Get the free FDA form 1572 top of page 1 - Duke University - dtmi duke

FDA form 1572 top of page 1 Check Date! This is where an individual PI is listed. Each PI completes a 1572. The IND sponsor may or may not be a PI. Check box for CV and attach CV of the PI. Customary

How to fill out fda form 1572 top

How to fill out FDA Form 1572 top:

1. Begin by entering the name of the clinical investigator as it appears on their license or training record.
2. Provide the home address of the clinical investigator, including the street, city, state, and zip code.
3. Fill in the business address of the clinical investigator, including the name of the institution, street, city, state, and zip code.
4. Include the contact information of the clinical investigator, such as the telephone number and email address.
5. Indicate the clinical investigator's professional qualifications, including the degrees earned and any relevant certifications.
6. Specify the clinical investigator's medical specialty or area of expertise.
7. Declare any financial interests or arrangements related to the clinical study being conducted.
8. Sign and date the form to certify the accuracy of the provided information.

Who needs FDA Form 1572 top:

1. Clinical investigators involved in conducting research studies regulated by the Food and Drug Administration (FDA) in the United States require FDA Form 1572.
2. Sponsors or organizations sponsoring clinical trials often request clinical investigators to fill out this form.
3. The form is essential for maintaining regulatory compliance and ensuring the integrity of the clinical study.

For pdfFiller’s FAQs

What is fda form 1572 top?

FDA Form 1572 (top) is the Statement of Investigator form, which is used by investigators who are conducting clinical trials to provide information about themselves and their qualifications.

Who is required to file fda form 1572 top?

Investigators who are conducting clinical trials are required to file FDA Form 1572 (top) to provide information about themselves and their qualifications.

How to fill out fda form 1572 top?

To fill out FDA Form 1572 (top), investigators must provide information about themselves, including their name, address, qualifications, and the clinical trial they are conducting.

What is the purpose of fda form 1572 top?

The purpose of FDA Form 1572 (top) is to ensure that investigators conducting clinical trials are qualified and capable of conducting the trial in a safe and ethical manner.

What information must be reported on fda form 1572 top?

Information that must be reported on FDA Form 1572 (top) includes the investigator's name, address, qualifications, and signature, as well as the protocol title and number of the clinical trial being conducted.

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