Forward a copy of all license and option agreements and Checklist results to the institution's President or designee for approval and execution of the Agreement pursuant to the Regents’ Rules.

U T SYSTEM LICENSE TRANSMITTAL FORM L

REQUEST FOR INSTITUTIONAL REVIEW AND APPROVAL

Date: __________________

Institution: ____________________

Name of Institution's President [or insert name of Approved Designee].
Title
Name of Institution
Address of Institution
City, Texas Zip Code

RE: [Insert name of Agreement] with [insert name of other party or parties] ("Agreement")

Investigator: [insert name of Investigator]

Dear President ___________ (or insert name, and title if applicable of Approved Designee):

Please review the above-referenced proposed [insert "license" or "option"] Agreement attached for your convenience.

I have reviewed the proposed Agreement, using the Office of General Counsel's License Checklist:

• It has been revised and conformed to the Office of General Counsel's License Checklist recommendations;

or

• It deviates in the following respects from the recommendations of the Office of General Counsel's License Checklist; however, extenuating circumstances justify acceptance even though the Agreement fails to meet normal expectations.

[In the event of any deviations from the recommendations of the OGC License Checklist, insert the following and list all deviations;

The deviations rom the recommendations of the Office of General Counsel's License Checklist are as follows:

1.
2.
3.

[ETC.]

Explanations regarding the above-listed deviations are as follows:

1.
2.
3.

Sincerely,

________________________
[Insert Contract Administrator's Name]

[Insert title]

Attachments:

1) Copy of Agreement

[If any attachments, insert "2) Copy of all attachments to Agreement")

APPROVED

I hereby approve the Agreement and all attachments, if any.

By: ________________________________
President [or insert title of Approved Designee]

Date: _______________________________

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