Forms & Templates

Beginning January 4, 2016: All HRPP-IRB submissions must be made through our CoeusLite online submission system. See this announcement for more information.

To request CoeusLite Training for your staff or department - or - to be included in postings of future CoeusLite demonstrations and Training Workshop Calendars, please contact IRBCoeusLiteTraining@purdue.edu.

CoeusLite IRB Manual for New Submissions

CoeusLite IRB Manual for Amendment, Continuing Review and Miscellaneous Submissions

CoeusLite FAQs

Investigator Guide to CoeusLite

Thank you for visiting the Human Research Protection Program Forms Page! Please note that many of our forms are protected documents. In order to allow for typing into the requested fields, you will want to "Save As" and save our document to a folder on your hard drive. If you find that you continue to have problems filling out our forms, please contact us at irb@purdue.edu. Thank you!

*All forms must be typewritten.

Exemption Request Form
Exempt Research Request ADOBE-PDF
Miscellaneous Forms Form
Deviation Tracking Form Word icon
Continuing Review or Closure ADOBE-PDF
Participant Payment Disclosure Form Word icon
Demographics Tracking Form Word icon
Research Involving Students or Educational Settings Form Word icon
Non Exempt Application Word icon
Non Exempt Application Narrative Word icon
CoeusLite Naming Conventions for Attachments Word icon
Amendment to Approved Study ADOBE-PDF
Personnel Amendment Table ADOBE-PDF
Consent/Assent Templates Form
  • The Consent Form and Assent Form include special instructions in orange italics
  • Replace italics on form as needed (Tab key will not navigate through)
Consent Form (template only) Word icon
Consent Form Template with Guidance Word icon
Sample Assent Form Word icon
Guidance on writing Consent Forms by reading level ADOBE-PDF
Unanticipated Problem/Adverse Event Reporting Form
Reporting Form Word icon
Decision Tree Word icon
HIPAA Forms Form
Authorization for Release or Use of PHI Word icon
Authorization Instruction Sheet Word icon
Request for Waiver of Authorization or Modification of Authorization Word icon
Certification of Compliance with HIPAA Privacy Rule for Activities Preparatory to Research Word icon
Certification of Compliance with HIPAA Privacy Rule for Research Involving Decedent’s Information Word icon
Data Use Agreement Word icon
Purdue University Research Guidelines For Compliance With HIPAA Privacy Rule Word icon
Research HIPAA Documentation Matrix Excel icon
Worksheets Form
Worksheet - Determination of Human Subjects Research Word icon
Checklist for IRB Submissions Form
  • Investigators have developed these Research Tracking Forms which we have posted for your convenience
  • If you find these forms helpful, use them.
Research Group Management Checklist Word icon
Subjects Management Checklist Word icon
Confidentiality Agreement Form
Confidentiality Agreement Form Word icon

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