Date: Site: SSA Ref: HREC Ref: Study Title: Name of Principal Name of Site/Study Investigator: Contact: Purpose of Amendment/Submission (Describe the change & any impact to the site) Post Approval Submission Documents Document Type Document Name Version Version Date Received by RGO Number (Select from drop down)
Date: Site: SSA Ref: HREC Ref: Study Title: Name of Principal Investigator: Name of Site/Study Contact: Purpose of Amendment/Submission (Describe the change & any impact to the site) Post Approval Submission Documents Document Type (Select from drop down) Document Name Version Number Version Date Received by RGO