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Forms

If you have questions about these forms and the upcoming round of funding applications and submissions, please refer back to the Application & Submission page.

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Number

Title

Official Copy

10-0398

Research Protocol Safety Survey

PDF

10-0436

Application for an Off-Site Tissue Banking Waiver

PDF

10-0455

Clinical Trial Annual Progress Report

PDF

10-0455a

Clinical Trial Inclusion/Enrollment Report

PDF

10-1086

Research Consent Form

PDF

10-1223

Report of Subcommittee on Human Studies

PDF

10-1313-2

Research and Development Program

PDF

10-1313-3

R&D Program - Current Funds & First Year Request

PDF

10-1313-4

R&D Program Estimated

PDF

10-1313-7

R&D Program - Investigator's VA & Non-VA Research/Dev. Support (Current and pending)

PDF

10-1313-8

R&D Program - Investigator's Total VA & Non-VA Research/Dev. Support

PDF

10-1313-10

Research Advisory Group Summary Statement

PDF

10-1313-11

Rehab Research & Dev. Svc-Scientific Merit Review Board Summary Statement

PDF

10-1313-13

LOI Cover Page

PDF

10-1436

R&D Information System Project Data Sheet

PDF

10-9012

Investigational Drug Information Record

PDF

4670

Position Classification Worksheet for Research Positions

PDF

 

Additional Information

Other research-related forms are available online from VHA’s database of electronic forms. You may search the database by form number or keyword. Try entering "research" in the title/keyword field to locate research-related forms.

Please email the R&D Web Team if you have any questions.