Page 8 - ClinCard Request

ClinCard Request
14.Enter the Empl ID or use the lookup to find the Empl ID of the designated Approver/Site Coordinator (not shown).
15.Select Approver/Site Coordinator from the drop-down menu (not shown).
16.Repeat steps 13-15 if you would like to add additional Approver/Site Coordinators (optional).
Remember you may enter up to three site approvers and three site coordinators.
17.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.
18. Enter the Total Amounts of funds estimated for study/program.
19
21
20
19.Enter any pertinent Comments related to the request.
20.Click the Save button.
You must save the document before adding attachments.
21. Click the Attachments icon to attach the following documentation:
Emory Confidential and Proprietary Last Revised on 4/4/2019 Visit www.emory.edu for latest version
Page 8 of 11