Page 7 - ClinCard Request
P. 7
The ClinCard request form displays.
ClinCard Request
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4. Select the Form Type Non-Sponsor Funded.
5. Enter the Speedtype for Card Fees. Usually the same as the speedtype for participant payments.
6. Enter the Speedtype for Load Fees. Usually the same as the speedtype for participant payments.
7. Enter the Speedtype for Participant Payments.
8. Enter the Name of Study/Program. This is used to set-up the study in the ClinCard system.
9. Enter the PI Empl ID of the investigator responsible for the study
10.Update the Dept ID if needed
11.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 13.
12.Select Approver/Site Coordinator from the drop-down menu. 13. Click the Plus sign .
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Page 7 of 11 Last Revised on 4/4/2019 Visit www.emory.edu for latest version