RENSSELAER POLYTECHNIC INSTITUTE
REQUEST TO ISSUE A SUBAWARD/SUBCONTRACT
This form must be completed & signed by the RPI Principal Investigator to request a NEW Subaward or
Subcontract.
Please email the following documents to the appropriate Sr. Grant Administrator in Research
Administration & Finance. (Who should I send my completed form to?)
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Completed & Signed Request to Issue Subaward/Subcontract Form
Subrecipient Statement of Work
Subrecipient Budget
Any other applicable attachments or supporting documentation
RPI Fund/Org/Prog/Activity Code (FOPAL)
RPI Project Director
RPI Financial Manager
Name of Subrecipient
Subrecipient’s PI
Subrecipient Business Contact Name
Email/Phone/Fax
Subrecipient Business Address
Subrecipient Period of Performance
Subrecipient Amount $
Anticipated Total Amount of Subrecipient $
Cost Sharing (if required) from Subrecipient $
APPROVAL MUST BE RECEIVED FROM FUNDING SPONSOR BEFORE A NEW SUBAWARD OR
SUBCONTRACT CAN BE INITIATED.
Has an Indirect Cost Waiver been approved for this Subaward/Subcontract?
Deliverables or Reporting Requirements to be included in the Subaward/Subcontract:
Specify Subrecipient deliverable(s) and due dates:
Deliverable:
Technical Report
Other
Due Date
Due Date
Frequency Desired:
Monthly
Final
Quarterly
Other
Semi Annual
Institutional Compliance:
Human Subjects
Animals
Biohazards
Budget Restrictions:
No
Yes, explain
Notes/Comments:
Name:
Signature:
Principal Investigator Name and Approval Signature
RA&F RSA Form - March 2012
Date