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Get Study Amendment - Indiana University East

D. IRB STUDY NUMBER: AMENDMENT NUMBER: SECTION I: INVESTIGATOR INFORMATION Principal Investigator: School: (Last, First, Middle Initial) Building/Room No: Phone: E-Mail: Project Title: Sponsor/Funding Agency: SECTION II: AMENDMENT DESCRIPTION This form must be submitted to the IRB co-chair with any applicable revised documents. 1. Please provide a complete description of the proposed change(s) included in this amendment: 2. Please state the justification/rationale for this amendment: 3.

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