Forms

INTERNAL ROUTING CHECKLISTS:

• KUMCRI Internal Checklist (routing sheet)
  Checklist for ALL applications (Federal, State, Private, and Industry Sponsored Clinical Trails) [fillable WORD.docx]
• KUMCRI Internal Checklist for Non-Competing Renewals (progress reports)
  To be used ONLY for non-competing renewals/progress reports [fillable WORD.docx]
• SOM DETAILED 5- yr BUDGET
  Required for School of Medicine PIs submitting a Modular Budget [xls]

DHHS FORMS

• PHS 398 Form Page 1
  (Face Page) for the Research Institute (WORD)
• PHS 398 Forms
• PHS 2590 Forms
• PHS 3734 Relinquishment Forms
• HHS 568 Final Inventions Statement Form
• HRSA Forms

INTERNAL (KUMCRI) FORMS

• Cost Sharing
  Costs committed that are not being born by the sponsor, but will be covered by the university of other 3rd party entity. Cost Sharing Policy
• Effort Changes Key Personnel on Grant
  To request approval of the change in effort for key personnel on grants.
• KUMCRI Subawardee Commitment Form
  Commitment form to establish a subaward agreement with KUMC Research Institute.
• Pre-Award Cost Agreement
  To request approval to spend funds prior to receiving notice of grant award.
• Request for Investigator Status
  Non-faculty member who wishes to be named as PI on a proposal must complete this form. See PI Eligibility Policy.
• Request for No Cost Extension
  Electronically submits your requests to SPA to extend your grant beyond the project period end date.

COMPLIANCE

• Animal Care
• Conflict of Interest
• Human Subjects

Post-Award Forms

Authorizations

• Authorization Form
  To give authorization to request Budget Reallocations and/or submit Requisitions, BPC, and Travel Requests.

Accounts Payable/Purchasing Information

• New Vendor Setup/New Vendor Address Request
  To Request New Vendor or Address Changes to Existing Vendors
• Blank W-9
  To Request a Tax Identification or Social Security Number from a Vendor
• Change PO Request
  To Change the Quantity for a PO that has had no portion of the PO paid yet
• Cancel or Finalize PO Request
  To Cancel or Finalize a Line of a PO or Entire PO so the Encumbrance is liquated
• Contractual Services Form
  Required when paying a non-employee for services performed, even if the person provides an invoice
• Expense Reallocation Request
  request expenses be transferred from one SpeedType to another
• Cash Equivalent Subject Payment Form
  Enter subject information on this form when a subject receives a cash equivalent (i.e. gift card)
• Subject Incentive Form
  Subject Incentive Form must be filled out when entering request for gift cards or cash equivalent items.

Closing Clinical Studies

• HSC Closure and Financial Reconciliation Forms

Information and Account Request

• Revenue Report(s) Request
  Request up to 8 revenue reports
• Subject Payment(s) Request
  Request subject payment detail expenditure reports (Payee, Date Paid, Amount Paid) for up to 8 accounts.