1. New Research Submission Requirements

• Pharmacy and Therapeutics (P&T)
• R&D Administrative Review of Research Proposal
  • Instructions - R&D Administrative Review of Research Proposal
• R&D Proposed Project Questionnaire

2. Annual Research Submission Requirements

• Conflict of Interest Statement
• Privacy Confidentiality and Information Security in Research
  • Instructions - Privacy Confidentiality and Information Security
• Project Data Sheet and Research Project Abstract
  • Instructions - Project Data Sheet (VA Form 10-1436)
• SRS Research Protocol Safety Survey Info
  • Definition of Hazard Categories

3. Research Team Member Requirements

• On Line Training
• Research Credentialing
• WOC - Work With Out Compensation
• WOC - Verification Chart
• WOC Process
• WOC Application

New Research Protocol Requirements
1. Items 1, 2, and 3 in the VANCHCS R&D Submission Requirements
2. New Protocol Submission Checklist
3. New Protocol Application
4. New Protocol Application - Supplement
5. Prospectus of Research Study

Continuing Review Research Requirements
1. Items 2 and 3 in the VANCHCS R&D Submission Requirements
2. Continuing Review Submission Checklist
3. Continuing Review Application

Closure Research Requirements
1. Closure Submission Checklist
2. Closure Application

Miscellaneous

• Adverse Event Report
• Amendment
• Amendment to Delegate PI
• Authorization for PHI use in Research
• Consent Form Template
• Human Subject Enrollment Form
• Investigational Device Form
• Investigational Drug Form
• MRI/fMRI Form
• New Investigator Form
• Questionnaire Cover Letter – Instructions
• Radiation Form
• Recruitment Flyers and Advertisements
• Research Data Security
• Sanctuary Request
• Waive Authorization
• Waive Consent

Information Pending

Information Pending

WOC - Instructions

1. WOC Form Attachment A v. 08.2010
2. OF Form 306 v.08.2010
3. OF Form 612 v.08.2010
4. SF Form 61 v.08.2010
5. WOC Form I-9 Employment Verification v.08.2010 (Your submission must include the supporting documentation)
6. Occupational Health Form

1. WOC Form 10-2850 (Required if you have a degree in the following areas with or without licensure)
1. PHYSICIANS, DENTISTS, PODIATRISTS, OPTOMETRISTS AND CHIROPRACTORS - complete 10-2850 v.08.2010
2. NURSES AND NURSE ANESTHETISTS - complete 10-2850a v.08.2010
3. ASSOCIATED HEALTH OCCUPATIONS - complete 10-2850c v.08.2010
2. Licensed Independent Practitioner (All individuals with clinical training with or without licenses or certificates)
3. Laboratory Safety Consent Form (All personnel conducting Laboratory Bench Research) (Last page of safety manual)

1. Degree/Certification Verification 1 v.08.2010 (for all completed degrees beyond high school)
2. Scope of Practice Form 2 (you must complete all scopes that apply to your appointment)

2. Form 2 2010 Human Research v.08.2010
3. Form 2 2010 Animal Research v.08.2010
4. Form 2 2010 Lab Research v.08.2010

1. CV/Resume (Sign and Date)

VANCHCS Training Requirements