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DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE COMMISSIONED CORPS PHS-6059 Rev. 3/05 REQUEST FOR OVERSEAS STATION ALLOWANCES 1. IDENTIFICATION A. NAME (Print or type) B. GRADE FOR OCC
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PHS Form 6059 is a form used for reporting financial interests.
All individuals who are involved in PHS-funded research are required to file PHS Form 6059.
PHS Form 6059 can be filled out online or in hard copy. It requires information about significant financial interests related to PHS-funded research.
The purpose of PHS Form 6059 is to disclose any financial interests that could potentially bias the design, conduct, or reporting of PHS-funded research.
Information such as the nature and value of financial interests, the name of the entity in which the interests are held, and the relationship to the PHS-funded research must be reported on PHS Form 6059.
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