Delegation of Authority Log Protocol Staff Name Principal Investigator Role Responsibilities Start Date End Date PI Initial and Date PI Delegation of Authority Agreement Protocol Title Protocol Number Sponsor Principal Investigator Site Number I, the Principal Investigator for the above listed study, have delegated responsibilities to the individuals included. Individuals with completed tasks listed on the log will be working within their scope of their position. Delegated Tasks Start Date: ____________________ Signature of Principal Investigator: _______________________________________ Date: ____________________