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2008 Research and Development Application
Note: This form must be submitted with all Research proposals.
Human Study Forms
VA Research Consent Form (10-1086)
Release of Information/Authorization for the Use of Health Information for Research (HIPAA)
Consent Checklist
* Human Investigation Committee (HIC) Forms CLICK HERE
Closure Form
VA Appendix for Continuation
Safety Forms
VAF 10-0398 (Feb. 2007) Research Protocol Safety Survey
Animal Forms
Animal Component of Research Protocol-ACORP 
(WSU addendum must be submitted with ACORP form)
* Application To Use Vertebrate Animals for Research http://aic.wayne.edu/forms/AIC_VA_Protocol_Application_ACORP_Attachment.doc
Investigational Drug
VAF 10-9012 Investigational Drug Information Record
Employment Forms
Optional Application for Federal Employment (OF-612)
Declaration of Federal Employment (OF-306)
Fingerprint
(Fingerprints will be taken by Police and Protection Service)
I-9 form
WOC Information Sheet
WOC Application (must be renewed annually)
Resident WOC form
If participating in human studies research:
Education Verification
Scope of Practice
Applicant Release
Intergovernmental Personnel:
Assignment Agreement - OF 69 (Rev 2-89)
Merit Review Submission Forms
Submission Instructions
Merit Review Submission Forms can be found at www.research.va.gov/funding/process/forms.cfm
General Forms
Application for Leave
Computer Access Request
Purchase Order
Computer Purchase Form
Reproduction Request
Equipment Order
VA Timecard
Work Order Request
Key Request
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