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 firstname.lastname@example.org, referencing your CHS# on the subject line.