Click here to go to the current HREBA Additional Reportable Events Form (V2.1 01 Oct 2018).

Using the form, you can declare:

• Audit
• Privacy Breach
• Participant Complaint
• DSMB / Interim Analysis Reports
• Other

Previously used Additional Reportable Events Forms (DO NOT USE – for reference only):

• Additional Reportable Events Form (V1 11 Aug 2017)
• HREBA Additional Reportable Events Form (V2 01 Feb 2018)