FORM: TR1F Research, Innovation & Commercialisation (RIC) Shared funding arrangements within University departments This form is to be used when a Department wishes to share funds (i.e. total funds awarded to UOM) with another Department of the University. The fully signed form, together with budget form/s, should be forwarded to the relevant RIC Grant or Contract Officer for action. Original Owning Department details: Themis ID: GL Project No.: Department/School: Chief Investigator name: Project title: Sharing of Funds Amounts are often indexed by the funding body each year and therefore may differ from the original awarded amount/s. Please indicate split of funding with other UOM department/s below as either: 1. A percentage of total funds to be shared with a department, must total 100%. This will allow indexation to be shared OR 2. Where a fixed amount only is to go to a particular department, state the fixed $ amount per year and tick the box below Tick box for fixed amount transfer Department / School Researcher name Account string * (eg 01-5000-00-xxxxxxxxxx-GEN-12-01) Year (e.g. 2015) 20__ Year 20__ Year 20__ Year 20__ Year 20__ Insert Original dept. name: Insert Recipient dept name: Insert Recipient dept name: (Add additional rows if required) Insert total amount awarded per year (excluding GST) * For a non-research quantum (HERDC) distribution transfer to be made, please state Account ‘4960’ as part of the full account string. A child account will be created for the Recipient Department Shared Agreement record. Budget form Please ensure a signed budget form for each department (including original owning department) is submitted with this TR1F form to ensure an accurate budget is loaded. Budget form is not required for Medical Research Institute staff or where the funding is NHMRC / ARC. Transfer of funds – action required by department administrators Year 1 - transfer of shared amount will automatically occur at the time the shared project account is created. Future years - please place the journal entries on an ADI template, attach a copy of the scanned signed TR1F form and email to Themis-Project-Transfers@unimelb.edu.au to permit Research Accounting to action the request. Certification In signing this, the parties acknowledge that the funds will be counted as research income in the department to which they are credited Researcher name Researcher Signature HOD name HOD signature Original dept. Recipient dept Recipient dept (Add additional rows if required) SUPPORT AND FOLLOW-UP: For any queries about the department details or other related matters for this shared funding arrangement, please direct your query via email to themis-agreements@unimelb.edu.au Queries to this address will be forwarded to a responsible person for answer within 48 hours. RIC V1 23Jul2015