Human Research Protection Program

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Office Hours:
Monday - Friday
8am - 5pm

Mailing Address:
Michigan State University

207 Olds Hall
East Lansing, MI 48824

Phone: (517) 355-2180
Fax: (517) 432-4503
Email: irb@msu.edu

Office Location:
207 Olds Hall.
Olds Hall is located between the Administration Building and MSU Main Library. Campus Map

Forms

Please note that applications for initial review, renewal, or revision must be submitted through the MSU IRBs Online Application System.

Consent templates and instructions for completing the forms below can be found on the Form Instructions page.

**Please download forms by clicking on the appropriate download format link below. Forms should be downloaded each time they are used, as they are subject to change.

Note: You will need Acrobat Reader to view the PDF forms .

		File Format
Name of Form	Description	Word	PDF
Request for Copy of an IRB Document Form	View form description	Open Word	Open PDF
Initial Application Reference Form	View form description	Open Word	Open PDF
Renewal Application Reference Form	View form description	Open Word	Open PDF
Fifth Year Appendix Form	View form description	Open Word	Open PDF
Revision Application Reference Form	View form description	Open Word	Open PDF
Closure Form	View form description	Open Word	Open PDF
Unanticipated Problems (Non-Clinical) Form	View form description	Open Word	Open PDF
Unanticipated Problems (Clinical) Form	View form description	Open Word	Open PDF
HIPAA Forms
HIPAA Instructions - MSU Research Privacy Board Template	View form description	Open Word	Open PDF
HIPAA Authorization Form – MSU Research Privacy Board Template	View form description	Open Word	Open PDF
HIPAA Authorization Form – Sparrow Hospital Template	View form description	Open Word	Open PDF
HIPAA Authorization Form – Ingham Hospital Template	View form description	Open Word	Open PDF
HIPAA Data Use Agreement – MSU Template	View form description	Open Word	Open PDF