RCA Request Form - Research Quality and Compliance

To request an RCA, please provide the information below.

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Request Information

First Name of individual submitting request

Last Name of individual submitting request

What is your e-mail address?

What is your phone number?

What is the name of the Principal Investigator (PI) / Lead Researcher?

What is the Department/Unit of the PI / Lead Researcher?

What is the study IRB number?

What is the reason for this RCA request?

When are three times, within the next five business days, that you are available for a brief discussion with a member of the OQC about this request?

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Available Date 2

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Available Date 3

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Research Climate Assessment (RCA) Request Form