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Forms You are here:HomeResearchResearchersForms A Annual Safety Report Form Amendment Request Form Addition of Site Form (Addition of Coordinating or Principal Investigator Form) Addition of Satellite/Recruitment/Service Site Form Authorised Prescriber Application Form B Breach Report - Serious Breach Report - Non-Serious Breach Report - Suspected (Third Party) C Case Study - Report Template Case Study - Report Participant Consent Form Changing Members of a Research Team (CMORT) Form Change/Addition of Coordinating or Principal Investigator Form Clinical Trial Research Agreement (CTRA) – Medicine Australia Contract Submission Form Cover Letter & Checklist - Ethics Cover Letter & Checklist - Governance CTN Submission Online D Data Transfer Agreement Data Transfer Agreement - SVHM acting as Recipient Digital Signature Guidelines E F Fee Form Form of Indemnity - Standard Form of Indemnity - HREC Review Only G H Human Research Ethics Application Form (HREA) Portal - via ERM I J K L Letter of Support Template M Material Transfer Agreement (MTA) N O P Participant Information & Consent Form (PICF) Information - Master Participant Information & Consent Form (PICF) Information - Site-Specific Progress Report - Project Form (HREC) Progress Report - Site Form (RGO) Project Final Report Site Closure Report Q Quality Assurance Application Form Quality Assurance Cover Sheet R Radiation - Notification to Review HREC Research Collaboration Agreement - MACH Template Research Collaboration Agreement Research Collaboration Agreement with SVHM details pre-filled S Safety Report Form Site Specific Assessment (SSA) Form - via ERM Short Form Services Agreement T U V Victorian Specific Module (VSM) W X Y Z