Agreements

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 Agreement Report Requirements
• 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