IRB Forms and Guides

IRB Forms and Guides

IRB Forms

The forms below are used submit a new request for research involving human subjects and reporting any status changes in an approved research protocol to the IRB. Guides and checklists are also provided below to assist in the completion of these forms.

For researchers who think that their research may be Non-Human Subjects (NHSR) or Exempt only. Researchers who are conducting research that could be considered Non-human Subjects Research or Exempt from IRB review should complete this application and email it to The IRB will review the request for exemption and advise accordingly.
This online form must be submitted and approved prior to any research being conducted that involves human subjects.  See the Researcher's Guide below for assistance in completing the application. This includes research being conducted by students, staff, or faculty.  See the template below for a Word version of the IRB application questions (to be used for draft purposes only). 
Informed consent is required to provide potential subjects or their legally authorized representatives with the information necessary for them to make a decision about participating in research.

This form contains all of the necessary elements to comply with the revised common rule consent requirements effective 1/21/2019. Sample text and guiding text is provided as part of the template. Non-applicable sections may be deleted and the instructions page should be removed prior to saving and uploading your consent form as part of your submission in the IRB portal.

Information in the consent document must be organized to facilitate comprehension. Consent documents should be written in plain language, generally at the 8th grade reading level. For child assent documents, the reading level and complexity of the information provided should be appropriate for the age level of the child.

Use this template to ensure that you include all required elements of informed consent
This form must be submitted if there are any significant changes to the research protocol from what was approved by the IRB. This includes modifications, addenda, and/or amendments to a research project, including changes regarding the researchers. Submit at least one month in advance to ensure time for it to be reviewed.
To be completed when a Utica University investigator is submitting a request to rely on an IRB outside of Utica University for oversight of a research study. It is strongly recommended that you talk to the IRB chair before completing this form.
Researchers who receive IRB approval to conduct research on human subjects must submit a request to renew the approval no less than once per year until data collection and analysis are complete. Submit no later than four weeks before the current approval expiration date.
Any adverse events or unanticipated problems during approved research involving human subjects must be reported to the IRB using this form.
This form must be submitted once all subjects have completed participation and data analysis is complete (or analysis continues only on data that are no longer identifiable in any way).
This application is submitted by each faculty member teaching a research methods course (or other related course) to obtain initial IRB approval covering the instructional research activities designed to teach students about research and involve human subjects. This application is submitted only ONCE for research-designated courses that will be repeated without modifications - one application per course per instructor; it does not need to be submitted again unless the course is modified.
After receiving approval of the Application for Teaching Methods, this form must be submitted by the faculty member every semester the course is taught. This form is used to assure the IRB that each student research project involves minimal risk, adheres to ethical standards, maintains the confidentiality and informed consent of the subjects, and generally is to be used only for classroom purposes.
This Word version of the new application human subjects research approval is provided for drafting purposes only - it will NOT be accepted by the IRB as your application.  The questions you will find in the online IRB application are included in this document so that you may work on it offline, share it with your Faculty Advisor prior to submission, and/or easily copy and paste answers into the online form.

Contact Us

James Teliha

James Teliha

IRB Chair
(315) 792-3122

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