Type of Request: Reduced F & A Rate Date of Request:
Full Waiver of F & A
Requestor Last Name:
Department/Unit Name:
Sponsor Name:
Proposed Project Total:
Proposed F & A %:
Dollar Value of Waiver:
(this is the dollar amount of F & A not requested from sponsor)
Proposal Title:
Signatures:
Requestor:
Date:
Printed Name:
Date:
Date:
Sponsored Programs:
Printed Name:
Dean:
Printed Name:
Please Check Appropriate Box:
Waive
Waive
Do Not Waive
As Provost, I hereby allow you to have a reduced F & A rate.
As Provost, I hereby allow you to completely waive the F & A.
ORSP
F & A Waiver Request
First Name:
Justification/Reason for Request:
Do Not Waive
Issued: 8/24/2018 V.1
Location://savana.maritime.ad.csum.edu\shared$\users\Sponsored Programs
1
University Controller: ____________________________________________
Date:
Printed name: ____________________________________________
Provost: ___________________________________________
Date:
Printed Name: ___________________________________________