Forms
Access the Applicable Forms for Research Activities at UC Davis:
- Animal Care & Use Forms
- Biological Safety/ Biohazard Use Forms
- Contract & Grant Administration Forms (Sponsored Programs)
- Export Control Forms
- Financial Conflict of Interest in Research Forms
- Human Anatomical Specimen and Tissue Form
- IRB Administration
- Intellectual Property Management Forms (InnovationAccess)
- Interdisciplinary Research Support (IRS) Assistance Form
- Requests for Office of Research Funding
- Stem Cell Research Forms
- Training & Education Form: National Institutes of Health (NIH)
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. Below are forms and templates to assist in the preparation of proposals and management of awards.
- Cayuse SP – Internal Processing Form – Select Cayuse SP
- Instructions (PDF)
- Cayuse SP – Role Delegation Authorization Form (PDF)
- Form 105: Request for Exception to Policy on Eligibility to Undertake Sponsored Research/Other Sponsored Activity (PDF)
- Form 205A: Sample Cover Page (PDF)
- Budget Templates
- Protocol Certification Form (PDF)
- Human Fetal Tissue (HFT) blank IRB approved Consent Form for NIH Funded Research (PDF)
- AB 20: Model Contract Language for Contracts with State of California Agencies
- FDP Subrecipient Pilot – Letter of Intent/Commitment Form (PDF)
- Use when UC Davis is the Subrecipient Organization
- Forms for (outgoing) Subawards (Visit the Subawards section for instructions)
- PI/Department Checklist (PDF)
- Subrecipient or Contractor (Vendor) Guidance (PDF)
- Subaward Request Form (PDF)
- Instruction for Completing the Subaward Request Form (PDF)
- Commitment Form(s)
- Sole Source Justification Form (PDF)
- Mini Audit Questionnaire (PDF)
- Financial Disclosure Form – Non PHS (PDF)
- PHS Financial Disclosure Form (PDF)
- Research Agreement Template for Projects Sponsored by For-Profit Entities (PDF)
Export Control
The Research Compliance & Integrity unit provides administrative support on issues pertaining to export control.
Financial Conflicts of Interest in Research
The Conflict of Interest Committee (COIC), with support from the Research Compliance & Integrity (RCI) Unit, reviews investigator disclosures of outside financial interests, determines with the outside interest(s) constitute a real or apparent conflict of interest (financial conflicts of interest), and recommends to the Vice Chancellor of Research a plan to manage conflicts.
The Electronic Conflict of Interest (eCOI) system is for filing all financial disclosures: 700-U, Form 800, PHS Form, Supplemental Form. Paper forms will not be accepted.
Selecting the Correct Form
- 700-U: State of California form used to report outside Financial Interests when research is sponsored or supported by non-governmental entities (e.g. private entities).
- Do not submit this form if State of California has exempted the sponsor (please see list of exempt sponsors).
- Form 800: To report outside financial interests when research is sponsored by all governmental entities (e.g. NSF, CIRM) (except PHS) and all non-PHS funded human subject research.
- Supplemental Form: Required when a 700-U (if you answered yes to any question) or Form 800 (if you answered yes to the disclosure question) is “positive”.
- PHS Form: To report outside financial interests sponsored by PHS entities (e.g. NIH).
- Please see the list of sponsors that require compliance for PHS Regulations.
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.
IRB Administration
The IRB Administration provides administrative support on issues pertaining to human research protection and supports the UC Davis Institutional Review Board (IRB). UC Davis has adopted a Human Research Protection Program Plan that outlines our responsibility to the UC Davis research community. View our Standard Operating Procedures here.
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 requires that all first time and current principal investigators to review and utilize this manual before and during their research. UC Davis has adopted a Human Research Protection Program Plan that outlines our responsibility to the UC Davis research community. View our Standard Operating Procedures here.
