Office of Research

Please complete the information below and submit.

Principal Investigator Information
PI Name:
PI Phone:
PI E-mail:
NIH Grant Number:
Project Title:

Contact Information (if different than above)
Contact Name:
Contact Phone:
Contact E-mail:

Research Type
* Human Subjects Involved?	Yes No (IRB)
* Animal Subjects Involved?	Yes No (IACUC)
* If the project involves human and/or animal subjects, DSR will need the signed IRB/IACUC approval form(s). DSR cannot complete the JIT verification until the letter(s) are received.

University of Florida