Contents


Purpose


This CRF records the Principal Investigator’s or the Principal Investigator designee’s “sign off” for all of the data entered into C3D for a given subject.
Purpose


PI Sign-OFF eCRF



Field Name

Description / Instructions

Format

Visit Date

Optional: If entered the date should be the same as the Investigator Signature Date.

MM-DD-YYYY

Investigator's Signature

Enter the date of the Investigator signed off on the patient’s records. Yes/No

Use pick list.

Investigator Signature Date

Enter the Investigator’s name.

MM-DD-YYYY

Investigator/Designee Signature

Enter the full name of the Investigator or designee.

100 Characters

Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.
Last updated by Kussul, Olga (NIH/NCI) [C] on Nov 17, 2021