Arkansas Children's Hospital Research Institute

Forms

Animal Forms (Questions?)

Animal Use Protocol

ACHRI Grant Submission Forms (Questions?)

Grant Proposal Submission Form

ACHRI Checklist Page

Conflict of Interest Disclosure Form

Advance Account Setup Form

PI Signature Page for NIH Electronic Submissions

Intramural Grant Application Forms

Complete Grant Application Package

Main Form
ACHRI Checklist
Budget/Budget Justification Form
Other Support Form
Biosketch
Faculty Support Form (for Category C, Resident or Fellow applicants only)
Justification for multiple CUMG awards

Study Summary Form (for applicants whose proposal includes human subjects clinical trials)

ABI Abstract Form

PCRU Forms (Questions?)

PCRU Billing Form - To be filled out after usage of the PCRU.

Industry Sponsored Project/Clinical Trials Forms (Questions?)

Chart Review Template (for IRB Submission)

Clinical Trial Study Summary and Budget Form

ACHRI Checklist Page

W-9 Form

Web-Site Form

HIPAA Forms (Questions?)

HIPAA Authorization Template

Decedents Research

Reviews Preparatory to Research

HIPAA Data Use Agreement

Department of Pediatrics Forms (Questions?)

Peds Incentive Plan Part B Approval Form

NIH Forms (Questions?)

SAMPLE SF 494 completed with ACHRI's Information

Link to NIH Forms, Instructions, and Examples Page

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ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
13 Children's Way • Little Rock, Arkansas 72202-3591
Research Institute (501) 364-7373 Main Hospital (501) 364-1100