Insert letterhead of institution/organisation
Date
Ethics Manager
Research Office
Level 13, Kolling Building
Royal North Shore Hospital
St Leonards NSW 2065
NSLHD file reference: XXXX-XXXM or RESP/14/xx
Study Title: xxx
AURED HREC reference: HREC/xx/HAWKE/xxx
Dear Ellie
Please find attached quarterly / six monthly / annual line listings core safety update / other document type for the above study for the period insert dates.
The line listings have been reviewed and I recommend
no changes are required to the study documentation
OR
changes are required to the Participant Information Sheet and Consent Form/s, study protocol or ongoing conduct of the study. Amended forms have been submitted with this report / are pending / other
any additional information
If the HREC Executive Committee has any questions regarding the above please do not hesitate to contact XXXXXXX.
Yours sincerely
Principal/Coordinating Investigator
Notes for completion (delete prior to submission)
1. This letter MUST be signed by the Coordinating Investigator of the study, however, the contact listed may be a study coordinator or similar.
2. Text marked in yellow requires modification/completion by the person filling in this template
NSLHD HREC – Line listings – Template updated May 2014 1