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Please Return To: Attn: Fax: Address: University of Pittsburgh School of Medicine School of Pharmacy University of Pittsburgh Medical Center for Continuing Education in the Health Sciences DISCLOSURE
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How to fill out disclosure form 12 29:
01
Begin by carefully reading the instructions provided with the form. This will ensure that you understand what information needs to be disclosed and how to properly fill out the form.
02
Gather all the necessary documents and information that are required to complete the form. This may include financial statements, tax returns, and other relevant documentation.
03
Start by filling out the basic information section of the form, such as the name of the individual or organization making the disclosure, contact information, and any other requested details.
04
Proceed to the disclosure section of the form, where you will need to provide a detailed account of the information that is being disclosed. This may include financial interests, business relationships, or any other relevant disclosures as required by the form.
05
Be sure to provide accurate and complete information for each disclosure. Double-check all the details and make sure that any required supporting documentation is attached or referenced properly.
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After completing the form, review it thoroughly to ensure that all the information provided is correct and accurate. This will help avoid any potential issues or discrepancies that could arise from incomplete or incorrect disclosures.
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Make a copy of the filled-out form for your records and submit the original form as per the instructions provided.
Who needs disclosure form 12 29:
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Individuals or organizations who are required by law or regulation to disclose certain information.
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Professionals or employees who have a fiduciary duty or are in positions of trust that demand disclosure of potential conflicts of interest.
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Anyone involved in financial transactions or activities that require full transparency and disclosure of relevant information.
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