Study Amendment Request

Study Amendment Request

STU Research Ethics Board
This form must be used to submit any changes/updates to be made to a current STU REB approved research project. Changes must be reviewed and approved by the REB before they can be implemented.

Significant or numerous changes to study methods, participant populations, location of research or the research question or where the amendment will change the overall purpose or objective of the originally approved study will require the submission of a complete new application.

For more information about Amendments, see the TCPS 2 (2014), Article 6.16 "Requests for Changes to Approved Research".
Principal Investigator

Prefix First Name Last Name
E-mail
Title of Study:
REB File #:
Example: 2016-01
Explain what changes you would like to make to the study and why they are needed:
Do these proposed changes increase the level of risk or benefit to the participants and why/why not:
Do these proposed changes require you to revise your existing documents (questionnaires, consent forms, recruitment ads)? If so, explain how and attach them below:
Revised Documents
Revised Documents
Revised Documents
Signature of the Principal Investigator *

Use your cursor or mouse to provide your signature or initals Clear
For Administrative Use Only:

____ Delegated Review ____ Full Board Review

____ This amendment has been approved

Date of Approval _____________________________

Date Project Approval Expires ___________________
Should be Empty: