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Modification Application Form

  • Applies only to research approved using the paper application; for applications submitted through eProtocol, use the eProtocol Modification form.

Download Modification Form (Word Document), revised 08-12-16

Circumstances for submitting modification request

  • Change in research site
  • Change in PI
  • Change to the approved protocol
  • Revisions to study documents (i.e. Informed consent, recruiting flyers, survey instruments, etc).
  • Adding research materials

Guidance on completing the Modification Form can be found under SOP 115.3 HERE

To close a study, please use our Study Closure Form, which may be downloaded HERE

For research approved as exempt, no modification form is needed.  Submit your request of changes to, referencing your CHS# on the subject line.