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Forms
Note: All forms are available in .pdf format (unless otherwise noted). If you require the Acrobat Reader, download it here.
Certifications
- AD-1047 - Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions
- AD-1049 - Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals
- AD-1050 - Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative II - For Grantees Who are Individuals
- Certification/Disclosure Requirements Related to Lobbying
- SEB-102 Conflict of Interest Certification
- REE 26- Certification Regarding Performing Organization Type
Management & Financial Reports
- ARS-157 - RSA Management Report Template
- Incoming Agreement Reports
- Incoming Funds Financial Status Report Excel (.xls) file
- SF 269 - Financial Status Report (long form)
- SF 269A - Financial Status Report (short form)
- REE 269 Cooperative Agreement Financial Status Report
PDF file | Excel (.xls) file
Payment/Reimbursement
- SF 270 - Request for Advance of Reimbursement
- Invoice Templates for Trust Fund Cooperative Agreement & Sample
- Invoice Template MS Word file
- Sample of Completed FormMS Word file
Budget
-
REE 454 - Cooperative Agreement Budget
PDF file | EXCEL (.xls) file - REE 455 - Grant Agreement Budget
PDF file | EXCEL (.xls) file
Statement of Work Templates for AIMS (Word files)
- Non Funded Cooperative Agreement
- Specific Cooperative Agreement
- Reimbursable and Trust Fund Cooperative Agreement
- Research Support Agreement
Other Forms
- AD-475A - "AND JUSTICE FOR ALL" Poster
- Letter Of Justification For Non-Competitive AwardsMS Word file
Last updated: 05/06/2008