Page 3 - ClinCard Request

ClinCard Request
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7. Enter the Speedtype for Card Fees. Usually the same as the speedtype for participant payments.
8. Enter the Speedtype for Load Fees. Usually the same as the speedtype for participant payments.
9. Enter the Speedtype for Participant Payments.
10. Enter the Name of Study/Program. This is used to set-up the study in the ClinCard system.
11. Enter the PI Empl ID if the investigator responsible for the study or protocol for which the ClinCard account is being requested is not the Award PI. The investigator’s
department will auto-populate.
By completing this field, the request will route to the indicated investigator instead of the Award PI.
12.Update the Dept ID if needed.
13.Enter the Empl ID or use the lookup to find the Empl ID of the designated Approver/Site
Coordinator. The employee’s name and email address will auto -populate.
Both Approver and Site Coordinator are required for the form.
You may enter up to three site approvers and three site coordinators. Instructions on adding another line begin on step 15.
14.Select Approver/Site Coordinator from the drop-down menu.
15. Click the Plus sign .
16.Enter the Empl ID or use the lookup to find the Empl ID of the designated Approver/Site Coordinator (not shown).
17.Select Approver/Site Coordinator from the drop-down menu (not shown).
18.Repeat steps 15-17 if you would like to add additional Approver/Site Coordinators (optional).
Remember you may enter up to three site approvers and three site coordinators.
Page 3 of 11 Emory Confidential and Proprietary Last Revised on 4/4/2019 Visit www.emory.edu for latest version