Please complete this form to determine which Ancillary Offices are required to review your study.

YOU WILL NEED THE STUDY NUMBER FROM RUTH. If you do not have it please go back to Ruth and copy it before continuing.

The next set of questions are 'TRIGGER' questions that will determine which reviews are required. Based on your answers, pages will appear to ask additional questions that each required ancillary office needs.

The last page will give you a checklist of 'to-do' items. Please save the completed pdf, save it to your computer, and then upload the form into Ruth.

If you need to save the information and come back later, please click the SAVE & RETURN Later button at the bottom and enter your email to get a link to this form.

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You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.