Unaffiliated Investigator Agreement Sample Contracts

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • September 11th, 2023

SUNY Delhi Sponsor (College affiliate sponsoring the unaffiliated principle investigator): SUNY Delhi sponsor Role in Research Study Covered by this Agreement:

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Unaffiliated Investigator Agreement Information Sheet
Unaffiliated Investigator Agreement • January 16th, 2024

This agreement is intended for investigators who have no affiliation with Baystate Health (i.e., are not employed, do not have a contract or sub-contract, are not covered under a license agreement, etc.) but wish to collaborate on a research project at Baystate Health that requires access to any of the following:

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • November 28th, 2017
Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • August 17th, 2020

The above-named Unaffiliated Investigator has reviewed the Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; the U.S. Department of Health and Human Services (DHHS) regulations for the protection of human subjects at 45 CFR 46, the Assurance referenced above, and the relevant institutional policies and procedures for the protection of human subjects.

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • January 4th, 2019
Unaffiliated Investigator Agreement Please Note: This document is valid for one year from the date of IRB approval.
Unaffiliated Investigator Agreement • January 17th, 2024

____Access to Baystate patients’ or research participants’ Personal Health Information ____Access to Baystate employees’ personal identifiers

MISSISSIPPI STATE UNIVERSITY HUMAN RESEARCH PROTECTION PROGRAM
Unaffiliated Investigator Agreement • July 8th, 2019

The Unaffiliated Investigator Agreement is to be executed after the HRPP has agreed to serve as the IRB of Record for an Unaffiliated Investigator.

Unaffiliated Investigator Agreement and Privacy Practices Agreement for Non- SCDMH Employees
Unaffiliated Investigator Agreement • February 11th, 2020

All Principal Investigators who are not employees of the South Carolina Department of Mental Health and are seeking approval to conduct research under the authority of the SCDMH Institutional Review Board (IRB) are required to sign an “Unaffiliated Investigator Agreement and Privacy Practices Acknowledgment for Non-SCDMH Employees: Signature Page.”

UNAFFILIATED INVESTIGATOR AGREEMENT
Unaffiliated Investigator Agreement • September 5th, 2019

An independent investigator not employed at UT Tyler may engage in research under the UT Tyler FWA under the following conditions:

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • April 4th, 2022

Name of Principal Investigator of the study: Name of Institution Providing IRB Oversight: Trinity Health Of New England OHRP Federalwide Assurance Number: 00020300

IRB Appendix V - Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • November 5th, 2015
Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • August 17th, 2020

The above-named Unaffiliated Investigator has reviewed The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research, the U.S. Department of Health and Human Services regulations for the protection of human subjects at 45 CFR 46; and the Spelman College IRB policies.

Contract
Unaffiliated Investigator Agreement • December 29th, 2020

UNAFFILIATED INVESTIGATOR AGREEMENT This form should be completed and signed by key personnel who are not volunteers approved through the School of Medicine, students or employees of UVa.

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • June 1st, 2022

The above-named Unaffiliated Investigator has reviewed the Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; the U.S. Department of Health and Human Services (DHHS) regulations for the protection of human subjects at 45 CFR 46, the Assurance referenced above, and the relevant institutional policies and procedures for the protection of human subjects.

Unaffiliated Investigator Agreement Information Sheet
Unaffiliated Investigator Agreement • December 22nd, 2023

• This agreement is intended for investigators who have no affiliation with Baystate Health (i.e., are not employed, do not have a contract or sub-contract, etc.) but wish to collaborate on a research project at Baystate Health that requires access to any of the following:

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • August 24th, 2020

The above-named Unaffiliated Investigator has reviewed the Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; the U.S. Department of Health and Human Services (DHHS) regulations for the protection of human subjects at 45 CFR 46, the Assurance referenced above, and the relevant institutional policies and procedures for the protection of human subjects.

UNAFFILIATED INVESTIGATOR AGREEMENT
Unaffiliated Investigator Agreement • October 12th, 2015

An independent investigator not employed at UT Tyler may engage in research under the UT Tyler FWA under the following conditions:

When is Unaffiliated Investigator Agreement Needed? 1
Unaffiliated Investigator Agreement • March 7th, 2021

Unaffiliated Investigator Agreements are a way for Yale University to extend the terms of its Federalwide Assurance (FWA) to external individuals from unassured1 institutions engaged in non-exempt human subjects research conducted by Yale investigators, regardless of which IRB serves as the IRB of Record. Any external individual affiliated with an assured institution and working on a Yale research protocol is required to have approval from his/her own Institutional Review Board (IRB). Alternatively, the institutions can enter into a reliance agreement allowing Yale IRB to serve as the IRB of record.

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • December 12th, 2022

Name of Principal Investigator of the study: Name of Institution Providing IRB Oversight: Trinity Health Of New England OHRP Federal-wide Assurance Number: 00020300

Unaffiliated Investigator Agreement
Unaffiliated Investigator Agreement • January 9th, 2020
UNAFFILIATED INVESTIGATOR AGREEMENT This form should be completed and signed by key personnel who are not volunteers approved through the School of Medicine, students or employees of UVA.
Unaffiliated Investigator Agreement • January 31st, 2023

Has completed the CITI Online tutorial for investigators available on the IRB-HSR website at https://research.virginia.edu/irb-hsr/citi-training , or equivalent training program from another institution (documentation of training completion acceptable to the home institution must be attached);

Unaffiliated Investigator Agreement with Valdosta State University
Unaffiliated Investigator Agreement • October 22nd, 2020

Unaffiliated Investigator Name: Degrees: Unaffiliated Investigator’s Institution (if applicable): Mailing Address: E-Mail Address: Telephone: VSU Contact Person: VSU Protocol Number: Project Title:

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