Office of Research Affairs No-Cost Extension Request for Contracts Amendment Required

This form is to only be used to request contract period extensions to industry-sponsored contracts where no additional funds are requested and a firm end date has been stated in the contract. If no additional funds are being requested and no firm end date is stated in the contract, then no amendment is necessary. In such case, please complete the web form "Office of Research Affairs No-Cost Extension Request for Contracts with No Firm End Date" in order to update the end date internally.

Contract Information

OSP Number

Sponsor Name

Internal Order/Grant Number

Protocol Number

Current Contract End Date

Desired Contract End Date

Affirmation

I have reviewed the period of performance from the contract and confirm that an amendment is necessary to extend the term.

Please note that any expenditures incurred after the end date of the study are at the department's risk. You cannot continue spending past 45 days (hold/close date), until the amendment is received.

Upload Copy of Period of Performance Section of Contract

Submitter Information

Submitter Name

Submitter Email

Submitter Phone

Principal Investigator Information

Principal Investigator Name

Principal Investigator Email

Principal Investigator Phone

Principal Investigator Department

Contact Information