IUPUI Institutional Biohazard Committee
												  Study No. ____________
STUDY AMENDMENT 
											         Amend. No. ___________
Principal Investigator: ______________________________________  Department: ____________________
Building/Room Number: ____________________________________  Telephone: _____________________
Project Title:  _____________________________________________________________________________
_________________________________________________________________________________________
Funding Agency(s):  ________________________________________________________________________

If the proposed change decreases the Biosafety level or if it remains the same, the amendment is a minor amendment.  Please complete and submit this form and any supporting documents.  If the proposed change increases the Biosafety level, the amendment is considered a major amendment and a new research application must be completed along with this form.  In this case, submit all materials by the deadline date to Research and Sponsored Programs, UN 618.  If this amendment involves BL2 or above studies, a laboratory inspection by the Biosafety Officer may be necessary. 
_____ This amendment decreases the Biosafety level (minor)
_____ This amendment maintains the same Biosafety level (minor)	
_____ This amendment increases the Biosafety level (major)			
Describe the proposed change(s) and rationale for the change(s): 

NOTE TO INVESTIGATORS:  Study amendments may not be instituted until written approval from the Indiana University-Purdue University Indianapolis Institutional Biohazard Committee is given.

Investigator's Signature: __________________________________________  Date: _____________________
__________________________________________________________________________________________

The amendment of this project has been reviewed and approved by the Indiana University-Purdue University Indianapolis Institutional Biohazard Committee.

Authorized BHC Signature: ________________________________________Date: __________________
Rev. 07/07