS Word)

Human Research Ethics Application (HREA via ERM) Form (HREC)

 

 

I

Indemnity – Standard Form

Indemnity – HREC Review only

Investigator Brochure Revision Form (HREC)

 

L

Low Risk Research Application Form (LNR VIC via ERM)

 

P

Participant Information and Consent Form can be found via the Department of Health and Human Services 

Research Project Deviation and/or Violation Reporting Form (v3; October 2019)

 

 

R

Reapplication Cover Sheet Form (HREC)

Researcher Declaration Form rescinded 21 December 2018

 

S

Safety Report Form (Redirect to DHHS website) (from 1 April 2019)

Serious Breach Report Form (Redirect to DHHS website) (from 1 April 2019)

Site Specific Assessment Form (Gov)

 

V

Victorian Specific Module (HREC)

 

Last updated 23 October 2019