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subrecipient forms & Documents

OSR Subrecipient Commitment Form 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 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 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 only when a Northwestern Investigator cannot access the system.  NUCOI should be contacted before using this form to discuss the extenuating circumstances.

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: 1/30/2014)

administrative forms

Research Administrator FASIS Security Form PDF

Research Administrators should fill out this form to gain access to the COI Monitor Compliance pages in FASIS.  For detailed instructions on accessing and using these pages, please our Tip Sheet PDF and visit the Training & Resources section.

OSR/ASRSP/NUCOI FASIS Security Form PDF

Members of OSR or ASRSP who need access to the COI Monitor Compliance pages in FASIS should fill out this form. For detailed instructions on accessing and using these pages, please our Tip Sheet PDF and visit the Training & Resources section.

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.