Grants/Contracts Forms
All the forms can be viewed and printed as PDF documents (Adobe Acrobat Reader required). Some documents are also available as MS Word documents. Hard copies of the forms can also be picked up at:
407 East 61st Street,
1st Floor
New York, NY 10065
If you need help completing the forms or you would prefer to have them mailed to you, please contact the RASP office.
| Downloads and Links | |
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| Budget Forms NIH Format PHS 398 NEW 1/1/2010 | Adobe PDF |
| Certificate of Registration for Use of Recombinant DNA or Transgenic Animals NEW 1/1/2010 | Microsoft Word |
| Carryover Request Process and Template Letter NEW 3/13/2013 | Micorsoft Word |
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Human Research Billing Analysis Form
NEW
1/1/2010
Principal Investigators are required to submit one Human Research Billing Analysis Form per research protocol at the time of the IRB submission application for new protocols and again at the time of continuing review. The purpose of completing and submitting a Human Research Billing Analysis Form is to prospectively identify the list of services required by the study protocol, and indicate when the services will occur, who will provide the service, how the service is to be billed and in general terms, specify payment responsibility.
More info
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Web Link |
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Confidentiality Agreements
NEW
12/1/2011
Template A: Outside Entity to Faculty/Investigator CDA Template B: Cornell to Outside Entity CDA Template C: Mutual CDA Template A: This template should be used when the sponsor of a potential study is providing confidential information to a WCMC scientist/investigator.
Template B: This is template should be used when a WCMC scientist/investigator is providing confidential information to a potential sponsor. Template C: This template should be used when both a WCMC scientist/investigator and a potential sponsor are providing confidential information to each other. More info
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Microsoft Word |
| Conflicts Memo for ERF NEW 4/24/2013 | Adobe PDF |
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Consulting Agreement Template
NEW
1/1/2010
A consulting agreement is required for any consulting services budgeted on a sponsored project. The attached agreement is a non-negotiable template to be signed by any individual outside WCMC with the role of consultant on a funded sponsored project.
More info
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Microsoft Word |
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Cost Sharing Form
NEW
1/1/2010
If institutional or Departmental funds will be used to support a portion of this project, please explain on the Cost Sharing Form.
More info
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Adobe PDF |
| DHHS Rate Agreement NEW 5/1/2013 | Adobe PDF |
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Effort Reduction Letter Template
NEW
8/20/2010
For all grants where an effort reduction approval is being requested from the Sponsor. For NIH, effort reductions greater than 25% should be submitted for key personnel named in the Notice of Award. For subawards and other Sponsors, follow the prime/sponsor agreement or notice of award guidelines.
More info
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Microsoft Word |
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Electronic Routing Form
NEW
1/1/2010
User Guide |
Web application |
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Equipment Survey Form
NEW
1/1/2010
On a proposed sponsored project, complete this form for each proposed equipment purchase costing $5,000 or more. The Equipment Survey Form allows the Institution to confirm that the equipment is not already available on Campus.
More info
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Adobe PDF |
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Export Controls Checklist
NEW
1/1/2010
"Export Controls" are those federal laws and regulations that govern the transfer or disclosure of goods, technology, software, services, and funds to restricted foreign countries, persons and entities (including universities). Your response to the questions in this checklist will help the Grants & Contracts Office and the Office of University Counsel determine whether any aspect of your sponsored research project activities will be subject to export control regulations.
More info
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Adobe PDF |
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Grants.gov Adobe-Forms-B2 WCMC Template
NEW
4/2/2013
Transition to ADOBE-FORMS-B2: NIH, AHRQ, CDC, FDA and NIOSH are phasing in use of ADOBE-FORMS-B2, which will be used with new funding opportunity announcements (FOAs) posted on/after July 22, 2011. NIH will soon reissue R01, R03, and R21 parent announcements with the new forms and expire the current parent R01, R03, and R21 FOAs on 01/07/10. Applicants may use either ADOBE-FORMS-B1 or the new ADOBE-FORMS-B2 packages for deadlines on/before 01/07/12, but NIH strongly encourages applicants to use ADOBE-FORMS-B2 whenever possible. ADOBE-FORMS-B2 packages resolve intermittent submission errors and include a revised R&R Subaward Budget Attachment(s) Form that provides for up to 30 subaward attachments as well as a reformatted PHS 398 Modular Budget Form that requires a user click "Next Period" to display the periods necessary to complete that budget. The incorporation of these forms does not result in any major changes to the SF424 (R&R) Application Guide. Applicants familiar with FORMS-B/B1 will not need to attend a training on FORMS-B2. All applicants should carefully read their FOA and the appropriate "B Series" Application Guide for program-specific instructions before completing their application.
