Australian Research Integrity Committee (ARIC)
Request for Review
Lodging your application
A person, group or organisation may request that the Australian Research Integrity Committee (ARIC) review the
process undertaken by an institution in relation to an allegation of research misconduct.
Further information about ARIC, including its Terms of Reference, is provided in the ARIC Framework (Feb. 2011),
which is available on the ARC (http://www.arc.gov.au/general/research_integrity.htm) and NHMRC
(http://www.nhmrc.gov.au/health-ethics/research-integrity/australian-research-integrity-committee) websites.
To lodge this form by post:
ARIC-ARC Secretariat [IN CONFIDENCE]
Australian Research Council
GPO Box 2702
Canberra ACT 2601
OR
ARIC-NHMRC Secretariat [IN CONFIDENCE]
National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
To lodge this form by email or fax and for assistance regarding ARIC:
Email:
[email protected]
Email: [email protected]
Ph:
(02) 6287 6701
Ph:
(02) 6217 9333 or 1800 646 726
Fax:
(02) 6206 7233
The ARIC Secretariat will only accept requests for review in writing via email, fax or regular post to the addresses
listed above.
ARIC will only review requests where the applicant has provided sufficient specific information and contact details
to permit assessment. A Request for Review will not be progressed until the required information is provided.
Australian Research Integrity Committee (ARIC) Request for Review
Page 1 of 21
Prior to submitting this ARIC Request for Review, please ensure you have completed the Application Checklist
below.
Application Checklist
Please ensure you have completed the following sections:
A.1
A.2
A.3
Contact
Details
B – Involved Agency/ Inst./Org.
C – Finalisation Date
D – Summary of the Matter
E – Research Funding Support
F – Organisation/ Regulators
G – Key Supporting Documents
H – Additional Information
If providing supporting documentation:
I am also including copies of supporting
documentation as indicated in Section G.
Signature of applicant:
Day
Printed name of applicant:
Australian Research Integrity Committee (ARIC) Request for Review
Date:
Month
/
Year
/
Page 2 of 21
Section A.1
CONTACT DETAILS - APPLICANT
ARIC accepts anonymous complaints; however, anonymity can make it difficult to obtain the evidence required for review. ARIC
often requires additional information to progress a review. The inability to contact the applicant or other persons who have
standing in the matter may make this process more difficult.
Complete all fields.
1
FULL NAME
CURRENT EMPLOYER
OR AFFILIATION(S)
CONTACT ADDRESS
Work – (Please indicated if this is a work or home address )
Home
PHONE
(*At least one number
must be provided)
STATE
POST CODE
HOME
WORK
MOBILE
FAX
EMAIL
What is your preferred method of contact?
How are you involved in the matter? (no more than 150 words)
Australian Research Integrity Committee (ARIC) Request for Review
Page 3 of 21
Section A.2
CONTACT DETAILS – PRIMARY PERSON(S) INVOLVED
The name and contact details of the primary person(s) involved in the institution’s review of the allegation of research
misconduct.
1
FULL NAME
CURRENT
EMPLOYER
CONTACT
ADDRESS
PHONE
(*At least one
number must be
provided)
STATE
POST CODE
HOME
WORK
MOBILE
FAX
EMAIL
What was this person’s role in the review of the allegation of research misconduct (no more than 150 words)?
Australian Research Integrity Committee (ARIC) Request for Review
Page 4 of 21
2
FULL NAME
CURRENT
EMPLOYER
RESIDENTIAL
ADDRESS
PHONE
(*At least one
number must be
provided)
STATE
POST CODE
HOME
WORK
MOBILE
FAX
EMAIL
What was this person’s role in the review of the allegation of research misconduct (no more than 150 words)?
Australian Research Integrity Committee (ARIC) Request for Review
Page 5 of 21
3
FULL NAME
CURRENT
EMPLOYER
RESIDENTIAL
ADDRESS
PHONE
(*At least one
number must be
provided)
STATE
POST CODE
HOME
WORK
MOBILE
FAX
EMAIL
What was this person’s role in the review of the allegation of research misconduct (no more than 150 words)?
