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WSIRB Forms
Researchers planning to submit a proposal to the WSIRB should call and discuss their proposed research with Review Section staff before preparing their application. You may call Review Section staff at (360) 902-8075.
Downloads and Links
- Research Application (Form revised November 2006)
- Exempt Determination Request (Revised February 2009)
- Exempt Request: Social Work Student Projects (March 2008)
- Continuation Approval Request (Revised January 2009)
- Study Amendment Request (Revised March 2009)
- Unanticipated Problem and/or Adverse Events (Revised August 2007)
- Additional Signature Page - Confidentiality Agreement (Revised July 2004)
- Certification that Research Records Have Been De-Identified (April 2006)
If you have any difficulties downloading the electronic documents, please contact us at wsirb@dshs.wa.gov.
Researchers submitting proposals to the WSIRB should review the following documents:
- Washington State Agency Policy on Protection of Human Research Subjects
- HIPAA Privacy Rule - Requirements For Research
To minimize problems opening PDF documents, we suggest that you always use the latest version of the Adobe Acrobat Reader.
