Letter of Support

Declaration by delegated Department Head/s at the site where the Principal Investigator / Coordinating Investigator will conduct the research for the purpose of resourcing the research study and risk assessment.

Study Title in full:
ERM Reference number:
Principal Investigator:
Associate Investigators:

I certify that I have read the study details in the grant application and research protocol for the research study name above.

I certify that I have discussed the project with the Principal Investigator / Site Coordinator, and we have considered the risks associated with the research project and any implications on clinical decision making, patient care, patient outcomes and service delivery.

I certify that I have discussed this research study and the resources implications for this Department, with the Principal Investigator/Site Coordinator (if necessary).

I certify that there are suitable and adequate facilities and resources (actual costs and in-kind contribution) for the research study to be conducted at this site. Where financial assistance to perform the investigations/services is required, please provide details below:

I certify that at the time of signing this form, I am the authorised Head of Department for the Department listed below (including official Acting appointments).

My signature indicates that I support this research study being carried out within the Department named below.

Name of Department:
Name:
Signature:
Date:

Please return this letter of support to the research team named above.

Letter of Support v1.0 04/03/2021