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CONSULTANT SERVICE REQUEST INVOICE
(Page One)
WASHINGTON UNIVERSITY CONSULTANT SERVICE REQUEST INVOICE
(Use for Charges on Sponsored Projects 38X, 4X, 5X, and 6X Funds)
INSTRUCTIONS:
The Principal Investigator (P.I.) should complete and sign Page 1 and obtain the consultant’s signature
indicating acceptance.
The Consultant should complete and sign the Consultant’s Invoice (top of Page 2).
The P.I. must then complete the Requestor’s Certification Of Invoice (bottom of Page 2) for payment to
be made.
The “Consultant’s Invoice” section may be used for partial payment if service is for an extended period.
For claiming travel and subsistence expenses attach a copy of this form to the Travel Expense form.
Signature of
Request Date:
Requestor (P.I.):
Department:
Printed Name:
The Consultant is requested to provide services as specified below:
1. Consultant’s name and address
2. Consultant’s current employer:
3. Project (Sponsor’s ID and title):
4. Estimated performance period:
From
to
5. & 6. Services requested and relevance of services to project.
Detail the services requested (scope of work) and relevance of services to the project. Specify if a
written report is required. Special provisions such as ownership of proprietary information should
be detailed. Consultation with the Research Office is recommended if special provisions are
anticipated. Attach additional sheets as necessary.
7. Fee and unit (per day, per service unit, etc.): $
/
8. Other expenses to be paid (e.g., travel):
Consultant’s acceptance (signature):
Revised 9/02