CCR Forms


Review/Revision/Posting Date

Regulatory Binder Forms 
 Delegation of Tasks / Signature Log January 2018
 Protocol Review Log3/4/2014
 Screening and Enrollment Log 10/1/2005
 Site Visit Log 10/1/2005
 Telephone Log 10/1/2005
Misc. Report Forms 
  Safety Monitoring Committee (SMC) Report Template  March 2014
Site Visit Forms 
 Site Initiation Visit Confirmation Letter Template 10/1/2005
 Site Initiation Visit Follow-up Letter Template 10/1/2005
 Site Initiation Visit Sample Agenda  10/1/2005
 Site Initiation Visit Report Template 10/1/2005
 Regulatory Documentation Checklist 10/1/2005
 Site Monitoring Visit Confirmation Letter Template 10/1/2005
 Site Monitoring Visit Follow-up Letter Template  10/1/2005
 Monitoring Visit Report Template 10/1/2005
 Case Report Form Tracking Log 10/1/2005
 Data Correction Form 10/1/2005
 MI CRF Tracking Log 10/1/2005
 Deviation Log 10/1/2005
 Study Close-out Visit Report Template 10/1/2005
 Study Close-out Visit Confirmation Letter Template 10/1/2005
 Study Close-out Visit Checklist 10/1/2005
 Study Close-out Visit Follow-up Letter Template 10/1/2005
Drug Accountability 
 CCR Investigational Drug Return Form 4/11/2011
 CCR Patient Self-Administered Study Agent Compliance Log  4/11/2011
 CCR Patient Self-Administered Study Agent Interim Compliance Form 4/11/2011

CCR Standard Operating Procedure (SOP) Template

September 2017

PHS Conversion Request Memo


Pay Comparison Memo


Records Management Forms 
SF-135 Record Transmittal and Receipt Posted 8/21/15
NCI Box Content Listing Posted 8/21/15
 Data Sharing Forms 
dbGap Study Configuration Template Posted 9/10/15
 Basic Study Information Sheet Posted 9/10/15
 CCR Genomic Data Sharing Plan Form Posted 9/10/15
 CCR Genomic Data Sharing Exception Form Posted 9/22/15
 Single Site Institutional Certification Memo Posted 9/22/15