Form Number

Form Name


USU Form 3208


The USU Form 3208 and applicable appendices must be submitted with all funded and unfunded research projects, applications and protocols. The form must be completed in its entirety and contain all applicable signatures from the Principal Investigator and Department Chair(s). Provide the VPR-assigned project number when returning Appendix 4 and 5 to the Office of the Vice President for Research.


3208 (Word- Feb 08)

Assurance Supplement Form


Appendix 1 (Word)

Instructions for Completing USU Form 3208


Appendix 2 (Word)

Roles and Responsibilities of Principal Investigators for Research Projects


Appendix 3 (Word)

Project Description List


Appendix 4 (Word)

BioSafety Committee Information


Appendix 5 (Word)

Radioactive Safety Committee Information


 

USU Form 3204


USU Form 3204 must be submitted for all projects involving human research (including human cells, tissues or fluids, surveys or database use or development).


3204(IRB)(Word)

Research Involving Human Subjects (IRB Protocol Application)


3204A (Word)

Research Involving Human Subjects (Continuing/Annual Review)


3204B (Word)

Research Involving Human Tissue/Samples (continuing/annual review)


 

USU Form 3206


The USU Form 3206 series is provided by the Department of Laboratory Animal Medicine and should be completed, in its entirety, for all research involving animals taking place on the USU campus.


 

USU Form 3209


The USU Form 3209 must be submitted with all funded research projects that will use an off-site indirect cost rate.


3209 (Word)

Application for Off-Site Indirect Costs Research Rate


 

USU Form 3210


The USU Form 3210 must be submitted for each funded and unfunded research project. Due dates may vary according to sponsor reporting requirements. USU requires at least an annual report for each project.


3210 (Word)

Progress Report (annual, interim, or final report)


3210 Instruction (Word)

Instructions for completing the progress report form


 

Radiation Safety Forms


The below Radiation Safety Forms are provided by the EHOS.


380 (Excel)

REA Amendment/Radioisotope Usage Request


6041 (Word)

Application for Radionuclide Experimental Authorization


6042 (Word)

Summary of Radiological Training and Experience


6044 (Word)

Radionuclide Experimental Authorization Renewal


6050 (Word)

Work Assignment for a Minor


 

Resources

Assurance Committees