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Have you tried WIRB's new online "smart form" submission process? It will help answer questions you might have about your submission. Smart forms are available for initial review, change in research, and study closure. Do not download your form from below, instead just click "Sign up now" in the upper right corner of this screen to establish an account and get started!

The forms below provide WIRB's Board with all required IRB review documentation at the point of submission. Please provide a submission form with each protocol you submit for review. For questions or assistance, please reference the FAQ (frequently asked questions), call (800) 562-4789, or send e-mail to clientservices@wirb.com for assistance.


New Studies
Name Version Date Fillable Word Adobe PDF
WIRB Investigator Handbook "A Guide for Researchers" 03/01/2013 PDF
Initial Review submission Form 07/2012 Word
Additional Sites Page (Initial Review) 07/2012 Word
Annotated Initial Review Submission Form 07/2012 PDF
Investigator Submission Form for Multi-Center Protocols 07/2012 Word
Initial Review Submission Form for Sponsors and CROs 07/2012 Word
Initial Review Submission Form for International Sites 07/2012 Word
HUD On-Label Use Submission Form 02/06/2013 Word
Request for Exemption Determination 12/07/2012r2 Word
Request for Exemption Determination - Canada 04/23/2013 Word
New Jersey Requirements for Inclusion of Decisionally Impaired Subjects (New Jersey Statute 26:14-5) 05/14/2012 Word
Request for a Partial Waiver of Authorization for Recruitment (HIPAA Partial Waiver of Authorization) 05/03/2012 Word
Request for Full Waiver of Authorization under HIPAA 05/03/2012 Word
IRB Transfer Cover Letter Checklist & Summary Form 11/18/2010 Word
Waiver of Consent Request for In Vitro Diagnostic Device Studies Using Leftover Human Specimens That Are Not Individually Identifiable 09/28/2006r1 Word
Sample IRB Authorization Agreement (with WIRB filled in as institution A) 03/31/2011 Word
Initial Review Submission Form Addendum for Department of Defense Funded Research 03/26/2012 Word
Locations With Obligations to other IRBs - Dual Oversight - US Site 07/03/2012 Word
Locations With Obligations to other IRBs - Dual Oversight - Canadian Site 07/03/2012 Word
Locations With Obligations to other IRBs - Split Oversight 07/03/2012 Word
Locations With Obligations to other IRBs - Waive Oversight to WIRB 07/03/2012 Word

Studies in Progress
Name Version Date Fillable Word Adobe PDF
Change in Research and Subject Recruitment Submission Form 01/12/2012 Word
Change in Research Additional Sites Page 01/12/2012 Word
Screening Procedures Information Form 10/01/2009 Word
Financial Interest Disclosure Form 10/01/2009 Word
Unanticipated Problems Reporting Form - Adverse Events 01/2009rs Word
Unanticipated Problems Reporting Form - Problems that are Not Adverse Events 09/19/2012 Word
Non-Site Adverse Event Report Submission Form 09/19/2012 Word
Recruitment Bonus Disclosure Form 10/01/2009 Word
Impartial Witness Form for Limited and Non-Readers 02/10/2013 Word
Consent addendum for subjects originally enrolled as children who are now adults 01/19/2011 Word
WIRB Consent Form Template 12/05/2012 Word
Pregnant Partner Template Consent Form 08/16/2011 Word
Template Information Sheet for Waiver of Documentation of Consent 12/05/2012 Word
Emergency Use Post-Use Report Form 09/23/2010 Word
Contact Information Update Form 08/06/2008 Word

Continuing and Final Review
Name Version Date Fillable Word Adobe PDF
Study Closure Report Form 08/23/2012 Word
Continuing Review Report Form (CRRF) Work Sheet 12/2008 PDF
Continuing Review Report Form (CRRF) Instructions for Sites Using Humanitarian Use Devices (HUDs) 10/12/2010 PDF

Translated Short Forms for Consent 
Name Version Date Fillable Word Adobe PDF
Armenian Short Form 04/29/2013 Word
French Short Form 04/29/2013 Word
Japanese Short Form 04/29/2013 Word
Korean Short Form 04/29/2013 Word
Russian Short Form 04/29/2013 Word
Simplified Chinese Short Form 04/29/2013 Word
Spanish Short Form 04/29/2013 Word
Traditional Chinese Short Form 04/29/2013 Word
Vietnamese Short Form 04/29/2013 Word
 
Sending the forms to WIRB
Please complete and return your form(s) to WIRB via WIRBNET, e-mail, fax, or postal mail.

WIRB
P.O. Box 12029
Olympia, Washington 98508-2029
USA
E-mail: clientservices@wirb.com
Fax: (360) 252-2498