UK Office of Research Integrity


ORI Home Page




Interested in the ethical conduct of human research? Want to know more about the IRB process? Then become an IRB member! The Office of the Vice President for Research and ORI appreciate volunteers and are always on the look out for interested and committed members. Contact Judi Kuhl for more information (859-257-9764).

























Human Research Forms

NEW! E-IRB Information (web-based IRB application) NEW!


Initial Review

Medical IRB

  • Medical Expedited Review Application [HTML]
  • Medical Full Review Application [HTML]

Nonmedical IRB

  • Nonmedical Expedited Review Application [HTML]
  • Nonmedical Full Review Application [HTML]

Exemption Certification Request (application) [HTML]

If you are completing an IRB Application for research involving human subjects, please visit ORI's Health Insurance Portability and Accountability Act (HIPAA) web page to determine if your research falls under the HIPAA Privacy Regulation.

Send IRB materials to:

Office of Research Integrity
315 Kinkead Hall
University of Kentucky
Lexington, KY 40506-0057
Ph: (859) 257-9428
FAX: (859) 257-8995
Hours of Operation: 8am-12pm; 1pm-5pm

All Other Human Research Forms


  • Modification Request Form [WORD] [RTF] Revised 1/13/14

  • Study Personnel List Template [WORD] [RTF] Revised 3/10/14

  • Protocol Violation Form [WORD] [RTF] Revised 1/7/11

  • Continuation Review Report Form (SAMPLE) [PDF] Revised 3/2015

  • Emergency Use Checklist [WORD] [RTF] Revised 7/24/07


  • HIPAA De-identification Certification Form [WORD] [RTF] Revised 2/20/14

  • HIPAA Waiver of Authorization Form [WORD] [RTF] Revised 8/21/07

Unanticipated Problem/Adverse Events (Effective starting June 15, 2006)

  • Internal Prompt Reporting Form [WORD] [RTF]

  • External Prompt Reporting Form [WORD] [RTF]

  • If the sponsor requires the PI to submit reports to the IRB that do not require prompt reporting according to UK’s policy, the PI may complete the “Cover Form for Non-Prompt Reporting of Problems/Events”: Cover Form for Non-Prompt Reporting of Problems/Events [WORD] [RTF]

  • Unanticipated/Anticipated Problem/Adverse Event Reporting SOP [PDF] Revised 7/8/11
  • Policy on Prompt Reporting for Unanticipated/Anticipated Problems/Events [PDF] Policy Effective June 15, 2006


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