sIRB Intake Form
Purpose of the form
If you are requesting UF IRBs to serve as a single IRB of record for a multicenter study, please fill out the following form and submit along with the request to meet with the Reliance Team via the
IRB Contact Form
Upon receipt of the form, IRB staff will reach out to you to schedule a meeting with the Reliance Team that meets on Tuesdays 8:30 a.m. – 11 a.m.
UF PI Name
UF Lead Coordinator
Status of the Award/Expected IRB Approval Date
Number of Sites
If known, names of the Institutions Involved
Brief Study Description
Is the banking local?