Forms
Initial Study Submission Guidelines
The staff at Liberty IRB, Inc. is happy to assist you with the application process. To provide you with the shortest document turn around, it is essential that all forms are completed as indicated. All forms may be completed online and printed, or printed and completed manually. Upon receipt of your submitted materials, you will be contacted by a project manager who will keep you informed about the processing of your documents.
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Investigator Submission Checklist
Sponsor Submission Checklist
Sample Submission Letter
Additional Research Location Form
Principal Investigator Information Form
Investigator Declaration
Billing Information Form
Sample Informed Consent
Advertisement Submission Form
Protocol Information Sheet
Translation Form
California Bill of Rights [English] [Spanish]
HIPAA Authorization Form
Request for Determination of Exemption Form
Continuing Review / Study Closure
Sites will be notified one to two months prior to study approval expiration date. You will be requested to complete a continuing review form and submit a copy of your current consent.
Continuing Review Form
Special Laboratory Testing Consent
Research Site Specific Consents, Advertisements and Documents
Reportable Events
· Unanticipated, serious adverse drug or device effects
Initial notification is requested within 5 business days of discovery. Initial notification should include any details surrounding the event which are available. Follow up completion of the Reporting form is required within 10 days of discovery.
What SAEs are unanticipated problems and need to be reported to the IRB?
Institution Forms
Send all materials to our new location:
1450 S. Woodland Blvd.
Suite. 300A
DeLand, FL 32720
Phone: 386-740-9278
Fax: 386-740-9278