Note: Fields marked with an * indicates required field EQuIP Service Request Form Requestor Name: * Requestor Role: * Requestor Email: * Requestor Telephone Number: * Principal Investigators Name (if different from requestor): Principal Investigator Email: Research Site: Protocol Number (if assigned): Study Title: * Requested EQuIP Services: * Presentation--in service Study Review Assist with Audit Assist with Study Documents Assistance with site or study-specific researcher self-assessments Assessment of Current Processes and Policies Pre-study site or investigator assistance Providing Continuing Education to Investigators, Researchers, and IRB members Assistance with IRB submissions, reporting, and recordkeeping EQuIP Service Request-Additional Comments (optional):
Note: Fields marked with an * indicates required field