Australian Research Integrity Committee (ARIC) Request for Review
Page 6 of 21
Section A.3
CONTACT DETAILS – OTHER PERSON(S) INVOLVED
Please list details for any other persons who have a material interest in the matter, and who have not previously been
identified in this application.
1
PERSON’S
NAME
PERSON’S
AFFILIATION
What was this person’s material interest in the matter (no more than 150 words)?
2
PERSON’S
NAME
PERSON’S
AFFILIATION
What was this person’s material interest in the matter (no more than 150 words)?
Australian Research Integrity Committee (ARIC) Request for Review
Page 7 of 21
3
PERSON’S
NAME
PERSON’S
AFFILIATION
What was this person’s material interest in the matter (no more than 150 words)?
4
PERSON’S
NAME
PERSON’S
AFFILIATION
What was this person’s material interest in the matter (no more than 150 words)?
Australian Research Integrity Committee (ARIC) Request for Review
Page 8 of 21
Section B
AGENCY/INSTITUTION/ORGANISATION(S)
At which agency, institution or organisation did the review of the allegation of research misconduct take place?
1
NAME OF
AGENCY/
ORGANISATION
PRIMARY
CONTACT(S)
CONTACT
DATE(S)
Was there another agency, institution or organisation that had material interest in the review of the allegation of research
misconduct?
2
NAME OF
AGENCY/
ORGANISATION
CONTACT
PERSON(S)
CONTACT
DATE(S)
How was the agency/institution/organisation involved in the matter (no more than 150 words)?
Australian Research Integrity Committee (ARIC) Request for Review
Page 9 of 21
Section C
FINALISATION OF RESEARCH MISCONDUCT INQUIRY
ARIC will not review institutional processes which are still underway. If the matter is not yet finalised, the applicant will be
referred to the institution until the institution has finalised the matter.
Where a review is requested alleging institutional delay and/or inaction, ARIC will notify the institution that a request for
ARIC review has been received. This letter will be a notification only and no action will be required from the institution at this
stage. If, after receiving an ARIC notification, the institution has not completed (or progressed satisfactorily) its inquiry within 1
month, an ARIC panel may be able to review whether the delay is unreasonable or breaches the Code.
ARIC will only review cases where an allegation of research misconduct was first formally received by an institution after January
2010.
ARIC can accept ARIC Requests for Review up to 60 working days following formal notification from an institution that it has
finalised its investigation/inquiry into the allegation of research misconduct. Later requests may be assessed on a case by case
basis, taking exceptional circumstances into account.
Q1. What was the date that the institution first received the allegation?
/
/
Q2. Did you receive formal notification that the institution had finalised its inquiry/investigation into the matter?
Yes – continue to Q3
No – continue to Q4
Q3. On what date did you receive the notification?
/
Q4. Have you attached a copy of this notification?
/
Yes
No – Please indicate why:
Q5. Are you alleging delay and/or inaction in the institution’s formal inquiry/investigation into the matter?
Yes
No
If this application is being lodged more than 60 days after the date set in question 3 above, explain the exceptional reasons
that may allow ARIC to review the case outside the time limit (no more than 150 words)?
Australian Research Integrity Committee (ARIC) Request for Review
Page 10 of 21
Section D
SUMMARY OF THE MATTER
Please provide a brief summary of the matter (no more than 400 words). This summary must detail how you believe the
institution has not observed proper process—in accordance with the Australian Code for the Responsible Conduct of Research
(2007) and with institutional policy and procedures—in its review of the allegation of research misconduct. Please include
relevant dates, even if approximate. A longer summary may also be provided at Section H – Additional Information.
Australian Research Integrity Committee (ARIC) Request for Review
Page 11 of 21
Section E
RESEARCH FUNDING SUPPORT
Applications for ARIC review may be made only in relation to:


Allegations of research misconduct involving any health or medical research conducted at or under the auspices of
institutions in receipt of research funding under the National Health and Medical Research Council Act 1992; or
Allegations of research misconduct involving any research (excluding any health or medical research defined above)
conducted at or under the auspices of institutions in receipt of research funding under the Australian Research Council
Act 2001 and/or of funding under any of the research grants specified in the table at section 41-10(1) of the Higher
Education Support Act 2003 at items 7, 8, 10 and 11(b).
