FDA Form 1572 · U.S. FDA
Statement of investigator qualifications and commitment to conduct the study per FDA regulations. Accompanies IND submissions.
Auto-fill 60% of fields from your profile. Save 22 minutes. Download a real PDF.
Submit as part of the IND application or amendment to the FDA
This form is included in the IND submission by the study sponsor.
Submit electronically as part of the eCTD submission through the FDA Electronic Submission Gateway
https://www.fda.gov/industry/electronic-submissions-gatewayFiling Deadline
Must be signed and submitted before the clinical investigator can begin enrolling patients. Required for each investigator site in the study.
Processed as part of the IND submission. No separate review timeline — the 30-day IND review period covers all included forms.
The investigator is committing to comply with all FDA regulations for conducting clinical trials, including informed consent, IRB oversight, adverse event reporting, and record retention. The investigator is personally responsible for the conduct of the study at their site.
Study-specific · Study sponsor / institution
Comprehensive document explaining the clinical trial: purpose, procedures, risks, benefits, alternatives, voluntariness, and right to withdraw. Must be approved by IRB.
Institution-specific · Research institution
Separate authorization for use and disclosure of PHI for research purposes. May be broader than clinical HIPAA authorization.
Study-specific · Study sponsor
Checklist confirming the participant meets all inclusion criteria and no exclusion criteria for the clinical trial.
FDA Form 3926 · U.S. Food and Drug Administration
Simplified form for requesting compassionate use of investigational drugs for patients with serious or life-threatening conditions and no alternatives. FDA approves over 99% of requests. Requires manufacturer agreement to provide the drug.
FDA Form 1571 · U.S. FDA
Traditional IND application form for expanded access submissions. Form 3926 is the simplified alternative for individual patients.
Tell our assistant about your situation and we'll find the right forms for you.
Chat with Form AssistantDisclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the U.S. FDA or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.
© 2026 BeneFill. All rights reserved. BeneFill™ is a trademark of Elevens.ai LLP.