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CONTRACTS AND GRANTS

FORMS: STATEMENT OF INTENT

Statement of Intent to Establish a
Consortium/Contractual Arrangement

The appropriate programmatic and administrative personnel of each institution involved in this grant application are aware of the NIH consortium grant policy and are prepared to establish the necessary inter-institutional agreement(s) consistent with that policy.

Project Title:
Period of Performance:
Grant Number:
Approved:

Prime Grantee:
Regents of the University of California
Collaborating Institution:
___________________________
Joan Kaiser
Contracts and Grants Officer
Office of Research Affairs
___________________________
Institutional Official

___________________________
Date
___________________________
Date
___________________________
Principal Investigator
___________________________
Principal Investigator
___________________________
Date
___________________________
Date