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UCLA and SPH Forms and Templates

A. UCLA Forms and Templates

UCLA requires certain forms for submission of contract and grants that are particular to UCLA such as the Request for Proposal Approval and Submission and Disclosure of Financial Interest statements.

Below is a link to the OCGA forms webpage and direct links to the forms for downloading.Office of Contract and Grants- Forms: www.research.ucla.edu/ocga/Forms.htm.
  1. Request for Proposal Approval and Submission (familiarly known as the "Goldenrod") is the UCLA internal form used for the review of applications or proposals submitted to extramural funding agencies. Note: It is not to be used for projects funded through the Academic Senate, nor individual National Research Service Awards (NRSAs) from the Public Health Services or National Institutes of Health, which are handled through the Graduate division. Goldenrod Form: http://www.research.ucla.edu/ocga/sr2/GoldRinfo.htm

  2. Disclosure of Financial Interest forms
    http://www.research.ucla.edu/researchpol/coi.htm

    a.  State (UCLA Form 700-U) Under California law, Principal and Co-Principal Investigators are required to disclose financial interests in a non-governmental source (such as a private agency, foundation or company) if that source (sponsor) provides funds for a research project.

    b.  Federal (UCLA Form 740) Since October 1, 1995, investigators submitting proposals to the National Science Foundation and the Public Health Services (including NIH) are required to disclose financial interests that may be related to the work performed under a sponsored project. Disclosure is required any time a proposal is submitted, when changes to financial interest(s) occur or a new investigator is added to a project for which disclosure is required.

B. UCLA School of Public Health Forms

The UCLA SPH requires certain forms for submission of contracts and grants proposals going through the School of Public Health (SPH) for goldenrod signature. The Department MSO will usually prepare these forms. Any proposal involving a SPH Principal Investigator must go through SPH and OCGA for review and signature. Proposals should never be sent directly to the agency without first going through SPH and OCGA. Sending proposal drafts to OCGA for guidance and help is encouraged and does not have to wait until after Dean's Office approval. However, the final version signed by OCGA and sent to the agency, of course, must have the Dean's office signature first.
  1. SPH Proposal Check List - This checklist includes all the proposal items that the Deans office will need to review and sign the goldenrod.
    Download PDF

  2. PI Exception Form - This form is used for those submitting a grant as a Principal Investigator that do not automatically qualify as such under UCLA Policy 900.
    Download PDF
        Download MSWord/Rich Text Format
  3. IDC Explanation Form - This form is used when indirect costs are different than their full negotiated rate.
    Download PDF

  4. E-RAS - Request for Authorization to Spend Funds Prior to Receipt of an Award Submit a E-RAS whenever it is necessary to obtain an account/fund number for an extramural funded project prior to the receipt of the actual award from the sponsor. UCLA Policy 920 describes the circumstances in which it is permissible to spend funds prior to the receipt of the award.
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