Instructions: Complete this form in order to request Treasury Operations to set up a clinical research study in the ClinCard system in order for research participants to be paid via electronic debit card. In order to complete this form, you will need:

. The fully executed contract for the project with the finalized budget

. The index or segment number assigned to the project by Grant and Contract Accounting

. Rutgers eIRB number

. A completed excel schedule of events for study payments. download Excel template

. IRB approved consent form (to verify that the IRB has approved the payment amount and schedule)


. Excel list of individuals authorized to make subject payments for this study and the list of approvers authorized by your school or unit for this study. Note: If you do not know who the approvers are for your school or unit, contact your Research Dean or designated ClinCard point of contact. download Excel template

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