Forms and Templates

This page provides a quick link to Bannatyne Campus Research Ethics Boards Templates and should only be accessed following the review of web pages on this site relating to initial and continuing review Submission Requirements.

NOTE: All requests for review (including requests for delegated review) of new projects must be submitted to the Bannatyne Campus Research Ethics Board office by the monthly full board meeting deadline dates. New submissions must be HAND DELIVERED OR COURIERED to the REB office.

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New Studies/Initial Review Checklists
New Studies/Initial Review Submission Forms
Annual Approval Checklists
Amendments and/or Changes Checklists
Amendment Forms
Closure Forms
Consent Templates
Adverse Event Reporting and Safety Data Forms
Protocol Deviation Reports
Miscellaneous Forms/Templates
Template/Tools for Research Sites
Request for Preliminary Access


New Studies/Initial Review Checklists

Checklist for Full Board Review of New Studies (pdf)
Checklist for Delegated Review of New Studies (pdf)
Checklist for Single Case Report (pdf)
Human Research Review Sub-Committee Research Proposal Summary (docx)

New Studies/Initial Review Submission Forms

New REB Submission Form (pdf)
Retrospective Chart or Records Review Form (doc)
Radiation Proposal Summary Form (doc)

Annual Approval Checklists

Checklist for Full Board Review for Annual Review (pdf)
Checklist for Delegated Review for Annual Review (pdf)
Annual Study Status Form (pdf) | ASSR Submission Portal

Amendments and/or Changes Checklists

Checklist for Full Board Review of Amendments, Changes or Additions (pdf)
Checklist for Delegated Review of Amendments, Changes or Additions (pdf)

Amendment Forms

Amendment Form (pdf)
Change in Study Personnel (pdf)

Closure Forms

Final Study Status Form (pdf) | FSSR Submission Portal

Consent Templates

Informed Consent Form Template for Clinical Trials (doc)
Non-Clinical Trial Informed Consent Form Template for Non-Clinical Trials (doc)
Assent Template (doc)
Focus Group or Individual Interview Consent Template (doc)
Basic Elements of Consent Disclosure Statements for Survey Research (docx)
Informed Consent Form Template for Permission to be contacted for Future Research (docx)

Adverse Event Reporting and Safety Data Forms

Local Adverse Event Unanticipated Problems Form (Initial) (pdf)Instructions 
Local Adverse Event Unanticipated Problems (Follow up) (pdf)
External (Non Local) Adverse Event Form (pdf) | Instructions 
Updated Safety Information Form (pdf) | Instructions
Periodic Safety Update Form (pdf) Instructions

Protocol Deviation Reports

Major Protocol Deviation Form (pdf)
Minor Protocol Deviation Form (pdf)

Miscellaneous Forms/Templates

P.I. Curriculum Vitae Template - ONE per year only (pdf)
Sample Data Capture Sheet (docx)
Sample Master List for Data Capture Lists (docx)
Questionnaire Appendix Cover Page (docx)
Recruitment/Social Media Appendix Cover Page (docx)
Diaries, Patient Contact Cards and Retention Items (docx)

Template/Tools for Research Sites

Signature and Delegation of Responsibility Log (Must be retained at site) (docx)
Training Log Tool (pdf)

Request for Preliminary Access

RPA Form (pdf)
RPA Amendment Form (pdf)


SUBMISSION TIPS

Review the Researcher Training Manual

Review the Common Submission Pitfalls brochure


TIPS FOR SUBMITTING CONSENT FORMS READ TEMPLATE INSTRUCTIONS PAGE PRIOR TO USING.

Use simple language and avoid medical jargon.

Check for spelling, typing and grammatical errors prior to submitting.

Review consent forms to ensure only applicable wording is included in version submitted to REB.

The BOLDING and UNDERLINING that appears in the ICF templates is for ease of use only.  Please remember to remove the Bolding and Underlining from the Informed Consent Forms before submitting them.

Insert a version date in the footer of each page and change when revisions are made.


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