*Relevant Extramural SOP: *

*[Last revised: ]{.underline}[September 7, 2005]{.underline}*

(Delete this and everything above it when using the form. Do not fill
out online. See .)

**[NIH-1943]{.underline}**

[(Rev. 6-72)]{.underline}

*[Instructions to Contractor]{.underline}*

*[Submit original and 3 copies]{.underline}*

*[Sign original]{.underline}*

*[Conform signature on copies]{.underline}*

**[Contractor\'s Name]{.underline}[ ]{.underline}[Contract
No.]{.underline}**

**[Street Address]{.underline}[ ]{.underline}[Contractor\'s
Assignment]{.underline}**

**[City and State]{.underline}**

[ CONTRACTOR\'S ASSIGNMENT OF REFUNDS, REBATES AND CREDITS]{.underline}

[ Pursuant to the terms of Contract No. and in consideration of the
reimbursement of costs and payment of fee, as provided in the said
contract and any assignment thereunder, the ]{.underline}

[ (Contractor\'s Name and Address)]{.underline}

[(hereinafter called the Contractor) does hereby:]{.underline}

[ 1. Assign, transfer, set over and release to the UNITED STATES OF
AMERICA (hereinafter called the Government), all right, title and
interest to all refunds, rebates, credits or other amounts (including
any interest thereon) arising out of the performance of the said
contract, together with all the rights of action accrued or which may
hereafter accrue thereunder.]{.underline}

[ 2. Agree to take whatever action may be necessary to effect prompt
collection of all refunds, rebates, credits or other amounts (including
any interest thereon) due or which may become due, and to promptly
forward to ]{.underline}

[checks (made payable to the Treasurer of the United States) for any
proceeds as collected. The reasonable costs of any such action to effect
collection shall constitute allowable costs when approved by the
Contracting Officer as stated in the said contract and may be applied to
reduce any amounts otherwise payable to the Government under the terms
hereof.]{.underline}

[ 3. Agree to cooperate fully with the Government as to any claim or
suit in connection with refunds, rebates, credits or other amounts due
(including any interest thereon): to execute any protest, pleading,
application, power of attorney or other papers in connection therewith;
and to permit the Government to represent it at any hearing, trial or
other proceeding arising out of such claim or suit.]{.underline}

[ IN WITNESS WHEREOF, this assignment has been executed this day of 20
.]{.underline}

[ WITNESSES]{.underline}

[ (Contractor)]{.underline}

[ By ]{.underline}

[ Title ]{.underline}

[ (NOTE: In the case of a corporation, witnesses are not required, but
the following certificate must be completed.)]{.underline}

**[ ]{.underline}[CERTIFICATE]{.underline}**

[ I, , certify that I am the ]{.underline}

*[ ]{.underline}[(Official Title)]{.underline}*[ ]{.underline}

[of the corporation named as Contractor in the foregoing assignment;
that who signed said assignment on behalf of the Contractor was then of
said corporation; that said assignment was duly signed for and in behalf
of said corporation by]{.underline}

[ ]{.underline}*[(Official Title)]{.underline}*

[authority of its governing body and is within the scope of its
corporate powers.]{.underline}

[(CORPORATE SEAL) ]{.underline}