Finance and Administration • Office of Accounting Services • Sponsored Program Accounting
240 Thomas Boyd Hall • Baton Rouge, LA 70803 • P 225-5
78-5337 • F 225-578-7217
REV 6/26/18
REQUEST TO ESTABLISH COST SHARING GRANT | UNRESTRICTED AS851
SPA will establish a separate grant for each source of funds provided. All spending should occur on the grant established expressly for
that portion of the cost sharing.
This form must route through Budget & Planning for approval that funds are available and that they can be used to provide cost sharing.
The function of the source of funds MUST match the function of the award to be used to provide unrestricted cost sharing.
The time period and amount should be entered for ALL years of the award. This form will serve as approval of the commitment for the
life of the award even though the cost sharing may be documented in multiple fiscal years.
The amount should not contain the portion of the cost sharing commitment considered Paper Entries (i.e., F&A, fringe benefits, tuition
remission, subaward cost sharing, etc.).
Award Information
Award Number
Check this box to indicate that this cost sharing grant is requested as a tentative grant. By checking this box, the department is indicating
that they are responsible for all charges if the agreement is not fully executed or if charges are incurred prior to the established begin date.
They are further confirming that only charges for the company associated with the award will be charged to this grant.
Source of Funds
The approval of a department head or cost center manager for EACH department committing cost sharing to this award should be reflected below.
Source of Funds* Amount Dept. Signature Approval Printed Name Date
*(i.e., program, funding source, etc.)
Approvals
As the Principal Investigator, I will assure that the cost sharing required by the referenced award has been committed and properly
documented in the proper award lines/grants. Furthermore, I will inform SPA immediately of any changes affecting cost sharing on this
agreement. I understand that the above information will enable SPA to monitor my cost sharing but it is my responsibility to assure that
the required cost sharing has been committed and properly documented.
Principal Investigator Approval
Budget & Planning (for B&P use only)
(for SPA use only)
B&P Fringe Hierarchy (if applicable):
LSUAM Grants Fringe ________%
Budget & Planning Approval
Sponsored Program Accounting (for internal use only)
Routing
Department → Budget & Planning → SPA
Louisiana State University
Office of Accounting Services
Sponsored Program Accounting
240 Thomas Boyd Hall
