UNM Project Complaint Form
Use this form to report a complaint or concern regarding a UNM project.
All research complaints and concerns are taken very seriously. The information you provide will be kept as confidential as possible. However, we may need to share this information with others in order to follow-up with your complaint or concern. If you prefer to remain anonymous, a thorough review may not be possible, as without this information follow-up discussions are not feasible.
Name (leave blank if want to remain anonymous)
Would you like to receive follow-ups, if there are any?
Yes (must supply contact information)
IRB reference number, if known (available on the consent form)
Name of Principal Investigator or other project staff
Project title or description
How are you related to the project?
If you are a participant, please answer these next questions. If not, skip to the next section.
When did you start participating in this study?
Are you still participating in this study?
Do you have a Consent Form for this study?
Do you have any other written information about this study? If yes, please describe.
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