Fda Form 3674 - Top Of Page 1 - Uc Davis Health

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FDA form 3674 – top of page 1
Check Date!
Boxes 1-4 should be
identical to boxes 1-
4 from FDA-1571
Box 5 should be the
same as the list in
box 5 FDA-1571
Box 7 is the IND
number (if you have
one). Box 8 is the
same as Box 10 of
FDA-1571
DTMI Regulatory
Version 2

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