This is a legal form that was released by the U.S. Department of Veterans Affairs on November 1, 2008 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is VA Form 10-0455a?
A: VA Form 10-0455a is a Clinical Trial Inclusion/Enrollment Report.
Q: What is the purpose of VA Form 10-0455a?
A: The purpose of VA Form 10-0455a is to report the inclusion and enrollment of patients in clinical trials.
Q: Who needs to fill out VA Form 10-0455a?
A: This form needs to be filled out by individuals or organizations conducting clinical trials at VA facilities.
Q: Is VA Form 10-0455a mandatory?
A: Yes, VA Form 10-0455a is mandatory for reporting the inclusion and enrollment of patients in clinical trials conducted at VA facilities.
Form Details:
Download a fillable version of VA Form 10-0455a by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.