Forms

Access the Applicable Forms for Research Activities at UC Davis:

For additional information contact the responsible OR unit.


 

Animal Care & Use

Oversight of Animal Care and Use (including the UC Davis IACUC) is the responsibility of UC Davis Safety Services.

Biological Safety/ Biohazard Use

Oversight of the use of infectious biological agents, recombinant DNA/RNA, and the propagation and release of recombinant organisms including plants, animals and microbial agents is the responsibility of UC Davis Safety Services.

Contract & Grant Administration (Sponsored Programs)

Sponsored Programs provides administrative support on issues pertaining to contract and grant administration.

  • Sponsored Programs Data Sheet (PDF)
    • Data Sheet Instructions and certifications (PDF)
    • Exhibit A: Service Agreement Information (PDF)
  • Form 205A: Sample Cover Page (PDF)
    • Use this cover page when agency/sponsor forms are not available
  • Form 105-A: Request for Exception to Policy on Eligibility to Submit Proposals (PI Eligibility form) (PDF)
    • Use this form to request an exception to the PI Eligibility policy.
  • Form 230-06A: Advance Account Request (PDF)
  • Subrecipient Monitoring: Proposal Commitment Form (PDF)
    • Use this form when UC Davis is giving a subaward to a non-FDP member institution (including international institutions). If you are unsure whether the institution you are working with is a member of the FDP, you can refer to the list located at http://sites.nationalacademies.org/PGA/fdp/PGA_055518.
    • If the subrecipient indicates on question #9 of the Proposal Commitment Form that they have a PHS compliant Financial Conflict of Interest Policy in place and that each investigator has completed the required PHS FCOI training“, no additional paperwork is required. The subrecipient will be expected to rely on their own policy and report FCOIs to UC Davis in accordance with the PHS requirements.
    • If the subrecipient indicates on question #9 of the Proposal Commitment form that they “will abide by UC Davis’s Individual Conflicts of Interest Involving Research Policy“, they must complete the PHS Financial Disclosure Form for Investigators from subrecipient entities that do not have a PHS-compliant conflict of interest policy in effect at time of PHS award application (PDF).
    • UC Davis A-133 Audit information (PDF)

This form can be provided to a Sponsor when UC Davis is receiving a subaward, and the Sponsor needs UC Davis’ A-133 information, as well as UC Davis’ current financial information.

  • Research Agreement Template for Projects Sponsored by For-Profit Entities (PDF)

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Export Control

The Research Compliance & Integrity unit provides administrative support on issues pertaining to export control.

  • I-129 Attestation Form (PDF)
    • Supplement to the I-129 Attestation Form (PDF)

Financial Conflicts of Interest in Research

The Research Compliance & Integrity unit provides administrative support on issues pertaining to financial conflicts of interest and supports the Conflict of Interest Committee (COIC).

  • State Disclosure:
    • Form 700-U (PDF);
      • Per State of California requirements, originally signed Form 700-U is required.
      • Do not submit this form , if State of California has exempted the sponsor (please see list of exempt sponsors).
    • Supplemental Form (PDF), used in the event that 700-U shows financial interest.

** NOTE: You must complete the Supplemental Form (PDF) if you answer YES to any question on the 700-U Form. A “Positive Disclosure” cannot be reviewed without a completed Supplemental Form. **

  • Non-PHS Federal Disclosure, including Non-PHS Funded Research involving Human Subjects:
    • Form 800 (PDF);
    • Supplemental Form (PDF), used in the event that 800 shows financial interest.

** NOTE: You must complete the Supplemental Form (PDF) if you answer YES to the disclosure question on the Form 800. A “Positive Disclosure” cannot be reviewed without a completed Supplemental Form. **

Human Anatomical Specimen and Tissue

The Research Compliance & Integrity unit provides administrative support to the Human Anatomical Specimen and Tissue Oversight Committee (HASTOC).

    • An Anatomical Materials Request Application (AMRA) must be submitted to the Body Donation Program for review and approval in order to obtain an anatomical specimen. Please contact the Body Donation Program.

