SAMPLE LETTER
Request for Extension to claim your Department of Surgery GFT Research Grant
Instructions:
 Requests for extensions must be submitted to address noted to the Thorlakson Chair in Surgical Research
 Please remove the instruction box and above text; print on Principal Investigator (PI) letterhead and keep the
information below the black line as this will be completed and returned to the PI
<Date>
Dr Richard Keijzer
Thorlakson Chair in Surgical Research
Department of Surgery
AD210 – Health Sciences Centre
820 Sherbrook Street
Winnipeg Manitoba R3A 1R9
Dear Dr Keijzer
RE: Extension to Claim Surgery Research Grant
I would like to request an extension of << insert number>> months (to a maximum of three (3) months)
to claim my Department of Surgery Research Grant received in January 201_. The grant was in the
amount of <<amount>> for our project entitled <<Project Title>>. The principal investigator is Dr <<PI
name>>.
The reason(s) for the extension is due to the following: <<insert details>>.
Sincerely,
<<PI name>>
<<Academic Rank>>
<<Surgery Section>>
An extension to claim this award has been
approved for the period of:
TO
Month
Richard Keijzer
Thorlakson Chair in Surgical Research
Department of Surgery - University of Manitoba
Date
Day
Year
Month
Day
Year