description of observation or feedback€¦ · web viewwhen remuneration is distributed, the date,...
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![Page 1: Description of Observation or Feedback€¦ · Web viewWhen remuneration is distributed, the date, subject ID#, if the voucher/card/cash was given to the parent or the child, should](https://reader034.vdocument.in/reader034/viewer/2022042414/5f2f50a371a12a7233647a61/html5/thumbnails/1.jpg)
PAMQuIP Subject Remuneration LogTrack all remuneration obtained by research staff and distributed to subjects
Principal Investigator Date of study approval
Study Title Study # HM
VCU policy requires that Principal Investigators (PIs) track payments provided to research subjects. After receipt of the gift card/cash/voucher, the individual who is responsible for the safe keeping of remuneration should log them on this form. When remuneration is distributed, the date, subject ID#, if the voucher/card/cash was given to the parent or the child, should be noted on the form, and signed/initialed by parent/subject and by study staff.
Date Received Gift Card ID
Card/Voucher/ Cash Amount
Date Given to Parent/Subject
Subject ID# of Recipient
Parent or Subject Given Remuneration
Parent or Subject Initials/Signature
Staff Initials
Adapted with Permission from Boston Children’s Hospital 2013 2018 Version Page _____ of _____
![Page 2: Description of Observation or Feedback€¦ · Web viewWhen remuneration is distributed, the date, subject ID#, if the voucher/card/cash was given to the parent or the child, should](https://reader034.vdocument.in/reader034/viewer/2022042414/5f2f50a371a12a7233647a61/html5/thumbnails/2.jpg)
Adapted with Permission from Boston Children’s Hospital 2013 2018 Version Page _____ of _____