S M R F

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SUBAWARD MODIFICATION REQUEST FORM (SMRF)
*If you are requesting an INDEX ONLY change, please submit an iRequest: Index-Only PO Revision in Marketplace.
REQUEST INFORMATION
Subrecipient Institution
Subrecipient Contact
(To whom are we sending the modification?)
Name
IFIS/Marketplace Subaward PO Number
(e.g., S9000123, 10328897)
Fund
Email
Index
(e.g., 54123A)
(e.g., ABC1234)
Please describe your request
(Sample: Extending end date to 12/31/2015 and adding $100,000 for year 2)
DOCUMENTATION CHECKLIST
Please select a transaction and using the checklist below, attach the appropriate backup documentation to this request.
No-Cost Extension.
Increase Funding
Decrease Funding
PI Change
Documentation of sponsor
approval is required to extend
an end-date. Provide one of
the following:
A detailed budget is required for
an increase in funding, unless
subject to SNAP. If budget period
is being extended too, NOA must
cover the new period.
Substantial Decrease (e.g. greater than
25% of total cost) requires a revised
budget for actual expenses and a
revised statement of work describing
the work performed.
Both parties must agree to this
change, and documentation is
required. Provide one of the
following:
Notice of Award
Notice of Award
Revised Budget
Revised Notice of Award
Approval from Sponsor
Subrecipient Budget
Revised SOW
Sponsor Approval
Other
I am authorized to commit this action on behalf of my department/PI. I certify that this action has been authorized
by the prime sponsor, if applicable. I have attached the required backup documentation to process this request.
_____________________________________________________
Requestor Name
Office of Contract & Grant Administration | Subaward Team | [email protected] | 858-534-9990
Version 2.0 10-20-2015
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