More info
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Adobe PDF |
| Guidance for Conflicts Disclosure NEW 1/1/2010 | Adobe PDF |
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Hospital Facilities Form
NEW
1/1/2010
If a sponsored research project will be using any New York Presbyterian Hospital Facilities (space, ancillaries, personnel, data or information systems), a Principal Investigator must detail this use on the Hospital Facilities form.
More info
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Adobe PDF |
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Human Subject Education Form
NEW
1/1/2010
The Human Subjects Education form is completed to confirm that all WCMC key personnel listed on a sponsored research project have completed the CITI Course in The Protection of Human Research Subjects web-based training.
More info
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Adobe PDF |
| Material Transfer Agreement (MTA) - Simple Letter Agreement (SLA) NEW 2/11/2013 | Microsoft Word |
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MTA Incoming Routing Form
NEW
12/05/2012
Routing Form To Accompany Material Transfer Agreements (MTAs) For Receipt of Material by WMC
More info
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Adobe PDF |
| MTA Scope of Work Form | Adobe PDF |
| New York State Forms NEW 09/22/2011 | NY State Tips | Access Formss |
| NIH Grant Application Face Page PHS 398 NEW 12/3/2012 | Adobe PDF |
| NIH Grant Application Face Page PHS 2590 NEW 12/3/2012 | Adobe PDF |
| No Cost Extension Request Form NEW 8/23/2011 | Microsoft Word |
| No Cost Extension Request Form (Non-Federal Sponsors) NEW 7/25/2012 | Microsoft Word |
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Preliminary Account Request Template
NEW
1/1/2010
For non-competing grants where an award notice has not been received and the investigator is requesting access to an account to continue work and allocate expenditures to the project.
More info
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Microsoft Word |
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Advance Account Template
NEW
9/7/2011
For new and competing grants where WCMC is prime and award notice is pending release from the Sponsor. Submit request to initiate the set-up of a new account in order to commence work and allocate expenditures.
More info
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Microsoft Word |
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Pre-Award Costs Request Template
NEW
1/1/2010
For new, competing and non-competing grants for which a notice of award has been received with a later than anticipated start date and allowable pre-award costs is being requested.
More info
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Microsoft Word |
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Request for Reduction in Indirect Costs
NEW
1/1/2010
For any instance where a sponsored research project does not provide an approved indirect cost rate, please complete this waiver request.
More info
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Adobe PDF |
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Research Safety Checklist/IBC Registration
NEW
2/1/2011
After reading all instructions, direct any questions about the Research Safety Checklist portion to ehs@med.cornell.edu or 646-WMC-SAFE. For questions about the IBC Laboratory Registration portion, contact ibc@med.cornell.edu or 646-962-8285.
More info
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Adobe PDF |
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Research Safety Checklist/IBC Registration - Short Form
NEW
1/1/2010
Do not submit this form unless you meet eligibility criteria per the Applicability portion of http://www/research-test/forms_and_policies/forms/research_safety.pdf.
More info
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Adobe PDF |
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Scope of Work Form
NEW
1/1/2010
If a sponsored research project’s scope of work will involve any existing intellectual property and/or is likely to generate intellectual property, please indicate the details on the Scope of Work form. This form should not be used for subawards and consortiums where a scope of work is required.
More info
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Adobe PDF |
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Space Change Form
NEW
1/1/2010
If your project will require alterations, renovations, or additional space, please detail this information on the Space Change form.
More info
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Adobe PDF |
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Statement of Intent to Establish a Consortium Agreement
NEW
1/1/2010
(Not required by NIH)
More info
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Adobe PDF |
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Study Specific Report – Internal WCMC Use
NEW
1/1/2010
(formerly the Study Specific Financial Disclosure) Information & Help |
Web Application |
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Study Specific Report – External Non-WCMC Use
NEW
1/1/2010
(formerly the Study Specific Financial Disclosure) |
Information and Forms |
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WBS Element Request Form
NEW
04/05/2012
The purpose of this form is to ensure that all WBS elements (for new, competing and supplemental applications) are created with the appropriate levels of SAP access.
More info
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Adobe PDF |