Request for
Amendments
Animal Ethics Committee
A condition of your original ethics approval was that any variations or modifications you might wish
to make to your project must be formally notified to the ethics committee for further consideration
and approval. If you are proposing a major change to your project you may need to resubmit your
application to a meeting of the AEC. Please contact the Ethics Office on
research.ethics@federation.edu.au for further information.
Please Note: Any overdue Annual Reports for your project must be submitted along with
your Request for Amendment.
Project Name:
AEC approval number:
Project approval date:
Principal researcher (must be a staff member):
Title
Surname First name
Phone
Fax
Email
Student/other researcher/s:
Title
Surname
First name
Email
Phone
Fax
Student ID
Project Description:
(Please provide a one paragraph lay summary of your original project)
Nature of and reasons for amendments:
(Please provide details of the changes you propose to make to the project and explain why they
are necessary. Please justify any increase in sample size)
Are you also requesting an extension to your approval?
CRICOS Provider No. 00103D
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Request for
Amendments
Animal Ethics Committee
No
Yes NB: Please provide new completion date
/
/
Possible risks to subjects:
(Please outline any possible risks that the changes you propose may create for subjects)
Actions to be taken by researchers to reduce risks:
Expected date of implementation of amendments to research:
Will any funding arrangements for the research been affected by the changes?
Implications for compliance with legislative requirements:
(Please check current legislation and related requirements, if appropriate - including, for example
Australian Code of practice for the care and use of animals for scientific purposes:
ttp://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/ea28_code_care_use_animals_131209.pdf)
ATTACHMENTS:

Details of other permission or approvals required as a result of your proposed changes
SIGNATURES:
CRICOS Provider No. 00103D
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Request for
Amendments
Animal Ethics Committee
Principal researcher (must be a staff member):
Title
Name
Signature
Date
Student/other researcher/s:
Title
Name
Date
HOS /
Deputy HoS /
Signature
ADR:
SIGNED:
PRINT NAME:
DATE:
Please contact the Ethics Office,
Email: research.ethics@federation.edu.au
Or Ph: 5327 9765 or 5122 6446
for further assistance.
CRICOS Provider No. 00103D
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