STUDY DELEGATION LOG and SIGNATURE SHEET – SAMPLE …

STUDY SIGNATURE SHEET
Protocol Title:
Protocol Number:
|Name |Signature |Initials |Role1 |Start Date |End Date |
|(please print) | | | |(mmm/dd/yyyy) |(mmm/dd/yyyy) |
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1. PI=Principal Investigator; CI=Co Investigator; CRN=Clinical Research Nurse; CRC=Clinical Research Coordinator; P=Pharmacist
The above persons are working under my supervision.
Investigator’s Signature: Date:
................
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