Research Project Change Request

ODOT Agreement #*

Is this project awarded to a university?*

Yes No

You must first obtain approval from your University's Research Office before proceeding. Clicking below acknowledges that you have received approval from your Research office to submit the change request.*

Yes, I acknowledge that my Research Office has approved the details of my request.

E-mail address for your Sponsored Research Officer*

Project Name*

Principal Investigator (PI) Name*

PI Phone #*

###-###-####

E-mail address for confirmation of submission*

Type of Request (check all that apply):*

Budget Reallocation (to move existing funds between budget categories) Funding Changes (results in an addendum to the contract) Permission to Disseminate Preliminary Results Personnel Change Scope Change (results in an addendum to the contract) Task Changes (changes to activities) Time Extension (results in an addendum to the contract) Travel Authorization

Budget Reallocation Form*

No File Chosen

File uploads may not work on some mobile devices.

For existing budget adjustments, not for new funding. Save the file to your computer, fill it out, then upload here.

Budget Reallocation Form

Budget Form*

No File Chosen

File uploads may not work on some mobile devices.

Please enter the new funds being requested only. Do not enter the entire project budget. Save the file to your computer, fill it out, then upload here.

Budget Form

Summarize why additional funds are being requested*

Used to request additional funding for a project.

Please check all options that apply to your current request.*

Article Poster Session Abstract Presentation Abstract

Have you been accepted to present at a conference?*

Yes No

You must first be accepted as a presenter before asking for Travel Authorization.

Do you plan to invoice ODOT for travel to/from the event? *

No Yes

Please give a description of the activity (including date)*

Name of event*

Event date*

Event location*

ODOT response needed by:*

How does ODOT benefit from your participation in this event?*

Enter name of publication*

Presenter Name(s)*

Attach a copy of the article you plan to submit *

No File Chosen

File uploads may not work on some mobile devices.

Attach a copy of the abstract *

No File Chosen

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Attach a copy of the agenda that identifies the location and dates of event. If available, include the schedule showing the presenter name(s).*

No File Chosen

File uploads may not work on some mobile devices.

Please Select Type of Personnel Change *

Adding new team member Replacing team member Removing team member

Be sure to check your budget. Does this personnel change affect your budget? If yes, click "Funding Changes" also.

Is this person being replaced?*

Yes (change selection above to replacing team member) No

Please give the name of the replacement person, and describe their role.*

Describe the situation that has led to this personnel change (include names)*

Please name the team member being removed from the project, and explain why they are being removed. *

Describe the role of the new team member*

Name and role of team member that is being replaced*

New team member's name*

New team member's phone #*

New team member's e-mail address*

Attach a summary of qualifications for new team member *

No File Chosen

File uploads may not work on some mobile devices.

Attach a letter of support from new team member acknowledging their project involvement.*

No File Chosen

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What prompted the scope change?*

List any original deliverables being removed*

List new deliverables being added and include anticipated submission date of each*

Are you requesting additional time?*

No Yes - check the Time Extension box at the top of the form

Attach one file describing revised work plan and project schedule. *

No File Chosen

File uploads may not work on some mobile devices.

What prompted the change in work task(s)?*

List each task number that is being changed and discuss the change(s)*

Explanation for requesting additional time (a brief paragraph should be provided and will be used as the explanation for approvals):*

What is the current project completion date?*

How many additional months are being requested?*

Attach a project schedule identifying the work that will be done during the additional time period*

No File Chosen

File uploads may not work on some mobile devices.

What is the reason for this travel request?*

What is the benefit to the department for this request?*

Traveler 1 Name*

Traveler 2 Name, if applicable

Traveler 3 Name, if applicable

Traveler 4 Name, if applicable

Are you requesting additional funding for this travel?*

No Yes - please check the Funding Increase box at top of form to provide information