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REDCap Request Template

REDCap Account Request Form – Research Projects

This form should be completed and signed by the Principal Investigator. In the case of student led project, signature should be provided by the Supervisor. A single form should be completed per project, identifying all persons that require a REDCap account related to this project.

 

  1. Project Title
  2. Expected project start date:
  3. Expected project close date:
  4. User Information. Please identify all persons that require a University of Toronto REDCap account.
NameTitleUTORidUniversity of Toronto emailProject RoleeToken to be issued?SafeNet install required?

UTORMFA

issued?

     

Yes

No

Yes

No

Yes

No

     

Yes

No

Yes

No

Yes

No

     

Yes

No

Yes

No

Yes

No

     

Yes

No

Yes

No

Yes

No

 

Name of Principal Investigator/Supervisor:

Signature:                                                                    Date Submitted:

 

For Office Use

Checklist for Universal REDCap User Requirements confirmed for all requested users:

  • Active University of Toronto Email
  • UTORid
  • E-Token
  • Compatible Operating Systems: MacOS, Windows, Linux
  • Compatible Internet Browser: Google Chrome, Internet Explorer, Mozilla Firefox, Safari
  • Safenet Authentication Client

 

Date approved:

 

Date Submitted to Divisional IT:

 

Date Submitted to REDCap administrator:

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