Social Science HREC

Social Science HREC

AMENDMENT TO APPROVED PROJECT

This form should be completed to apply for amendments to all types of applications previously approved by the Social Science HREC.

Important:Please send an electronic version of this formas a Word document along with the attachments indicated below to.

A signed copy of this form also needs to be forwarded electronically.

If you have any questions, please call: 6226 2763

Ethics Reference Number / H / Date:
1. Title of approved project
2. Investigatornames
Chief Investigator
Phone:
Email:
Other Investigator
Phone:
Email:
Other Investigator
Phone:
Email:
3. Requested changes to project
(These may include, for example, changes in procedure or direction of the project, changes to research personnel, changes in the source or manner of recruitment, or changes in the number of subjects.)
4. Justification / reasons for the changes
5. Do the changes raise any ethical issues? Yes No
If you answered ‘YES’, please identify these issues below:
6. Do the information sheet and/or consent form need to be changed?Yes No
If you answered ‘YES’, please attach new information sheets and consent forms.Track changes must be used when making changes to previously approved documentation. Your amendment can not be assessed if Track Changes is not used.
7. Signatures:
Chief Investigator Name:
Chief Investigator Signature:
Date:
Finance and Administration
Fee Schedule as of 1 January 2017
Researchers affiliated with the University of Tasmania or the Department of Health and Human Services for the purposes of the research / No charge to the Researcher
External Researchers
Amendment requiring Chair review / $150 (inc GST)
Amendment requiring full Committee review / $360 (inc GST)
Invoice Details
Name:
Organisation/University:
ABN Number:
Address:
Phone:
Please note: An administrative fee applies for the reissuing of invoices.

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