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JMU OSP

Forms

Here you can find all of the forms offered by the Office of Sponsored Programs. Please choose from the list below what type of form you are looking for.

Go to Grant Forms and Samples

Go to OMB Standard Forms

Go to Compliance (IRB) Forms

Go to Compliance (IACUC) Forms

[Grant Forms and Samples]

JMU Internal Approval Form
Cost Sharing Request Form
External Match Form & Sample
Letter of Commitment Template
Limited Submission Form

National Institutes of Health

*Applications to the NIH must use the following PHS forms
NEW PHS Forms (detailed)

Public Health Service Grants (PHS 398-Fillable)

Application for Continuation of a Public Health Service Grant (PHS 2590-Fillable)
*The forms available on the NIH website have been modified to enable the fields to be filled in directly using Adobe Reader. Free Adobe software may be accessed
here.

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OMB Standard Forms

The OMB standard forms listed below are all in PDF format.

SF-424, Application for Federal Assistance
SF-424A, Budget Information - Nonconstruction Programs
SF-424B, Assurances - Nonconstruction Programs
SF-424C, Budget Information - Construction Programs
SF-424D, Assurances - Construction Programs
SF-269, Financial Status Report (Long Form)
SF-269A, Financial Status Report (Short Form)
SF-270, Request for Advance or Reimbursement
SF-271, Outlay Report and Request for Reimbursement for Construction Programs
SF-272, Federal Cash Transactions Report
SF-272A, Federal Cash Transactions Report
SF-LLL, Disclosure of Lobbying Activities
SF-SAC, Data Collection Form for Reporting on Audits of States, Local Governments, and Nonprofit Organizations; call 1-888-222-9907 for a paper copy.

Grant Management Forms
Proposed Government-Wide Standard Grants Reporting Forms:

http://www.whitehouse.gov/OMB/grants/grants_forms.html

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[Compliance Forms]

IRB Forms (Human Subjects)

Review Application Forms (HRRRF)

Full Board/Expedited
Human Research Review Request (Updated)
*Reference IRB Protocol Review Example Guide
Exempt
Human Research Review - Exemption Request (Updated)
Certification Page
Alternative Certification Signature Page (New) (recommended for use when needing to obtain signatures for additional PI's)

Informed Consent Forms

Confidential Research

Sample Consent Form

**Confidential Research Information Sheet

Anonymous Research

Sample Cover Letter

**Anonymous Research Information Sheet

"Web" Confidential
Sample "Web/Email" Consent Form (Updated) (recommended for use with email and Qualtrics for Confidential Research)
"Web" Anonymous
Sample "Web/Email" Cover Letter (Updated) (recommended for use when using Qualtrics for Anonymous Surveys)
"Verbal" Consent

Sample "Telephone" Suvey

(Telephone interviews require the researcher to obtain verbal consent. The investigator should convey essentially the same information on the phone as on a consent form.)

Ages 17 & under
Ages 13-17
Ages 7-12

Additional Research Forms

Off-Campus Research
End of Research Follow-up Report for Research Project
Adverse Event Form IRB Adverse Event Form

Checklists & Guides

Evaluation
Protocol Evaluation Form (used by IRB reviewers)
Exempt Research Protocol Exemption Guide
Full Board/Expedited Research Protocol Review Example Guide

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IACUC Forms (Animal Subjects)

New Protocol
Animal Use Protocol Form (Revised, December 2006)
Faculty Co-Investigator Certification Form
Student Student Responsible Conduct Approval Form
Student Student Certification Form
Renewals

Annual Review Form

*must be completed annually for approval of continued research

Addendum/Extension Requests

Addendum/Extension Request Form

(This form must be completed when adding a new participant, changing species, adding more animals, or for an extention request - if project dates equal longer than 3 years the protocol must be resubmitted, contact x8-6872 for more information.)

Adverse Event Reporting

Adverse Event & Unanticipated Problems Form

(This form must be completed when reporting adverse events or unanticipated problems to the JMU IACUC. (INSTRUCTIONS)

Protocol Review IACUC Reviewer Checklist

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Useful Links:
-SPA Accounting
-Research & Public Service
-Academic Affairs
-Office of Technology
Transfer

Last Modified July 30, 2008

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