UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SUBAWARD REQUEST FORM Subaward No. 1. UCSF INFORMATION 2. SUBRECIPIENT INFORMATION Prime Sponsor Subrecipient Legal Name in DUNS RAS Award ID RAS Project ID Subrecipient DUNS Subrecipient EIN (9-digit) UCSF Principal Investigator Subrecipient Principal Investigator Department Subrecipient Department Email Email RMS RSC Contact Information Subrecipient Office of Sponsored Research Contact Email Email Departmental Contact for Invoicing Questions Email for Award Documents (if different than above) Email Please provide the contact information for the Department Analyst or Program Manager to whom the Subrecipient can direct questions regarding the status of unpaid invoices. 3. NEW SUBAWARDS Current Budget Period to Budget for Initial Period $ Total Estimated Period to Total Estimated Budget $ Indirect Cost Rate % Select one: Federal Rate Per prime sponsor policy De Minimis Rate (10%) Final Subaward Project Documentation Upload Final Scope of Work (SOW) Upload Final Budget Working Capital Advance Request $ Detailed Budget for Advance Upload Hardship Letter Upload PI Monitoring Letter 4. AMENDMENT to Subaward # Amendment Actions: To Increase or Decrease Funding complete below: Check all that apply: Budget Dates No Cost Extension Early Termination Increase/Decrease in Funding $ Updated/Revise Scope of Work Updated Revise Budget $ Other (see comments in Section 7) Attach updated or revised subaward documents using the buttons below: $ A. Increase by this amount B. Decrease by this amount C. Carry forward amount 1003 (Rev. 03/2018), 1 of 2 Carryforward will be automatic unless indicated here: Restrict carryforward New End Date UCSF Contact for questions about this subaward or the information on this form: Change in PI: New Subrecipient PI: New UCSF PI: to Effective Date of Change: Email: Phone: Fixed price - check this box to issue a fixed price subaward: Sponsor approval documentation must be attached, if applicable Fixed price subaward NIH Foreign Site Rate (8%)