Facility Authorization

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Sample Facililty Authorization Letter

SAMPLE
*Correspondence must be on the facility’s letterhead*

[cut and paste all below to your document]

Brenda Durosinmi, MPA, CIP, CIM -Director
Office for the Protection of Research Subjects
University of Nevada Las Vegas
4505 Maryland Parkway  Box 451047
Las Vegas, NV  89154-1047

Subject:  Letter of Authorization to Conduct Research at       .

Dear Ms. Durosinmi:

This letter will serve as authorization for the University of Nevada, Las Vegas (“UNLV”) researcher/research team, [PI name must be included]       to conduct the research project entitled       at [facility name and location]       (the “Facility”).

The Facility acknowledges that it has reviewed the protocol presented by the researcher, as well as the associated risks to the Facility.  The Facility accepts the protocol and the associated risks to the Facility, and authorizes the research project to proceed.  The research project may be implemented at the Facility upon approval from the UNLV Institutional Review Board.

If we have any concerns or require additional information, we will contact the researcher and/or the UNLV Office for the Protection of Research Subjects.

Sincerely,

                                                                                                          
Facility’s Authorized Signatory and Date

                                                                                   
Printed Name and Title of Authorized Signatory