Get Promptly Reportable Information Submission Form - Western ...

Filling out the Promptly Reportable Information Submission Form is an essential step for reporting significant issues related to research protocols. This guide provides a clear and comprehensive approach to completing the form online, ensuring that all required information is accurately submitted.

Follow the steps to successfully fill out the form online.

1. Click ‘Get Form’ button to access the form online and open it in your browser.
2. In the Identifying Information section, provide necessary details including the Principal Investigator's name, WIRB Study Number, protocol number, date of the report, date of occurrence, and Subject ID if applicable.
3. For the Affected Protocols section, indicate any other research involved, along with the associated sponsor and WIRB protocol numbers.
4. Select the Type of Problem from the options provided such as audit, inspection, or inquiry by a federal agency. Ensure you include dates and specific details when applicable.
5. In the Describe the Problem section, detail the issue including the date of occurrence, timeline, cause, actions taken, and any changes made.
6. In the Actions section, list necessary actions or proposed changes to protect research subjects, and justify if no actions are required.
7. Confirm whether the Principal Investigator has reviewed the information and check the relevant agreements.
8. Complete the section identifying the person filling out the form, providing their name, company, email, and phone number.
9. After filling out the form, review all entries for accuracy. Users can then save changes, download, print, or share the completed form as needed.

Complete your submissions online for prompt reporting today.