Get Ucr Confidentiality Pledge - Utah Cancer Registry - University Of Utah - Ucr Utah

Filling out the UCR Confidentiality Pledge is an important step in ensuring the confidentiality of UCR Records. This guide will provide you with a clear and systematic approach to completing the form online, ensuring that all necessary information is accurately filled out.

Follow the steps to successfully complete the UCR Confidentiality Pledge online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, review the pledge's purpose and confirm your understanding of its implications. Provide the name of the study you will be conducting in the designated space.
3. Enter the IRB Number associated with your study in the corresponding field.
4. In the next section, you will confirm that you will maintain strict confidentiality regarding UCR Records. Acknowledge this by marking the checkbox or entering your initials.
5. You must enter your personal information, including your printed name, email address, phone number, street address, city, state, and zip code in the specified fields.
6. Indicate your position or role relevant to the study in the space provided.
7. Finally, provide your signature to validate your commitment to uphold the confidentiality regulations outlined in the pledge.
8. Attach your CITI, HIH, or VA Human subjects training certificate as required, ensuring all documents are compiled together.
9. Once you have completed the form and attached any necessary documents, you can save the changes, download a copy, print it for your records, or share it as needed.

Take action now and complete your UCR Confidentiality Pledge online to ensure compliance with confidentiality requirements.