| Updated: 09.05.2019
Tennessee Tech University Internal Cost Share Documentation
Project Title: ________________________________________________________________________________
Project PI: __________________________________________________________________________________
Please complete the table below detailing the source and amount of all required cost share for the
project referenced above. Do not include indirect costs in this table. Only list costs which will be funded by the
index number provided. Indirect costs are University costs. The authorized representative from each unit
providing cost share must be listed at the bottom and must sign this document.
College/Department/
Other Unit
Committing Cost
Share
Item Description
Index No.
Committing
Cost Share
Year 1 Year 2 Year 3 Year 4 Year 5
Total Direct Cost
Commitment
Ex. Chemistry Dr. Research's release 2-22222 $ 1,000 $ 1,030 $ 1,061 $ 1,093 $ 1,126 $ 5,309
By signing below, you certify that your index will provide the cost share detailed above
or that an alternative index number will be provided on the Award Activation Form.
Name: ______________________________
Approver for Index Number: ____________
Name: ______________________________
Approver for Index Number:_____________
Name: ______________________________
Approver for Index Number: ____________
Name: ______________________________
Approver for Index Number:_____________
Name: ______________________________
Approver for Index Number: ____________
Name: ______________________________
Approver for Index Number: ____________
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