End of Study Declaration Form
Please complete this form to officially declare the closure of your study. All required information must be provided to ensure proper study closeout.
Study Title or Study ID
*
Principal Investigator or Responsible Person
*
Study End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Completion Status
*
Completed as planned
Terminated early
Suspended
Other
Are there any remaining study materials or data?
*
No, all materials/data have been disposed of or archived
Yes, materials/data remain (please specify below)
If materials/data remain, please specify details
Reason for Ending the Study
*
Were there any deviations or unresolved issues?
*
No
Yes (please specify below)
If yes, please describe deviations or unresolved issues
End-of-Study Declaration: I confirm that all study closeout procedures have been completed and all information provided is accurate to the best of my knowledge.
*
I agree and declare the study ended
Submit Declaration
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