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university of tennesee contract review form

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					                                                                        CONTRACT REVIEW FORM
                                                                                                                      Contract Tracking #

                                                                           TO BE COMPLETED BY DEPARTMENT

  CAMPUS/ENTITY:                                                                                                     IRIS REQUISITION #

  TO:         CONTRACT OFFICE                                                                                              DATE:

                                                                                                                            # OF COPIES:

  RESPONSIBLE PERSON:                                                          PREPARED BY:                                              PHONE:

  UT DEPT:                                                                                                        COST CENTER/WBS #:
  PURPOSE/TITLE:




  AGENCY OR INDIVIDUAL (Name):                                                                                                PHONE #:

  ADDRESS:                                                                                   CITY:                                      STATE:           ZIP:

  FEDERAL ID # (If Agency):                                                                  SSN (If Individual):

  IF INDIVIDUAL:         U. S. CITIZEN?         Yes Γ No Γ               IF NO, VISA TYPE:                                      COUNTRY:

  CONTRACT PERIOD FROM:                                            TO                           AMOUNT                              CUMULATIVE

  WILL MONEY BE RECD. BY UT? Yes Γ No Γ                          ACCT # TO BE CHARGED/CREDITED:                                       INVOICED BY:

  RETURN INSTRUCTIONS:

  (       )   Return By Mail To:                                                                  (      ) Please Call For Pickup (Name):

                                                                                                            Telephone #:

  Approval:                                                      Date:                                Approval:                                          Date:

  Approval:                                                      Date:                                Approval:                                          Date:

                                                 Completed Contract Certification must appear on reverse side or be attached.

                                                                            FOR CONTRACT OFFICE USE ONLY
  Rush:                                                                                                                             Campus Delegated:
                                                                              Review Only:
  Walk Thru:                                                                                                                            Non-Delegated:

  Contract Office and/or Officer Comments (If Applicable):



  Signed By Authorized Designee: Date                                                                  Sent To Treasurer’s Office: Date



                                                                           FOR TREASURER’S OFFICE USE ONLY

  Treasurer’s Comments (If Applicable):



  General Counsel’s Comments (If Applicable):




  Sent To VP: Date                                           Signed By VP: Date                                     Filed In Treasurer’s Office: Date


The University of Tennessee Contract Review Form (Rev. 06//04)

				
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