Get Acknowledgement Receipt Form - Gemstone - University Of Maryland - Gemstone Umd

Filling out the Acknowledgement Receipt Form for the Gemstone Program at the University of Maryland is an essential step for participants in research studies. This guide provides you with clear, easy-to-follow instructions to complete the form online efficiently.

Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to access the Acknowledgement Receipt Form. This will enable you to obtain the document online and open it for editing.
2. Begin by filling out your printed name in the designated field. This ensures that your identity is clearly associated with the form.
3. Next, provide your permanent address. Enter this information in the specified area to ensure accurate delivery of any correspondence.
4. If you received cash or an incentive valued at $100 or more, you must insert your Social Security Number. Ensure that this information is entered accurately as it is crucial for tax reporting.
5. Indicate whether you are an employee of the University of Maryland by selecting 'YES' or 'NO.' If you affirmatively answer, be sure to provide your University ID number in the space provided.
6. Sign the form in the designated area labeled 'Signature of the Recipient' to validate your acknowledgment of receipt.
7. Fill in the date of your signature to complete this section.
8. For internal use, the form will require the description of the incentive and the name of the Gemstone team involved in the research study. Provide any necessary details in these fields.
9. Complete the section regarding the description of the team research or purpose of the study. This should give a brief overview of the study conducted.
10. You will also need to indicate if the study has received Institutional Review Board (IRB) approval by selecting 'YES', 'NO', or 'Not Applicable.'
11. Finally, the form requires a Department Head Approval signature and date from Dr. Frank J. Coale or the appropriate approving authority. Make sure this is done before submission.
12. After completing all fields, you can save your changes, download the form for printing, or share it as required.

Complete your Acknowledgement Receipt Form online today for a smooth documentation process.