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Forms listing

This page contain 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 requirement submission dates and the different requirements for single site and multisite research

A

Agreement - Medicines Australia Clinical Trial Research Agreements

Agreement - Medical Technology Association of Australia Clinical Investigation Research Agreement

Agreement - Company Supported Study (Gov)

Amendment Request Form (HREC)

Annual Report and Self Audit Form (HREC)

 

C

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

HREC Change of a Research Team Member  (v6 Jun 2019)

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

 

F

Final Report (HREC)

 

G

Governance Cover Letter and Checklist (Gov)

 

H

Head of Supporting Department Declaration (HREC)

Honorary Appointment Application Form (August 2019; MS Word)

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

 

 

I

Indemnity – Standard Form (Gov)

Indemnity – HREC Review only (Gov)

Investigator Brochure Revision Form (HREC)

 

L

Low Risk Research Application Form (LNR VIC via ERM)

 

P

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

Protocol Deviation or Violation Reporting Form (HREC) rescinded 1 April 2019

Periodic Adverse Reporting Form (HREC) rescinded 1 April 2019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Researcher Declaration Form rescinded 21 December 2018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)

Single Adverse Event Reporting Form (HREC) rescinded 1 April 2019

Site Specific Assessment Form (Gov)

 

V

Victorian Specific Module (HREC)

 

Last updated 13 August 2019