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Indemnity

For studies conducted by a third party, the third party is requested to indemnify the hospital and provide a current certificate of insurance.

Research teams will usually use the Standard Form of Indemnity.

When The Royal Victorian Eye and Ear Hospital is not a site and the Eye and Ear's Human Research Ethics Committee (HREC) is providing HREC review only, the HREC Review only Form will apply.

Forms

Click below for the forms for clinical trials involving a medicinal product:

Click below for the forms for clinical trials involving a device:

Eye and Ear site specific requirements

Where appropriate, please use the following information to populate the forms:

  • To: The Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, Victoria, 3002
  • ABN: 81 863 814 677
  • In clause 1, [{patients of the Indemnified Party} {non-patient volunteers}] please specify the type of participants
  • In clause 1,[name of investigator(s)] please list the names of all Principal Investigators.

Signatures

You should submit two hard copies of the documentation to the Research Office and we will organise the relevant signatures from the Eye and Ear Hospital.

The Sponsor must have signed the Form of Indemnity before submitting it to the Eye and Ear Hospital.

For assistance with indemnity and insurance documentation, please contact the Research Office.