UK Office of Research Integrity

IRB Application: Materials for Primary Reviewer and Detailed Protocol/Grant Application Review

Section 6
FORM Z.   Signature Assurance Sheet

Obtain the appropriate signatures as specified on the SIGNATURE ASSURANCE SHEET.  If the principal investigator is also the chairperson of the department, the vice chairperson or equivalent should review and sign the signature assurance sheet. 

If this research is being conducted to meet University of Kentucky academic requirements, the student’s faculty advisor, in addition to the Department Chair, should sign the Signature Assurance Page. The student’s faculty advisor is accepting a supervisory role in guiding the student in conducting regulatory compliant research and therefore must be certified in human research protection training throughout the life of the protocol.

Submit one original of the SIGNATURE ASSURANCE SHEET and 2 copies. 

Click for guidance/policy document:  What does the Department Chairperson’s Assurance Statement mean? [PDF]

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