Request For Waiver or Alteration of Informed Consent


Please provide the following contact information:

Name
Title
Organization
Work Phone
E-mail

I am asking the IRB 

to waive the requirement that I fully inform the subjects and obtain their consent, or 

to alter certain elements of informed consent or the procedures followed to obtain informed consent for the following reason(s): 

the research is being done on behalf of and under the auspices of a governmental agency to study public benefits or social services and/or 

the research presents no more than minimal risk, the waiver or alteration will not adversely affect the rights and welfare of the subjects, and the research could not practicably be carried out without the waiver or alteration. The subjects ( will) ( will not) be provided with additional pertinent information.


Institute for Research.
Copyright © 2001 [University of Wisconsin - Green Bay]. All rights reserved.
Revised: February 03, 2002