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General Research Forms and Information

This page contains a comprehensive list of research forms that may be needed. Forms are categorized by the type research to which they are applicable. Forms that are applicable to more than one type of research are listed under the heading of General Research Forms. Please note that all forms specific to Human Subjects Research are accessible via ProSPECT.


Animal Forms

ACORP Amendment Form

Animal Budget Form

Breeding Supplement

IACUC Research Project Study Closure Form

Part IV: ACORP

Letter of Support IDS

Protocol to Protocol Animal Transfer Form

Animal Exposure Preventive Medicine Program (AEPMP): Annual Review Form

Animal Exposure Preventive Medicine Program (AEPMP): Initial Exam Form

Animal Exposure Preventive Medicine Program (AEPMP): Declination Form


Employment, Training and Credentialing Forms

Applicant's Statement of Service Registration Status

Education Verification

Form 1 Application to Conduct Research at VAPHS

Form 1-9 (Employment Eligibility Verification)

Form OF-306 (Declaration for Federal Employment)

Form SF61 (Appointment Affidavits)

Intellectual Property Agreement

Policy Prohibiting Patient Abuse

Dependent VetPro Enrollment Form

Independent VetPro Enrollment Form

Research Scope of Practice Statement


General Research Forms

Privacy and Data Security Plan

Conflict of Interest Statement for Committee Members

Research Financial Conflict of Interest Statement

Non-Financial Conflict of Interest Statement

Incoming Materials Transfer Agreement (MTA) Form

Letter of Support from Service Lines Template

Memorandum of Understanding (MOU) Template

Non-VA Research Contribution Form

Notification of Publication/Presentation/Recognition of Research Results

Order Form for Research Supplies

Order Form for Research Chemicals and Compressed Gas Tanks

Outgoing Materials Transfer Agreement (MTA) Form

Part I: Request to Conduct Research

Request for Exemption from VAPHS Human Subjects Researcher Credentialing and Privileging

Request for Research Records Storage

Research Staff Form

Research Office Building Conference Room Scheduling

University Administered Research Memo

VA Form 10-5386/Investigator Data Sheet (page 18)


Radiation Safety Forms

Application for Personal Radiation Monitoring Device

Authorization to Purchase or Use Radiation Generating Equipment

Form Letter for Declaration of Pregnancy

Part V: Application to Use Radioactive Materials

Radioactive Spill Report

VAPHS Record for Radioactive Waste Disposal


Research Safety and Security Forms

Application to Access Research Secured Area

Request for Staff Access to Research Secured Area

Biosafety Level 2 (BSL-2) Procedure Template

Chemical Matrix

Hazardous/Select Agent Certification Form

Part II: Protocol Safety Survey

Part II Attachment A: Definition of Hazards

Part II: Attachment B: Description of Biosafety Levels (BSL)

Part II: Attachment C: Biological Safety Cabinets

Part II: Attachment D: Listing of Common Controlled Substances

Personal Protective Equipment (PPE) Hazard Assessment Certification Form


Research Scientific Evaluation Committee (RSEC) Forms

RSEC Research Project Closure Form

Pre-submission and Administrative Review of Application for Research Funding