HRC Contract Variation Request Form

HRC Contract Variation Request Form

This form is used to provide information to the HRC about proposed variations to current research contracts with the HRC. Attach other documents or evidence as necessary. The HRCmay request further information in order to determine whether or not the request should be approved.

Note: Host organisations must notify the HRC as early as possible that they intend to submit a variation request. The HRC will make the final decision as to whether or not the variation is approved. The variation will not be considered as in effect until the HRC has notified the Host organisation that approval has been granted.

Note: If this contract is funded through the HRC’s Partnership Programme, please confirm that this request will not impact on the contract meeting any of the requirements as outlined in the original Request for Proposals (RFP) document (see Section G).

HRC Ref ID number / Date submitted
Contract title
First NIname & signature
Organisation
Department
Main RO contact
Organisation delegated authority name and signature

Variation Request

Section A - Variation of contract outcomes/objective(s)

If this request will change the intended outcomes of the contract as a whole, or change the nature of the work as outlined incurrently contracted objectives, please briefly answer the following questions.

A.1What is/are the proposed variation(s)?
A.2What is the rationale for the proposed variation(s)?
A.3How will the intermediate outcome or the intended outcomes of the contract be impacted?
A.4How will the intended benefits to NZ health be affected?

Section B - Variation of contract milestone(s)

If this request will change the nature of the work as outlined in currently contracted milestone(s), please briefly answer the following questions.

B.1What is/are the proposed variation(s)?
B.2What is the rationale for the proposed variation(s)?

Section C - Variation of investigator(s)

If this request will change any contract investigators, please briefly answer the following questions.

C.1What is the proposed change to the contract investigators?
(List any investigators to be added, removed or substituted)
C.2What is the rationale for this change?Describe the relevant track record of anyproposed new investigators.
(Please attach a CV for each proposed new investigator)

Section D - Variation of FTE commitment

If this request will change the time commitment of named Investigators and/or other researchers, please briefly answer the following questions.

D.1Name / Role
(e.g. Key researcher, Key individual, etc) / Current FTE commitment / Proposed new FTE commitment
D.2What is the rationale for the proposed variation(s)?

Section E - Variation of any other part of the contract

If this request will vary any other aspect of the contract (e.g. subcontracts, co-funding, etc), please briefly answer the following questions.

E.1What is/are the proposed variation(s)?
E.2What is the rationale for the proposed variation(s)?

Section F - Variation to extend the contract

If this a request to extend the length of the contract, please briefly answer the following questions. Note extensions may only becost-neutral.

F.1How many additional months are required and what is the proposed end date?
F.2What is the rationale for the extension and what will be done to overcome the reason for delay?
F.3What measures or risk mitigation strategies (if any) have been put in place by the host institution to ensure that the contract will be able to be completed in the new timeframe without any further delays?

Section G–For Partnership Programme contracts only

If this contract is funded through the HRC’s Partnership Programme, please confirm that this request will not impact on the contract meeting any of the requirements as outlined in the original Request for Proposals (RFP) document.

Notes

1)Variation requests should be sent as soon as research performance issues arise, not within the last month of the contract.

2)Research progress reports should alsodocument delays or significant issues that have affected the contract.

3)Work that extends or significantly goes beyond the research originally proposed may be outside the scope of the contract, so a contract variation would not be appropriate.