request to permanently transfer sponsored project equipment with researcher =============== instructions: use tab to move to the

REQUEST TO PERMANENTLY TRANSFER
SPONSORED PROJECT EQUIPMENT
WITH RESEARCHER
===============
Instructions: Use Tab to move to the next blank and Shift-Tab to move
to the previous blank
Transferring Unit Name
 
Transferring unit chart/org code
 
Recipient Institution
 
Researcher
 
Comments
 
In submitting this request for permission to transfer the equipment
listed on the following schedule, we, the undersigned, acknowledge
that the following conditions exist:
1.
The equipment has been used for sponsored research.
2.
The equipment was purchased with non-State appropriated, sponsored
research funds.
3.
The funds were paid by the sponsor for the purpose of facilitating
research by the above named Researcher.
4.
The above named Researcher’s position is being terminated at the
University of Illinois and that individual’s research continues at
the Recipient Institution.
5.
The equipment is needed in continuation of the Researcher’s
research.
6.
The recipient institution has expressed willingness to accept
responsibility for the equipment.
7.
Data has been eliminated from electronic storage media, unless
required for the sponsored research and approved by unit head,
campus Grants and Contracts office, and University Property
Accounting and Reporting.
____________________________________
____________________________________
Researcher Date Vice Chancellor for Research (UIC only) Date
____________________________________
____________________________________
Unit head Date College dean Date
Approvals
=========
Verification that transfer conforms to Verification of funding sources
identified
sponsor’s or donor’s terms by unit
______________________________________
____________________________________
Grants & Contracts (Sponsored Project Funds) Property Accounting
manager Date
University Accounting Services (Gift Funds)
Acceptance by Authorized Official of Recipient Institution
==========================================================
As the Recipient Institution, we accept responsibility for equipment
listed on the attached schedule that transferred to our University
with the above named Researcher.
___________________________________________________________________________
Authorized Official Title Date
SCHEDULE OF EQUIPMENT
---------------------
Property (Ptag) #
Responsible Chart/Org.
Description
Serial #
Date Acquired
Acquisition Cost
Funding Source FOP
 
 
 
 
 
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