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Apply for, renew, or amend a Certificate of Registration to conduct human embryonic stem cell research

Institutions can use this application to apply for, renew, or amend information on a Certificate of Registration to conduct human embryonic stem cell research.
We will issue a Certificate within 30 days of receipt of the application, provided that the application is complete and you meet the requirements for a Certificate.
Instructions for annual reports 

Contacts

Division of Health Care Facility Licensure and Certification

Phone

Call Division of Health Care Facility Licensure and Certification at (617) 753-8000

The Details   of Apply for, renew, or amend a Certificate of Registration to conduct human embryonic stem cell research

What you need   for Apply for, renew, or amend a Certificate of Registration to conduct human embryonic stem cell research

Initial applications and renewal

  • Have the Institution's President, Chief Executive Officer, or designee sign and date the application.
  • Provide documentation demonstrating that the institution has an Institutional Review Board. Documentation may include, but not limited to:
    • A copy of a contract between the institution and either a private or public institutional review board for review of the Institution’s research to the extent required by M.G.L. c.111L, s.3(b), or
    • A copy of the Institution's Federal-wide Assurance (OMB No. 0990-0278)

Amending information

Any change to information on this application must be submitted within 30 days of such change. Use this application and select "Amended Information".

Fees   for Apply for, renew, or amend a Certificate of Registration to conduct human embryonic stem cell research

Check or money order, payable to "Commonwealth of Massachusetts".

Name Fee Unit
Certificate of Registration to conduct human embryonic stem cell research $200 each

How to submit   Apply for, renew, or amend a Certificate of Registration to conduct human embryonic stem cell research

  1. Download and complete the Application for Certificate of Registration to Conduct Human Embryonic Stem Cell Research (DOCX)
  2. Mail completed application, check or money order, and providing documentation to:

    Division of Health Care Facility Licensure and Certification
    67 Forest Street
    Marlborough, MA 01752

Next steps   for Apply for, renew, or amend a Certificate of Registration to conduct human embryonic stem cell research

  1. Incomplete applications

    If your application is incomplete, we will return it to you, and it will cause a delay in your receipt of a Certificate of Registration.

  2. Renewal

    The Certificate will be valid for 3 years from date of issuance. We notify all holders of Certificates of their need to renew at least 60 days before expiration of the Certificate.

Contact   for Apply for, renew, or amend a Certificate of Registration to conduct human embryonic stem cell research

Address
67 Forest St., Marlborough, MA 01752
Directions 
Phone
Call Division of Health Care Facility Licensure and Certification at (617) 753-8000

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