University of Kansas
Office of Research and Graduate Studies
Research Employee Separation Checklist
Today’s date: Click here to enter a date.
Name: Click here to enter text.
Department/Unit: Click here to enter text.
Email: Click here to enter text.
Anticipated last date at KU: Click here to enter a date.
New contact information:
How can you best be contacted at your new location (if known)?
Background: When a KU employee who has been active in research leaves the university, decisions must
be made regarding the status of the work after the departure of the employee. For example, if the
employee served as principal investigator (PI) on an externally sponsored project, will the project stay at
KU or should it be transferred to the PI’s new institution? (Because awards are generally made to the
institution and not to the individual PI, consensus must be reached between the PI, the sponsoring
agency, and KU as to where the project will reside.) In addition, decisions may be necessary regarding
the potential transfer of property, equipment, and research data related. This checklist is intended to
outline some matters of importance related to the departure of a PI or other research employees.
1. Are you contributing any effort, paid or unpaid (e.g., cost share), on any active externally
sponsored projects? ☐ No ☐ Yes
IF NO, PROCEED TO QUESTION 4
IF YES, PLEASE ANSWER THE FOLLOWING QUESTIONS. You will need to list all projects and
provide your plan for transferring effort or for transferring the project (or part of it) for each:
2. Are there any progress or final reports or ARRA (American Recovery and Reinvestment Act)
reports due (or due in the future) that you are responsible for? ☐ No ☐ Yes
3. Have you completed all required effort certifications forms for yourself and for any students you
supervise to date? ☐ No ☐ Yes
4. Do you have any pending (proposed) projects not yet awarded? ☐ No ☐ Yes
5. Do you intend to make a request to take any equipment with you? ☐ No ☐ Yes
6. Do you intend to transfer/take with you to your new location any hazardous materials
(chemicals, biologicals, lasers, radiation devices, etc.)? ☐ No ☐ Yes
7. Do you expect to work with KU as an adjunct or on a courtesy appointment? ☐ No ☐ Yes
Rev. 5/3/13
1
University of Kansas
Office of Research and Graduate Studies
8. If you have primary responsibility for oversight of a laboratory, have you decommissioned the
lab in accordance with Environment, Health and Safety requirements? ☐ No ☐ Yes ☐ N/A
9. Do you have oversight of any materials received under a material transfer agreement (MTA)?
☐ No ☐ Yes
10. Are you party to any confidential disclosure agreements (CDAs) or confidentiality clauses in any
externally sponsored agreements that would need to be updated as a result of your leaving?
☐ No ☐ Yes
11. Have there been any inventions developed at KU with or without the use of external funding?
☐ No ☐ Yes
If yes, has the invention been disclosed to the KU Center for Technology Commercialization
(KUCTC)? ☐ Yes ☐ No
12. Has RGS Facilities Management issued any building keys to you for the Multidisciplinary
Research Building (MRB), the Structural Biology Center (SBC), Nichols Hall, the KU Life Sciences
Research Laboratories, or the Wakarusa Research Facility? ☐ No ☐ Yes
******
Please submit completed form electronically to William Sharp, Assistant Director, Research
Administration, at:
wsharp@ku.edu
Your department chair/unit supervisor will be asked to confirm the information
included in this checklist.
Rev. 5/3/13
2