Termination and Final Report REB protocol application number: Report submission date (yyyy-mm-dd): Title of research project: Project end date (yyyy-mm-dd): Was the project completed as in the project approved by the REB? Yes No If no, please deviations from the project and reasons for them: Did the research subjects suffer any serious or unexpected harm? Yes No If yes, please describe them: During the course of the research, did any significant new information Yes No arise from any source that changed the basis on which the REB provided its original ethics approval? If yes, was this new information reported to the REB with the Yes No appropriate requests for amendments to the project or consent from? If not, please provide an explanation: Principal Investigator Name: Signature: Date: (yyyy-mm-dd)
Termination and Final Report REB protocol application number: Report submission date (yyyy-mm-dd): Title of research project: Project end date (yyyy-mm-dd): Was the project completed as in the project approved by the REB? Yes No If no, please deviations from the project and reasons for them: Did the research subjects suffer any serious or unexpected harm? Yes No If yes, please describe them: During the course of the research, did any significant new information arise from any source that changed the basis on which the REB provided its original ethics approval? Yes No If yes, was this new information reported to the REB with the appropriate requests for amendments to the project or consent from? Yes No If not, please provide an explanation: Principal Investigator Name: Signature: Date: (yyyy-mm-dd)
Termination_and_Final_Report_0.docx