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 Questionnaire
- Investigator Declaration
- Billing Information Sheet
- Sample Informed Consent
- Advertisement Submission Form
- Protocol Information
- Translation Form
California Bill of Rights [English] [Spanish]- HIPAA Authorization 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
Serious Adverse Events
Liberty IRB, Inc. should be notified of all serious adverse event associated with your study. Initial notification by fax 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 SAE form is required within 10 days of discovery.
Significant Protocol Deviations
Significant Protocol Deviations Notification Form
Institution Forms
Send all materials to our new location:
2024 Larchmont Drive
Deland, Florida 32724
Phone: 386-740-9278
Fax: 386-740-9399