Cost Sharing Request

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THOMAS JEFFERSON UNIVERSITY
COST SHARING REQUEST
Complete and upload this signed form in the ePTF in order to document cost sharing requests and
approval. Include cost categories (salary, fringe, non-salary, F&A) and related budget periods in your
calculations; a sample spreadsheet is attached.
 Voluntary
 Mandatory (required by sponsor)
Type of cost sharing :
I am writing to request approval for cost sharing totaling $________________ on a grant proposal to the
___________________________(sponsor) .
The total amount being requested from the sponsor is
$__________________ and if awarded the grant will run from ___/___/___ to ___/___/___.
The cost shared expenses will be funded by account __________________________. The department is
able to document these auditable charges.
The exceptional circumstances that justify this request are checked below:
 Principal Investigator is junior faculty (i.e., Assistant Professor).
Principal Investigator's sponsored research portfolio's effective/blended rate (expensed
indirects/directs from previous FY) is greater than 35%.
 Advance scientific knowledge or educational mission that the University wishes to invest in,
according to the strategic plan.
Provide details below.
 Help the University secure additional funding.
Provide details below.
 Other (include justification describing benefit to TJU).
Provide details below.
_______________________________
Signature of Principal Investigator
________________________________
________________________________
Signature of Chair
Signature of Administrator
Upload the signed form and completed spreadsheet to the ePTF 10 days before the due date at proposal stage for Dean/
Designee review. Their electronic signature on the ePTF indicates approval.
For cost sharing during the postaward stage, forward this signed form to the appropriate ORA representative. Prior
approval is required.
REV February 2013

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