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Office of Sponsored Programs CONFLICT OF INTEREST DISCLOSURE FORM 2 FOR USE WITH CONTRACTS THAT INCLUDE CONFLICT OF INTEREST CLAUSES FROM GOVERNMENTAL ENTITIES Investigator Name: Department/College:

How to fill out conflict of interest disclosure

How to fill out conflict of interest disclosure:

1. Begin by reading and understanding the requirements and guidelines for filling out a conflict of interest disclosure form. This may differ depending on the organization or institution you are affiliated with. Familiarize yourself with any specific instructions or formatting requirements.
2. Start by providing your personal information, such as your name, contact details, and position within the organization.
3. Identify any potential conflicts of interest that you may have. This could include any financial relationships, investments, or business affiliations that could potentially influence your decision-making or create a bias in your work.
4. Clearly and concisely describe each potential conflict of interest in detail. Include specific details about the nature of the conflict and how it relates to your role or responsibilities within the organization.
5. Indicate the steps you have taken or plan to take in order to manage or mitigate each potential conflict of interest. This could include measures such as recusal from certain decision-making processes, seeking impartial advice, or divesting from financial interests that may pose a conflict.
6. If applicable, disclose any conflicts of interest involving immediate family members or close associates. It is important to be transparent about any relationships that may influence your decision-making indirectly.
7. Review the disclosure form for accuracy and completeness before submitting it. Make sure all required fields have been filled out and that the information provided is accurate and up-to-date.
8. Sign and date the disclosure form, affirming that the information provided is true to the best of your knowledge.
9. Submit the completed form according to the instructions provided. Some organizations may require you to submit it electronically, while others may prefer a physical copy.

Who needs conflict of interest disclosure?

1. Individuals who hold positions of authority or decision-making power within an organization, such as board members, executives, or senior management.
2. Employees or contractors who may have a financial interest in a particular project or transaction.
3. Researchers or academics who may have financial relationships with external entities that could potentially influence their work or findings.
4. Public officials or government employees who may have relationships or investments that could impact their impartiality or objectivity in carrying out their duties.
5. Any individual involved in situations where personal or financial interests could potentially conflict with the best interests of the organization or the public they serve.

For pdfFiller’s FAQs

What is conflict of interest disclosure?

Conflict of interest disclosure is a process where individuals or organizations reveal any potential conflicts between their personal interests and their duties or responsibilities in a particular setting.

Who is required to file conflict of interest disclosure?

Certain individuals, such as employees, board members, and key decision-makers in an organization, are typically required to file conflict of interest disclosures.

How to fill out conflict of interest disclosure?

Conflict of interest disclosures are usually filled out by providing detailed information about any potential conflicts of interest, including relationships or financial interests that may influence decision-making.

What is the purpose of conflict of interest disclosure?

The purpose of conflict of interest disclosure is to promote transparency, accountability, and ethical behavior by ensuring that potential conflicts are identified and appropriately managed.

What information must be reported on conflict of interest disclosure?

Information such as financial interests, relationships with external parties, and any other potential conflicts that may arise in the context of one's responsibilities should be reported on conflict of interest disclosure forms.

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