REDCAP Access Request Form

REDCAP Access Request Form
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.
Project Title *
Expected project start date: *

Month Day Year
Date
Expected project close date *

Month Day Year
Date
Advisor's name/Principal investigator *

First Name Last Name
Name

First Name Last Name
Name of your student/s, email address and utorid *
Email
example@example.com
Utorid
How would you like to access redcap? *
Do you have an existing etoken?
Please click here to find more info about Etoken and utorMFA: https://act.utoronto.ca/utormfa-2/
Signature

Clear
Date Submitted *

Month Day Year
Date
Should be Empty: