Fillable To facilitate legal and technical sufficiency review, all (University of the District of Columbia)

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To facilitate legal and technical sufficiency review, all (University of the District of Columbia)

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OFFICE OF GENERAL COUNSEL
MOU / MOA / ACADEMIC AGREEMENT REVIEW REQUEST ROUTING FORM
Office of the General Counsel UDC-OGC Form – Revised April 29, 2013
COMPLETE ALL SECTIONS OF THIS FORM – AN INCOMPLETE FORM WILL BE RETURNED AND WILL DELAY
REVIEW OF YOUR DOCUMENT.
Requestor’s Name/Title:___________________________________________________________________________________________
Department:_________________________________________School/College?Division_________________________________
Phone#:___________________________________ E-mail:__________________________________________________________________
Date Requested:_________________________ Date Due*:____________________________________
Title of Agreement:_______________________________________________________________________________________________
Contracting Party:_________________________________________________________________________________________________
To facilitate legal and technical sufficiency review, all University employees are advised to review the
University’s Contract Administration and Review Guidelines and are advised of the following approval
flow procedures. Depending upon the nature and scope of the agreement, other departments may
need to be involved or contacted. It is the obligation of the requesting department to obtain the
appropriate approvals prior to submission to the Office of the General Counsel. Use this form only
for MOU, MOA, affiliation, partnership, inter/intra agency and other academic agreements.
Submit only the final and unsigned version of the agreement with this completed form to Smruti Radkar
(Assistant General Counsel), Administration Building (39-Third Floor, 301Q) or electronically to
sradkar@udc.edu for review. *Permit at least five (5) days for review.
1. Identify the UDC Signatory: (UDC official who will execute the agreement):
2. UDC Staff Member responsible for monitoring the agreement: ____________________________
ONCE EXECUTED YOU ARE REQUESTED TO RETURN A COPY OF THE AGREEMENT
(CONTAINING ALL REQUIRED SIGNATURES) TO OGC WITHIN 5 DAYS OF EXECUTION.
3. Origin of Agreement: □University dept. □Other ________________________
4. If there is an intra-District advance requirement, has that been pre-approved by the OCFO?
□Yes. OCFO Signature______________________________(Required) □No. □Not applicable
5. OSP or CC Office of Academic Affairs Signature_______________□Not applicable**
6. IT Requirement Signature_______________□Not applicable**
7. Communication/Marketing Requirement Signature_______________□Not applicable**
8. Facility Related Requirement Signature_______________□Not applicable**
9. Risk Management (Insurance) Signature_______________□Not applicable**
**Please note that if OGC determines that another department or office needs to be consulted or
made aware of any provision contained in the agreement, your document will be returned to you
without review or approval and the process will need to start again.
Department Head ___________________________________ Date ________________________
FOR OGC USE ONLY
OGC Comments: _________________________________________________________________________________________________
_______________________________________________________________________________________________________________
OGC Signature: _____________________________________________________ Date Received: ________________________________
Date Approved: ________________________________
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To facilitate legal and technical sufficiency review, all (University of the District of Columbia)

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Completed 24 July 2020

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