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subrecipient forms & Documents

OSR Subrecipient Commitment Form for PHS-sponsored Projects Word

OSR Subrecipient Commitment Form for NSF-sponsored Projects Word

The Conflict of Interest portion of the OSR Subrecipient Commitment Form asks the subrecipient to indicate whether the subrecipient organization has its own, compliant COI policy, or has elected to follow Northwestern's COI Policy (for subrecipient investigators on the specific research project). If the subrecipient organization has elected to follow Northwestern's COI policy, each subrecipient investigator should fill out the applicable paper Subrecipient Disclosure Form (below).

Subrecipient and Consultant Disclosure Form for PHS-sponsored Projects PDF

This form should be used for all consultants deemed to be investigators, as well as subrecipient investigators whose organizations have elected to follow Northwestern’s COI Policy on specific PHS-sponsored projects, and specific projects sponsored by organizations that have adopted PHS regulations (e.g., American Heart Association, Susan G. Komen Foundation; a full list can be found here). The consultant or subrecipient investigator should be sent the COI Training document in addition to the Subrecipient/Consultant Investigator COI Disclosure and Certification Form.  The completed form should be sent to nucoi@northwestern.edu 

Subrecipient and Consultant Disclosure Form for NSF-sponsored Projects PDF

This form should be used for all consultants deemed to be investigators, as well as subrecipient investigators whose organizations have elected to follow Northwestern's COI Policy on specific NSF-sponsored projects.  The completed form should be sent to nucoi@northwestern.edu

Northwestern paper disclosure forms

Northwestern Investigator Research Disclosure Form PDF

This form should be used in exceptional circumstances only if/when a Northwestern Investigator is unable to access eDisclosure to disclose in the system.  NUCOI should be contacted before using this form to discuss the extenuating circumstances and approve an exception.  

Annual Staff Conflict of Interest Disclosure Form PDF

This form should be used only by those staff members who do not have access to a computer.  (Revised: 2/15/2016)

Other forms

Student-Faculty Agreement for Student Engagement in Faculty Enterprisese Word

This agreement should be used prior to engaging students in faculty enterprises, including startup companies and consulting activities, to ensure protection of the academic interests of such students.