Please provide details of the type of research funding that satisfies one of the criteria above (e.g. an NHMRC or ARC grant
or fellowship). Complete all fields.
FUNDING BODY
FUNDING
COMMENCEMENT
DATE
AWARD/GRANT
NAME
AWARD/GRANT
NUMBER
(if applicable)
/
/
ADMINISTERING
ORGANISATION
CHIEF
INVESTIGATOR
NAME(S)
Were you—the applicant (Section A.1)—or anyone named within this ARIC Request for Review (Sections A.2 or A.3)
involved in the award/grant?
Yes – Please complete all fields
PERSON’S NAME
REFERENCED IN
SECTION A.1, A.2 or
A.3?
ROLE WITHIN
THE
AWARD/GRANT
Australian Research Integrity Committee (ARIC) Request for Review
Page 12 of 21
Section F
ORGANISATIONS/REGULATORS CONTACTED
Have any organisations or regulators (e.g. NTEU, Ombudsman’s Office, Fair Work Australia) been contacted in relation
to these matters?
ORGANISATION
CONTACTED
1
CONTACTED
PERSON(S)
CONTACT
DATE(S)
What matter(s) were reported to the organisation/regulator (no more than 150 words)?
Was a formal response received in writing?
Yes
No – Please indicate why and then continue to Section G:
Have you included a copy with this application?
Yes
No – Please indicate why:
Australian Research Integrity Committee (ARIC) Request for Review
Page 13 of 21
ORGANISATION
CONTACTED
2
CONTACTED
PERSON(S)
CONTACT
DATE(S)
What matter(s) were reported to the organisation/regulator (no more than 150 words)?
Was a formal response received in writing?
Yes
No – Please indicate why and then continue to Section G:
Have you included a copy with this application?
Yes
No – Please indicate why:
Australian Research Integrity Committee (ARIC) Request for Review
Page 14 of 21
ORGANISATION
CONTACTED
3
CONTACTED
PERSON(S)
CONTACT
DATE(S)
What matter(s) were reported to the organisation/regulator (no more than 150 words)?
Was a formal response received in writing?
Yes
No – Please indicate why and then continue to Section G:
Have you included a copy with this application?
Yes
No – Please indicate why:
Australian Research Integrity Committee (ARIC) Request for Review
Page 15 of 21
Section G
KEY SUPPORTING DOCUMENTS
Please provide details of supporting documents that are relevant to the matter. Include details and, where applicable, copies of
any relevant documents and correspondence related to the matter.
1
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 1.
No – Please indicate why:
2
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 2.
No – Please indicate why:
3
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 3.
No – Please indicate why:
Australian Research Integrity Committee (ARIC) Request for Review
Page 16 of 21
4
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 4.
No – Please indicate why:
5
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 5.
No – Please indicate why:
6
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 6.
No – Please indicate why:
Australian Research Integrity Committee (ARIC) Request for Review
Page 17 of 21
7
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 7.
No – Please indicate why:
8
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 8.
No – Please indicate why:
9
DOCUMENT
TITLE
How does this document inform ARIC about the matter (no more than 50 words)?
Which section of the
application does this
document support?
Section
Have you included a copy with this application?
Yes, and I have marked it Item 9.
No – Please indicate why:
Australian Research Integrity Committee (ARIC) Request for Review
Page 18 of 21
Section H (optional)
ADDITIONAL INFORMATION
Please adhere to a word limit of no more than 1000 words.
Australian Research Integrity Committee (ARIC) Request for Review
Page 19 of 21
Section H (continued)
Australian Research Integrity Committee (ARIC) Request for Review
Page 20 of 21
Section H (continued)
Australian Research Integrity Committee (ARIC) Request for Review
Page 21 of 21