Online Reliance Consultation Request Form
Describe the study or studies for which reliance on a Single IRB (sIRB) is requested:
A reliance request can cover a single study or a group of studies conducted by a certain investigator or institution/organization.
Provide the names of the institutions and/or organizations that are expected to be involved in this reliance request:
This should include all institutions and organizations that will need Reliance Consultation with the University of Utah Human Research Protection Program (HRPP).
Provide the name(s) of the institution(s) and/or organization(s) recommended to provide Single IRB (sIRB) services under this reliance request:
Indicate who will be the lead investigator (and/or Utah-based participating investigator) for the study or studies under this reliance request:
The lead investigator may be the Utah-based investigator.
Provide the name and contact information for the individual(s) the University of Utah HRPP should contact to set up the Reliance Consultation meeting:
Note that an investigator involved in the study (or studies) must be included in the Reliance Consultation meeting.