Forms

Name	Description	Format
Advance Account Request Form	Authorize pre-award spending and establish a sponsored research account.	PDF
Affirmation of Awareness & Disclosure Forms (web-based)	All FAS faculty and academic appointees must certify that they are familiar with FAS and University policies that relate to their professional activities, including policies regarding conflicts of interest and conflicts of commitment, and have consulted with appropriate FAS and University officials as required. Also available to download as a paper form (see below).	Web
Affirmation of Awareness Form (paper)	Included in the web-based Affirmation of Awareness manager (see above). Submit signed forms to Dean Gallant.	PDF
Cost Sharing Form	Identify funding sources for project costs borne by the University in support of a sponsored project.	Excel
Cost Transfer Form	Explain and justify the transfer of cost to a federal project.	Word
Dean's Approval Form (a.k.a. the Dean's Coversheet)	Must be completed and attached to all sponsored proposals submitted by FAS investigators. View guidelines for completion of the Dean's Coversheet.	Word
Debarment Certification Form	Certify that a signatory or contributor is not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from doing business by the federal government. Required for purchases greater than $25,000 charged to federal funds.	PDF
Disclosure Form	Investigators applying for funding from the National Science Foundation or from an agency of the Public Health Service (NIH, NIMH, etc.) must report details of any significant financial interests they or their family members may have that could affect the design, conduct, or reporting of their federally-funded research. This report is included in the web-based Affirmation of Awareness Form (see above). In addition, Principal Investigators must include a signed copy of the PI Certification Form (see below) with their proposal.	PDF
Effort Coordinator Report Form- Quarterly	This form is used to summarize monthly salary on a quarterly basis. Effort Coordinators must submit this form timely each quarter.	Word
Equipment Screening Report	Certify the purchase of equipment costing $50K or more with federal funds.	PDF
Faculty Supplemental Salary Request Summer/Fall FY2010	Forms must be submitted to Michael Jackson in the FAS Office of Finance by June 11th in order to make the July payroll. More information on the policy may be found at the FAS RAS Faculty Supplemental Salary page.	Word
Faculty Supplemental Salary Request Spring 2009	More information on the policy may be found at the FAS RAS Faculty Supplemental Salary page.	Word
Human Subjects Application Form	Request for approval of research involving human subjects from the Committee on the Use of Human Subjects (CUHS/IRB)	Word
Human Subjects Renewal Form	Request for renewal of approval of research involving Human Subjects from the Committee on the Use of Human Subjects (CUHS/IRB)	Word
NIH Signature Form	Required Certification for all NIH applications, post-submission information, progress reports, and post-award prior approval requests	Word
Participation Agreement in GMAS (login required)	Documents an intellectual property (patent/copyright) agreement. The form should be signed by all faculty, students, non-clerical staff, etc., who are supervising or working on research projects, especially sponsored projects. See the Office of Technology Development website for more information.	PDF
Participation Agreement- Visitors	Documents an intellectual property (patent/copyright) agreement. The form should be signed by all visitors who are working on Harvard research projects, especially sponsored projects. See the Office of Technology Development website for more information.	PDF
PI Certification Form	Indicates that the PI and all investigators have disclosed all financial interests. Must be attached to the Dean's Cover Sheet for all proposals submitted to the NSF or to a PHS agency.	PDF
PI Rights Questionnaire	Application for the exceptional granting of Principal Investigator Rights. To be completed by the Chair of the Department or Director of the Center.	Word
Purchase Orders - Terms and Conditions Attachment A	Understand the regulations applicable to purchase orders issued under government contracts and grants.	PDF
Quarterly Effort Coordinator Report Form	see Effort Coordinator Report Form-Quarterly above	Word
Report of Invention (web-based)	Report inventions or discoveries that could have commercial value to the Office of Technology Development (formerly OTTL)	Web
Sale of Capital Equipment Notification	Notify OFAA of external sales of capital equipment assets in excess of $10,000 so that the appropriate entries can be made to the general ledger.	PDF
Signature Authority Form	This form authorizes department staff to sign equipment management forms	Excel
UPAS Form (University Prior Approval System)	Modify aspects of an award or secure authorization for pre-award spending (for federal grants only).	PDF
Vendor Justification / Price Verification Form	Record the steps taken to comply with regulations regarding purchases over $5,000 using federal funds.	PDF
Vendor Justification / Price Verification Form (writable PDF)	Record the steps taken to comply with regulations regarding purchases over $5,000 using federal funds. This is a writable PDF.	PDF

Forms

[Last modified: 11/24/11]