Contract ApprovalRouting Form - UIUC (MS Word)

							                                                                            For Office of Business and Financial Services use only.
University of Illinois
Contract Approval/Routing Form                                              Contract No. ________________________________
Urbana-Champaign                                                            BOT Approval _____________________________


Department:          _____________________________________________ Coll/Dept Code: _____ M/C: ___

Contact Person:      ______________________________                  Phone:    _______________            Fax:    _______________

Campus Address:      ______________________________                   EOS Request No. (if applicable):   _______________


Contractor/Client:

 Check all boxes that             New contract           Amendment             Assignment          Option to renew/ or Extension
 apply:                           Funds payable*         Funds receivable      No Funds Payable or Receivable

 Account                                     Contract                                      Start Date:   _____________________
 Number:      __________________             Amount:      __________________               End Date:     _____________________
 * If this contract is for professional services, complete the Professional and Artistic   For Purchasing Division Use Only:
 Supplemental Form. Send the Supplemental Form, this form, and the contract to the
 Purchasing Division, 212 E. Green St., Suite 616, MC 364, for approval and routing.

Brief Description of Services or Nature of Agreement:




APPROVALS Please route AT LEAST TWO COPIES of the contract/document for approval in the order provided
below. The Contracts Processing Office retains one fully executed original of the contract on behalf of the Board of Trustees
Office for the official University files.

Faculty/Staff                                                                                                                   Date

Department Head (Required)                                                                                                      Date

Dean/Director (Required if contract exceeds $25,000)                                                                            Date

Vice Chancellor/Chancellor (Required if contract exceeds $50,000)                                                               Date

Office of University Counsel (258 Henry Administration Building)                                                                Date

Comptroller or Designee                                                                                                         Date
(Office of the Executive Assistant Vice President for Business and Finance, 109 Coble Hall)


Secretary of the Board of Trustees or Designee (352 Henry Administration Building)                                              Date


Contracts Processing Office (126 Henry Administration Building)                                                                 Date


 Comments:


Rev. OBFS 5-07