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The University of Tennessee

UT Knoxville Office of Research and Engagement

Frequently Used Tools:




Research Forms

Conducting research or other sponsored programs requires that information be gathered for the protection of the university, researchers, and research subjects. Links to many of the relevant forms in compliance and proposal development are collected below. Please contact the Office of Research & Engagement at (865) 974-3466 with questions or comments.


Administrative

 

 

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Center Establishment Criteria and Request Form

PDF

 

 

Established Campus Level Center Review Form

 

Word

Revised: 6/15/2012

Established College Level Center Review Form

 

Word

Revised: 6/15/2012

Start-up Funding Request Form

PDF

 

Revised: 12/21/2011

Start-Up Funding Request Form for Faculty Starting Mid-Academic Year

PDF

 

Revised: 9/19/2012

Special Start-up Carryover Request Form

PDF

 

Revised: 4/16/2012

Compliance - Animal Care and Use

 

 

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Animal Care and Use forms are located on the Institutional Animal Care and Use Committee (IACUC) website

 

Link

 

Compliance - Biosafety

 

 

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Biosafety forms are located on the Biosafety website

 

Link

 

Compliance - Controlled Substances

 

 

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Application for Controlled Substances

PDF

Word

 

State Pharmacy Board

 

Link

 

DEA Registration

 

Link

 

Compliance - Human Subjects

 

 

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IRB

 

 

 

IRB Review Checklist

PDF

 

Posted: 3/2013

Certification for Exemption from IRB Review for Research Involving Human Subjects (Form A)

 

Word

Revised: 1/2005

Guidelines and Application Instructions (Form A)

PDF

Word

 

Categories for Exempted Review

PDF

Word

 

Expedited and Full IRB Review (Form B)

Word

 

Guidelines and Application Instructions (Form B)

PDF

Word

 

Categories of Research Qualifying for Expedited IRB Review (Form B)

PDF

Word

 

Modifications and/or Project Termination for Form B Approved Research Involving Human Subjects (Form D)

Word

Revised: 1/19/2005

Research Team Member's Pledge of Confidentiality (Sample)

PDF

Word

 

Transcriber's Pledge of Confidentiality (Sample)

PDF

Word

 

Researcher Pledge of Confidentiality to Protect SurveyMonkey Data

 

Word

Posted: 1/20/2012

HIPAA

 

 

 

HIPAA Template

Word

 

HIPAA Guidelines and Application Instructions

PDF

Word

 

Informed Consent

 

 

 

Basic Elements of Informed Consent

PDF

Word

 

Sample Informed Consent Form

PDF

Word

Revised: 2/25/2009

Sample Study Information Sheet

PDF

Word

 

Sample Assent Form

PDF

Word

 

Compliance - New Researchers

 

 

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Checklist For New Researchers

PDF

 

Revised: 8/12/2009

Compliance - Radiation Safety

 

 

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Radiation Safety forms are located on the Radiation Safety Department's website

 

Link

 

Compliance - Responsible Conduct of Research

 

 

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RCR Training Confirmation Form

 

Word

Posted: 6/22/10

Sponsored Programs - Agreements

 

 

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Basic Research Agreement Template

 

Word

Posted: 12/17/2012

Y-12 Joint Assignment Agreement (JAA) Program Procedures

 

Word

Posted: 12/13/2012

Y-12 Joint Assignment Agreement – Appendix A, page 1

 

Word

Posted: 12/13/2012

Y-12 Joint Assignment Agreement – Appendix A, page 2

 

Word

Posted: 12/13/2012

Y-12 Joint Assignment Agreement – Appendix B

 

Word

Posted: 12/13/2012

Material Transfer Questionnaire – Incoming Material

 

Word

Posted: 11/28/2012

Material Transfer Questionnaire – Outgoing Material

 

Word

Posted: 11/28/2012

Sponsored Programs - Budgets

 

 

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Project Budget Template

 

Excel

Revised: 6/9/2011

UT/ORNL Proposal Budget

PDF

Word

 

Direct Charge Justification

PDF

Word

Revised: 5/1/2003

Cost Accounting Exception Request Instructions

PDF

 

 

Fringe Benefit Rate Calculator for FY13

 

Excel

Revised: 12/6/2012

Staff Benefit Rates for FY 12-13

PDF

 

Revised: 12/6/2012

Advance Account Request

PDF

 

Controller's Office Link

Sponsored Programs - Proposals

 

 

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NIH Principal Investigator Assurance Certification Form

PDF

 

Revised: 4/3/2012

Subrecipient Commitment Form

PDF

 

Revised: 10/15/2012

Consultant Commitment Form

PDF

 

Posted: 2/28/2013

Sponsored Programs - Subcontracts

 

 

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Approval of Subcontract Form

PDF

Word

Revised: 6/10/2005

Subcontract Checklist

PDF

 

Revised: 5/3/2002

Justification for Non-Competitive Purchases and Contracts

 

Link

 

Contract Review Form (for foreign contracts only)

PDF

 

Revised: 6/2004

Sponsored Programs - Other

 

 

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Award Action Form (aka: Expanded Authority Approval and Change Request Form)

PDF

 

Revised: 2/25/2013

Budget Change Form — this form is required if requesting a rebudget on the Award Action Form

 

Excel

Revised: 3/26/2013

Technology Disclosure Form (UTRF)

 

Link

 

Federal Government Standard Forms (GSA)

 

Link