Project Change Request Form

Please use this form to request changes to project end date, budget, cost share, PI changes, or change of scope. Be sure to select the option at the bottom of the form to send a copy of the request to yourself, so that you have a copy for your records. All project changes are subject to approval by the INE Director and the UI Office of Sponsored Programs.

Name of person submitting request

Email of person submitting request

Project Name

Please use the name as it appears in your award letter.

Current end date of project

This should be in your award letter. If you have previously requested an end date extension, please use the date of the latest extension.

Name of project PI (or Sci-I)

Institution

Select or enter value

Subaward Number

UI Index Number

What type of project change are you requesting?

Select all that apply.

Select or enter value

Comment box

What is the new end date you are requesting?

What is the reason for your new end date request?

Give your justification for the extension here. Be sure to include the work remaining and how you will be able to complete the project in the revised project period.

What is the additional/incremental amount you are requesting?

Please upload an updated budget in MS Excel at the bottom of this page.

Additional/incremental comment box

Please provide additional information about the additional/incremental budget request.

What is the new amount of cost share you are requesting?

What is the change in cost share you are requesting?

As well as listing the type and amount here, please upload an updated budget and justification at the bottom of this page.

Select or enter value

Cost share comments

Please provide a brief description on why a re-budget is necessary

Give a brief explanation for the requested change here as well as a top-level summary of where the funds will shift. For example: “Shift $X,XXX in funding from Travel to Student Support.” Please also upload your updated budget and budget narrative at the bottom of this page.

What is the name and title of the new Principal Investigator?

PI Change comments

Please explain why a PI change is needed. Please upload a current CV for the proposed PI. You may need to upload a letter from your department (and the proposed PI's department) authorizing the change.

Please provide a brief justification for your new scope of work

Please be prepared to upload a revised Statement of Work at the bottom of the page.

Please upload required files here:

If requesting any changes to budgets (including cost share), please upload a revised original budget in MS Excel as well as a revised budget justification. If the change is due to a change in scope, please upload a revised Statement of Work. If it is a PI change, please upload a current CV for the proposed PI. You may also need a letter from the affected departments authorizing the change of PI.

Drag and drop files here or

Send me a copy of my responses

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