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Conflict of Interest Attestation Revision 3.18.15 Title of project as submitted on the sponsored project application/agreement or IRB application: Name of Principal Investigator: The following items

How to fill out conflict of interest attestation

How to fill out conflict of interest attestation:

1. Obtain the conflict of interest attestation form from your organization or employer.
2. Read the instructions carefully to understand the purpose and requirements of the attestation.
3. Fill in your personal details accurately, including your full name, job title, department, and contact information.
4. Familiarize yourself with the definitions and examples of conflicts of interest provided in the form. This will help you identify any potential conflicts that need to be disclosed.
5. List any financial interests or relationships that may create a conflict of interest. Be thorough and transparent while disclosing information about stocks, investments, business associations, consultancies, or other financial dealings.
6. If applicable, disclose any relationships or affiliations with organizations or individuals that may pose a conflict of interest.
7. Sign and date the attestation form, affirming that the information provided is true and accurate to the best of your knowledge.
8. Submit the completed attestation form as instructed by your organization or employer.

Who needs conflict of interest attestation?

1. Employees working in organizations, particularly those involved in sensitive positions such as procurement, finance, or decision-making roles.
2. Individuals serving on boards of directors, advisory committees, or other governing bodies.
3. Professionals in fields such as healthcare, finance, or research, where conflicts of interest might arise due to financial relationships or industry connections.
4. Government officials or public servants who have decision-making authority or are involved in regulatory activities.
5. Any individual who may have potential conflicts of interest due to their personal or financial relationships.

Note: The specific requirement for a conflict of interest attestation may vary depending on the organization, industry, or jurisdiction. It is essential to understand your organization's policies and guidelines regarding conflicts of interest and comply accordingly.

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What is conflict of interest attestation?

Conflict of interest attestation is a statement or declaration made by an individual acknowledging that they do not have any conflicts of interest that could affect their decision-making in a particular situation.

Who is required to file conflict of interest attestation?

Individuals who are in positions of authority or decision-making roles within an organization, such as board members, executives, and managers, are typically required to file conflict of interest attestations.

How to fill out conflict of interest attestation?

To fill out a conflict of interest attestation, the individual must disclose any potential conflicts of interest they may have, including financial interests, relationships, or other factors that could influence their decision-making.

What is the purpose of conflict of interest attestation?

The purpose of conflict of interest attestation is to promote transparency and integrity in decision-making processes, and to ensure that individuals in positions of authority act in the best interests of the organization rather than their own personal interests.

What information must be reported on conflict of interest attestation?

Information that must be reported on a conflict of interest attestation typically includes any financial interests, relationships, or other potential conflicts of interest that could influence decision-making.