Individual Investigator Agreement Name of Institution with the Federalwide Assurance (FWA): Northwell Health Applicable FWA #:0002505 Individual Investigator’s Name: __________ Specify Research Covered by this Agreement: __________Individual Investigator Agreement • July 14th, 2017
Contract Type FiledJuly 14th, 2017The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.