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Research-related forms and documents

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Research-related forms and documents

General UVA and SOM forms
Volunteer in research form (SOM)
Emergency response sheet (print and post, ver. August 2012)
Approval of External Activities Form (SOM: required before initiating external consulting)
Request for Extension of Employment of a Postdoctoral Research Associate (UVA)
Faculty departure checklist (Provost's office, ver. May 2012)
Staff offboarding site (UVA HR; includes offboarding checklist)
Environmental Health and Safety laboratory close-out checklists (coming soon):
--- Chemical and general laboratory close-out (non-retirement)
--- Chemical and general laboratory close-out (retiring faculty)
--- BSL2 laboratory close-out
Equipment inventory change request (Form P-1; to transfer UVA equipment to another institution)
Request for recognition of a training program (see link on the SOM HR web site)
SOM overview of safety issues associated with research areas
SOM Environmental Health and Safety checklist for laboratories

UVA internal funding programs
Interim support (review both the VPR description of program and application form and SOM implementation/submission instructions)
SOM Research and Development Grants Program - application form

Institutional documents for proposals to external sponsors
Information for applicants
Office of Grants and Contracts deadline policy
NIH 2015 Common Deadlines
Federal rate agreement
IRS tax-exempt 501(c)(3) letter

Institutional grant and contract forms (pre- and post-award)
SOM proposal approval sheet ("Goldenrod") ( general version/ eSnap version)
Time release form (for use when routing proposals)
SOM proposal checklist
SP23 form (preliminary account request, grant/contract change request)
At-risk subcontract checklist request (Required with SP23s for at-risk subcontracts)
SP30 (subcontract request form)
Financial Conflict of Interest (FCOI) Information Sheet (ver. September 2012)
SOM external entity Financial Conflict of Interest Certification (required for subcontractors unless they are listed at listed at this site.  A printout of the applicable page is needed for your sub site[s])
UVA Oracle supplemental proposal information (for new Oracle fields)
Sole source justification
Check deposit form
Consortium pre-award checklist
Consortium agreement [UVA - Applicant institution]
Consortium agreement [UVA - Subrecipient institution]
CAS exception request form
Residual account request form

Conflict of interest, consulting
Approval of External Activities Form (for consulting and related activities)
Guidelines for Option 1 Consulting Agreements
Request for exemption of conflict of interest for research activities
Paper disclosure of external financial interests (for non-UVA investigators only)

NIH forms and documents
NIH Guide notice of salary limitation
PHS 398 forms
PHS 2590 forms
PHS 2590 supplemental information (aka "three questions")
PHS 3734 - Relinquishing Statement
HHS Form 568 - Final invention statement (Form is available in eRA commons electronically)
NIH closeout instructions

Recent NIH notices
F and K applications- reference letters due on deadline date (2011)
Changes to PHS 398 (paper) and SF424 (electronic) (2009)
Changes to align forms with Enhanced Review Criteria (2008)
Changes to PHS 2590 Noncompeting Continuation Progress Report, Including E-SNAP (2009)
Table of page limits
Details of recent application changes (2009)

Training grant- and fellowship-specific documents and forms
Training grant time release form
NIH fellowship stipend levels
NIH site on research training grants and fellowships (general information)
NIH SF 424 forms
PHS 416-5 NRSA Research Fellowship Activation Notice
PHS 416-9 NRSA Continuation
PHS 6031 NRSA Payback Agreement Form
PHS 6031-1 NRSA Annual Payback Activities Certification Form
Tuition remission for graduate students
The eRA Commons xTrain System must be used to submit PHS 2271 (Statement of Appointment) and PHS 416-7 (Termination Notice) forms.  Paper appointment and termination forms are no longer accepted.

Contract and clinical trial documents
Contracts checklist (for clinical trials, MTAs, NDAs, consortium agreements, etc.) 
Confidentiality disclosure (nondisclosure) agreement request form
Drug study questionnaire
Recommended practices for institutional cost recovery on industry sponsored clinical trials

Material transfer agreements (MTAs
MTA request form for incoming materials
MTA request form for outgoing materials

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