Contingency Application (1) **PLEASE DOWNLOAD THIS FILE OR MAKE A COPY BEFORE INPUTTING ANY INFORMATION**.xlsx

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2												Contingency funding is intended to support activities as described in the NIHR Performance and Operating Framework and can be used to support staff and non-staff costs, including sessional and service support costs elements.
3	contingency		PLEASE DOWNLOAD THIS FILE OR MAKE A COPY BEFORE INPUTTING ANY INFORMATION Contingency Funding Application Form
4			Section 1. Applicant Details
5			Organisation Name			Applicant Name	Job Title	Email		Telephone	Date
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7			Section 2. Funding Request		£0
8			Staff Cost (£)	Band	WTE	Staff Name	Job Title	Specialty Area		Start Date	End Date	Start Date & End Date: must be within the current financial year
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10												Specialty Area: click below to look up
11												click here, then click the button on the right
12			Non-staff Cost (£)	Description of use of funds				Area of Non-staff Cost		Start Date	End Date
13												Area of Non-staff Cost: click below to look up
14												click here, then click the button on the right
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16			Section 3. Justification
17			If this funding is to support clinical delivery of study/studies, please provide details here
18			Study Acronym	Study Type		Study Opened Date at site	Projected YearEnd Recruit without contingency	Additional Recruit with contingency funding		TOTAL Recruit
19				please select						0
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23			Further justification: Please state why this funding is required and how it will be used to support NIHR activity
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28			Section 4. Declaration
29			I, the applicant, confirm that the Trust R&D Manager (or equivalent e.g. Senior Partner) has agreed to provide appropriate organisational support for this application. The name and contract details of the R&D Manager who has agreed the application is as follow:
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31			Name		Job Tittle		Email		Telephone		Date
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34			Section 5. SWP Decision		OMG: Approve / Decline		CLG: Approve / Decline		Executive: Approve / Decline			Approve/Decline: please delete as appropriate
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37		> The SWP COO or Deputy COO will write to the Applicant to inform the outcome of the application, copying to SWP Finance Officer
38		> If the application is approved:
39		>> for Trusts -- SWP Finance Officer will update the Trust's Funding Schedule to include the approved contingency funding and email the updated Schedule to the Trust's R&D Manager and Accountant.
40		>> for other Organisations -- the SWP COO or Deputy COO will invite the Organisation to invoice the approved contingency funding. The Organisation must address the invoice as below and then email the invoice to admin.crnswp@nhs.net for process.
41			Invoicing address:
42			NIHR Clinical Research Network SWP
43			Royal Devon and Exeter NHS Foundation Trust
44			Cash Management Department
45			Gladstone Road
46			Exeter
47			EX1 2ED
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