Download Forms


Many of WIRB's Word-format submission forms are now retired and replaced with dynamic, PDF-based submission forms!  

New pdf-based smart forms are now available below for sending initial reviews, changes in research, promptly reportable information, and study closure information.

Please note the following about our smart forms:
  • The smart forms must be completed using either Adobe's free Reader or Adobe Acrobat (version 11 or newer). Use of a program other than Adobe (version 11 or newer) to view or complete the forms will result in missing questions and non-functional fields.  To download Adobe Reader for free, please visit https://get.adobe.com/reader/. (If you do not have access to Adobe's Reader or Acrobat, please contact us to obtain an alternate, Word submission form).   
  • Because these smart forms are dynamic (change based on your responses), they must be completed electronically; therefore, you cannot print them out and complete them on paper. However, at any time during their completion, you can edit, save, print, or share with your colleagues.
  • We will continue to accept the old form until October 7, 2017.
  • The forms have been adopted by WIRB, NEIRB, MLIRB, Aspire, and CGIRB.​ 
A brief orientation and tutorial on the forms' functionality is available here:  http://www.cgirb.com/wp-content/uploads/2015/12/WCG-SMART-Forms-Training-Guide.pdf.

The forms below provide WIRB with all the required IRB review information required.  Please provide a submission form with each protocol you submit for review.
 
For questions or assistance on completing the forms, please call (866) 956-2467 or send e-mail to phase1@wirb.com 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sending the forms to WIRB

Due to the accelerated review process, all Clinical Pharmacology Unit forms must be submitted electronically via WIRB Connexus or e-mail. 

New Studies
Name Version Date Fillable Word Adobe PDF
Initial Review Submission Form 12/21/2015

Smart PDF
Right-click the link and select 'Save Target As' or 'Save Link As' to download the file 

Site Evaluation Form (CPUS) 04/2011 Word
Financial Interest Disclosure Form (CPUS) 10/01/2009 Word
Change in Research Submission Form 12/21/2015
 

Smart PDF
Right-click the link and select 'Save Target As' or 'Save Link As' to download the file 

Study Closure Form 12/21/2015 Smart PDF
Right-click the link and select 'Save Target As' or 'Save Link As' to download the file 
Retired: Initial Review Submission Form (CPUS)
This form has been folded into the new smart initial review submission form
Retired
12-21-2015
Retired: Additional Sites Form (Initial Review) (CPUS)
This form has been folded into the new smart initial review submission form
Retired
12-21-2015
Retired: Screening Procedures Information Form (CPUS)
This form has been folded into the new smart initial review submission form
Retired
12-21-2015