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Registration Form for FGB Research Projects Requiring Insurance for Research Subjects


This form must be completed by FGB researchers who are conducting medical research that is subject to the WMO law and who are required to have insurance for their research subjects. This requirement is stated in the letter of approval received from the Medical Research Ethics Committee (METC) that reviewed the proposed research, such as the Medical Ethics Review Committee of the VUmc or, in some cases, the Central Committee on Research Involving Human Subjects (CCMO). The letter should also state that the insurance falls under the responsibility of the Stichting VU.

The data collected with this form will be used to inform VU Corporate Finance about the number of participants that need to be insured for the coming calendar year. It is important that the information you provide is up-to-date and accurate so that you receive the necessary insurance coverage.

If you are uncertain whether you completed the form previously and your research project will continue into the coming calendar year, fill the form in again to ensure that you are included in the calculations.

If you have previously completed this form, but the end date of your research project has been extended into the coming calendar year and/or the number of participants for the coming calendar year has changed, then fill in this form again with the new information.

Ensure that you have completed this form by September 23 of each calendar year. If you only receive approval from the METC after this deadline, you can still fill in this form, but also send an e-mail about your registration to research.data.fgb@vu.nl.

If you have questions, contact research.data.fgb@vu.nl.



Please enter the title of your research project!
Please enter a valid protocol number!
Please enter a valid METC or CCMO registration number!
Please enter the expected number of participants that will require insurance for the coming calendar year!
Please enter the start date of your research project!
Please enter the date when you expect the research project to end!
Please enter the name of the principal investigator!
Please enter a valid phone number!
Please enter a valid e-mail address!
Please enter a valid e-mail address!
Please enter your cost unit number!
Please upload a PDF of the letter from the METC/CCMO!

Is your research "high-risk" meaning it involves the following topics and/or types of participants:

  • Fertility
  • Babies 0-2 years
  • Pregnant people
  • Pandemic viruses
  • Opioids and/or cannabis
  • Brain and/or spine surgery

   
   
Please state whether your research involves these topics/types of participants!