IRBNet – Online Submission Process
The IRB has adopted the IRBNet suite of tools, accessible via the internet, bringing electronic protocol management, on-line submission and many other important research oversight features to the University of California, Davis research community. For more information visit our IRBNet webpage
Forms
Forms are also located in IRBNet within the “Forms and Templates” section.- HRP-210 Request for Determination
- Fee Forms
- Sponsor Fee Form (Use for Industry-sponsored research)
- Reliance Fee Form (Use for research that involves a reliance agreement)
- Modification Summary Table (For use with an Amendment/Modification)
- Response Memo Template (For use when responding to an IRB determination)
- Project Events Summary Table (For use with Continuing Review Progress Report)
- HIPAA Authorization for Research (Version 2017)
HIPAA Authorization Version 2017 is required for studies initially approved on or after June 1, 2018
NOTE: Do not include the HIPAA Authorization in Submissions to the IRB. For any questions regarding HIPAA Authorizations, please contact the Compliance Department.
Templates
Templates are also located in IRBNet within the “Forms and Templates” section.- HRP-502 Consent Form (12/04/18 Removed Clinical Trials Consent Template and added General Consent Template compliant with 2018 Common Rule)
- HRP-502 Template – General
- HRP-502 Template – General (2018 Common Rule Compliant)
- HRP-502 Template for Minimal Risk Specimen Research (2018 Common Rule Compliant)
- HRP-502 Template for Survey/Interview Research (2018 Common Rule Compliant)
- HRP-502 Template – Exempt Research (2018 Common Rule Compliant)
- Consent Form Language
- HRP-503 Protocol Templates
- HRP-504
Letter – School Permission to Conduct Research (08/27/14) - HRP-506
Consent Document – Emergency Use (06/01/15) - HRP-507
Consent Document – Short Form (07/01/14)
For IRB Administration
NOTE: Do not include worksheets and checklists in Submissions to the IRB.Worksheets
- HRP-301
Review Materials - HRP-302
Calculation of Approval Intervals - HRP-303
Communication of Review Results - HRP-304
IRB Composition - HRP-305
Evaluation of Quorum and Expertise - HRP-306
Drugs - HRP-307
Devices - HRP-308
Pre-Review - HRP-309
Determining Common Rule Version - HRP-310
Human Research Determination - HRP-311
Engagement Determination - HRP-312
Exemption Determination - HRP-313
Eligibility for Review Using the Expedited Procedure - HRP-314
Criteria for Approval and Additional Considerations - HRP-314B
Requirements for Informed Consent - HRP-315
Advertisements - HRP-316Payments
- HRP-317
Short Form of Consent Documentation - HRP-318
Additional Federal Agency Criteria - HRP-319
Approval Periods - HRP-320
Scientific or Scholarly Review - HRP-321
Review of Information Items - HRP-322
Emergency Use - HRP-323
Criteria for Approval and Additional Considerations HUD - HRP-324
Contract Items Related to Human Subject Protections - HRP-325
Clinical Trials Contraception - HRP-331
FERPA Compliance - HRP-332
Review of Local Research Context - HRP-333
Research Involving Communities - HRP-334
Reliance Agreement
Checklists
- HRP-401
Pre-Review - HRP-402
Non-Committee Review - HRP-410
Waiver or Alteration of the Consent Process - HRP-411
Waiver of Written Documentation of Consent - HRP-412
Pregnant Women - HRP-413
Non-Viable Neonates - HRP-414
Neonates of Uncertain Viability - HRP-415
Prisoners - HRP-416
Children - HRP-417
Cognitively Impaired Adults - HRP-418
Non-Significant Risk Device - HRP-419
Waiver of the Consent Process for Emergency Research - HRP-430
Investigator Quality Improvement Assessment - HRP-431
Minutes Quality Improvement Assessment - HRP-441
HIPAA Waiver of Authorization - HRP-442
External IRB Review of UC Davis Human Subject Research
Intellectual Property Management (InnovationAccess)
InnovationAccess provides administrative support on issues pertaining to intellectual property management.
- 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 Portal
- Photocopier Copyright Notification Sign (DOC)
- Proposal to Distribute Copyright-Protected Work Created Under University Auspices (DOC | PDF)
- Record of Invention (ROI) Portal
- 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.
Requests for Office of Research Funding:
The Business & Finance unit administers Office of Research funding programs.
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
- Cover letter used to verify completion of the NIH-required tutorials by any member of the team with any responsibility for design, conduct or reporting of the results of the project. This form is required by NIH as a part of proposals. Please see details at: https://grants.nih.gov/grants/peer/guidelines_general/Guidelines_for_the_Review_of_the_Human_Subjects.pdf.