Research Request Form

Research Request Form

Please complete the following on-line form and submit the below list of materials to You may also submit a link to the materials if they are located on a public shared drive.

Materials required for submission:

  • Research proposal and related materials
  • IRB communications and all approvals
  • Proposed informed consent form to be used, if relevant
  • Tools to be used
  • Proof of HIPAA training within the past two years if requiring access to a Covered Entity
  • Proof of Human Subjects training if relevant


JASA’s Research Committee will review requests within 30 days after all materials are received.