IRB Consent Waiver Request Form
Study Title
Principal Investigator Name
Principal Investigator Email
Department/Unit
Waiver Type Requested
Waiver of Informed Consent
Waiver of Documentation of Consent
Justification for Request
How does your study meet all regulatory criteria for a waiver?
Describe any risks to participants
Describe how risks will be minimized and participant rights protected
Describe data privacy and confidentiality protections