Fillable Fee Notification Advice 1-4-2018 HREC GST Compliant Tax Invoice

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Fee Notification Advice 1-4-2018 HREC GST Compliant Tax Invoice

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Version: April 2018
ABN: 68 223 819 017
Eastern Health Office of Research and Ethics
Fee Notification Advice
Applicable to study submissions requiring payment (Full HREC Review, Negligible/Low Risk Research,
Governance)
Completed form must be submitted with or prior to document submission.
Eastern Health Office of Research and Ethics Level 2, No. 5 Arnold Street, Box Hill, Vic 3128
ethics@easternhealth.org.au
Contact Name
(Person Name to forward invoice to for payment)
Date
Contact Email
Company
(Company Name to forward invoice to for payment)
Company Postal Address
(Address to forward invoice to for payment)
Company ABN
HREC Reference (eg HREC/xx/xxxx/xx)
EH Study Reference
(If known)
(eg Exx/xxxx, SERPxx/xxxx etc)
Study Title
&/Or
Protocol Number
Commercially funded research projects Fee GST Total
__ New Study Submission
$6,000 $600 $6,600
__ Addition of a Sub-study
$2,000 $200 $2,200
__ Protocol Amendment (Inclusive of PICF Changes)
$680 $68 $748
__ Investigator Brochure Changes
$150 $15 $165
__ PICF Changes (Administrative Changes Only)
$100 $10 $110
Projects externally initiated by non-Eastern Health researchers
(including where Eastern Health researchers are listed as associate researchers)
__ New Study Submissions (No Funding)
$600 $60 $660
__ New Study Submissions (Funded)
$650 $65 $715
__ Amendment Funded (Non Commercial)
$100 $10 $110
Projects from Eastern Health and affiliated university department researchers. (La Trobe: Allied Health; Deakin:
Nursing; Monash: Medicine, Nursing and Health Sciences) with allocated funding from external sources
__ New Study Submissions
$600 $60 $660
__ Amendment (Funded Only)
$100 $10 $110
Projects from affiliated university department researchers (La Trobe: Allied Health; Deakin: Nursing;
Monash: Medicine, Nursing and Health Sciences) with no external funding
__ New Study Submissions
$250 $25 $275
TOTAL AMOUNT PAYABLE $
Payment Invoice will be issued to the address indicated above within 7 days of being
processed at Eastern Health.
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Fee Notification Advice 1-4-2018 HREC GST Compliant Tax Invoice

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Completed 2 July 2020

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