Page 4 - ClinCard Request
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ClinCard Request
19.Enter the Number of cards for study.
If no new cards are needed, enter “0”. Upon completing the form and selecting “Save & Route”, a message will appear to confirm that the “Number of cards needed is 0”. If correct, select “OK” to continue.
Cards are $2.85 each and are non-refundable to Emory. Please order an initial supply of cards and reorder through EmoryClinCards@emory.edu. Any amounts on the card may be refunded but the cost of the plastic cannot be refunded.
20. Enter the Total Amounts of funds estimated for study/program.
21. Enter any pertinent Comments related to the request.
22.Click the Save button.
You must save the document before adding attachments.
23. Click the Attachments icon to attach the following documentation:
• IRB Approval
• Informed Consent
• Payment Schedule
• Electronic Notification of Award - eNOA
Page 4 of 11 Emory Confidential and Proprietary Last Revised on 4/4/2019 Visit www.emory.edu for latest version
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