HUMAN RESEARCH ETHICS COMMITTEE
(TASMANIA) NETWORK
SOCIAL SCIENCE HREC
AMENDMENT TO APPROVED PROJECT
This form should be completed to apply for amendments to all types of applications previously
approved by the Social Science HREC.
Important: Please send an electronic version of this form as a Word document along with the
attachments indicated below to katherine.shaw@utas.edu.au.
A signed copy of this form also needs to be forwarded electronically.
If you have any questions, please call: 6226 2763
Ethics Reference
Number
H
Date:
1. Title of approved project
2. Investigator names
Chief Investigator
Phone:
Email:
Other Investigator
Phone:
Email:
Other Investigator
Phone:
Email:
A PARTNERSHIP PROGRAM BETWEEN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE UNIVERSITY OF
TASMANIA
Version September 12
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3. Requested changes to project
(These may include, for example, changes in procedure or direction of the project, changes to research
personnel, changes in the source or manner of recruitment, or changes in the number of subjects.)
4. Justification / reasons for the changes
5. Do the changes raise any ethical issues?
Yes
No
If you answered ‘YES’, please identify these issues below:
6. Do the information sheet and/or consent form need to be changed? Yes
No
If you answered ‘YES’, please attach new information sheets and consent forms. Track
changes must be used when making changes to previously approved documentation.
Your amendment can not be assessed if Track Changes is not used.
7. Signatures:
Chief Investigator Name:
Chief Investigator Signature:
Date:
A PARTNERSHIP PROGRAM BETWEEN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE UNIVERSITY OF
TASMANIA
Version September 12
Page 2 of 2