Verification Of Informed Consent Form Vicf

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State Science and Engineering Fair of Florida
Verification of Informed Consent Form
VICF
(assent or consent)
For a Human Participants’ Research Study
This form confirms the number of human participants involved in this study.
I verify that _____________________________ has collected _____ appropriately
Student researcher
# of forms
signed and dated informed consent forms (assent or consent) for the research
project for the _______ academic year.
Attached is a copy of a completed consent form with the name and signature redacted and date
showing.
A completed Verification of Informed Consent Form (VICF) must be presented to the Display and
Safety Committee at project check in. It must list the quantity of assent or consent forms completed by
human participants, as well as the date range for the forms. One completed consent form with name and
signature redacted and date showing must also be presented at check in with the VICF. Note: The VICF
with the redacted consent form attached must also be included with the paperwork submitted to SRC.
The student researcher has been informed about the requirement to hold original forms for a
period of no less than 3 years.
____________________________________
_____________________________
Adult Sponsor Signature
Date
______________________________________
_____________________________
Student Researcher Signature
Date

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