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IRB Administration

The IRB Administration provides administrative support on issues pertaining to human research protection and supports the UC Davis Institutional Review Board (IRB).

Researcher Use

The IRB has created an Investigator Manual that outlines the duties and responsibilities of investigators engaged in human subjects research at the University of California, Davis. The IRB highly recommends that all first time and current principal investigators to review and utilize this manual before and during their research. IRB Committee Members Public Roster (PDF)

Forms
  • HRP-211 Application for Initial Review (11/26/13)
  • HRP-213 Modification (08/22/14)
    • HRP-215 Research Personnel List Template (11/26/13)
  • HRP-214 Reportable New Information (08/13/14)
  • HRP-226 Administrative Approvals (08/15/14)
Templates
    • HRP-502 Consent Form – No Instructions (08/15/14)
    • HRP-503 Protocol – No Instructions (08/15/14)
    • HRP-090 Informed Consent Process for Research
    • HRP-091 Written Documentation of Consent
  • HRP-504 Letter – School Permission to Conduct Research (08/27/14)
  • HRP-506 Consent Document – Emergency Use (08/15/14)
  • HRP-507 Consent Document – Short Form (07/01/14)

IRB Administration Use

NOTE: Do not include worksheets and checklists in submissions to the IRB

Worksheets
  • HRP-302 Calculation of Approval Intervals
  • HRP-303 Communication of Review Results
  • HRP-305 Evaluation of Quorum and Expertise
  • HRP-313 Eligibility for Review Using the Expedited Procedure
  • HRP-314 Criteria for Approval and Additional Considerations
  • HRP-317 Short Form of Consent Documentation
  • HRP-318 Additional Federal Agency Criteria
  • HRP-320 Scientific or Scholarly Review
  • HRP-323 Criteria for Approval and Additional Considerations HUD
  • HRP-324 Contract Items Related to Human Subject Protections
Checklists
  • HRP-410 Waiver or Alteration of the Consent Process
  • HRP-411 Waiver of Written Documentation of Consent
  • HRP-414 Neonates of Uncertain Viability
  • HRP-419 Waiver of the Consent Process for Emergency Research
  • HRP-430 Investigator Quality Improvement Assessment
  • HRP-431 Minutes Quality Improvement Assessment

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Intellectual Property Management (InnovationAccess)

InnovationAccess provides administrative support on issues pertaining to intellectual property management.

  • Invention Release to Inventor Form – samples only (Patent filed: PDF) (Patent not filed: PDF)
  • Inventor/Author Statement Concerning Involvement in Licensing Decisions (Form TT-100) (to identify potential conflicts of interest they may have in negotiations to license their inventions from the University) (DOC | PDF)
  • Material Transfer, Data Transfer or Confidentiality Agreement Request Form (DOC)
  • Photocopier Copyright Notification Sign (DOC)
  • Proposal to Distribute Copyright-Protected Work Created Under University Auspices (DOC | PDF)
  • Record of Invention (ROI) Disclosure Form (DOC | PDF)
  • ROI Additional Inventor Signature Page (DOC | PDF)
  • UC Davis Exclusive Patent License – sample only (PDF)
  • UC Davis Bilateral Confidentiality Agreement – sample only (PDF)
  • UC Patent Acknowledgment (rev. 2/2011)

Interdisciplinary Research Support (IRS) Assistance

The Interdisciplinary Research Support unit coordinates the development and preparation of interdisciplinary research activities.

  • IRS Assistance Form (DOC | PDF)

Requests for Office of Research Funding:

The Business & Finance unit administers Office of Research funding programs.

  • Internal Research Funding (PDF)
  • Catastrophic Repair Request Checklist (PDF)

Stem Cell Research

The Research Compliance & Integrity unit provides administrative support on issues pertaining to stem cell research and supports the Stem Cell Research Oversight committee.

  • Application to Conduct Human Stem Cell Research (DOC)
  • Request for Protocol Amendment (PDF)
  • Report of Unforeseen Issues Involving Research with Human Embryonic Stem Cells (DOC)

Training & Education Certification Form

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