Protocol Title Principal Investigator Research Coordinator IRB Number Staff Name Position Title Delegated Study Activities Staff Signature & Date above with research duties to the staff listed in this form. However, I understand Investigator’s Statement: I hereby delegated the that I am solely responsible for the conduct of this study. Signature: Principal Investigator’s ________________________________________________________________Date: __________________________________
Protocol Title Principal Investigator Research Coordinator IRB Number Staff Name Position Title Delegated Study Activities Staff Signature & Date Investigator’s Statement: I hereby delegated the above with research duties to the staff listed in this form. However, I understand that I am solely responsible for the conduct of this study. Principal Investigator’s Signature: ________________________________________________________________Date: __________________________________
11_STAFF_SIGNATURES_AND_DELEGATED_RESPONSIBILITIES.docx