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This form must be completed by each author to disclose any conflicts of interest associated with the manuscript submitted to the Journal of Cardiovascular Translational Research. The form requires
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How to fill out conflict of interest disclosure
How to fill out Conflict of Interest Disclosure Form
01
Obtain the Conflict of Interest Disclosure Form from your organization.
02
Read through the instructions carefully before starting to fill out the form.
03
Provide your personal information, such as your name, position, and contact details.
04
List any potential conflicts of interest by describing your relationships, financial interests, or other relevant affiliations.
05
Indicate the nature of each conflict and specify how it might affect your duties.
06
Review your responses for accuracy and completeness.
07
Sign and date the form to affirm that the information provided is truthful.
08
Submit the completed form to the designated authority within your organization.
Who needs Conflict of Interest Disclosure Form?
01
Employees and contractors of organizations who have the potential for conflicts of interest.
02
Board members and executives involved in decision-making processes.
03
Any individual who engages in transactions or activities that could be seen as conflicting with the interests of the organization.
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How to write a declaration of conflict of interest?
State the reasons why you think these interests could, or could be seen to, influence your decisions, actions or advice. Finally, set out the steps you intend to take, or which you may require others in the department to take, to mitigate any conflict arising. Attach supporting documentation if required.
How do you declare conflict of interest?
You can declare the conflict of interest in your cover letter or on the manuscript submission form in the journal's online peer-review system. Conflict of interests can be financial or non-financial in nature.
What is an example of a declaration of interest?
I declare that: I am aware that my information has been collected for the purpose of identifying material personal interests that could influence, or could be seen to influence, the decisions that the employee covered by the declarations policy takes or the advice he/she gives.
How do I disclose a conflict of interest?
Many businesses, when faced with deciding how to disclose conflict of interest within their organizations, create a customized conflict of interest disclosure form to distribute to relevant employees. Any form distributed for conflict of interest disclosure should contain clear, structured guidelines.
How to write a conflict of interest sample?
The authors whose names are listed immediately below certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers' bureaus; membership, employment, consultancies, stock ownership, or other equity
How to fill a conflict of interest disclosure form?
Name of party/ individual with whom I may have a direct or indirect potential relationship: Details of my relationship with the party: Type of Conflict (select which apply): Relationship of the conflicted party with the Group: Any other details:
What is a sample disclosure statement for conflict of interest?
I confirm that neither I nor any of my relatives nor any business with which I am associated have any personal or business interest in or potential for personal gain from any of the organizations or projects linked to XYZ AIS.
How to write a conflict of interest declaration?
Name of party/ individual with whom I may have a direct or indirect potential relationship: Details of my relationship with the party: Type of Conflict (select which apply): Relationship of the conflicted party with the Group: Any other details:
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What is Conflict of Interest Disclosure Form?
A Conflict of Interest Disclosure Form is a document used to identify any personal, professional, or financial interests that may conflict with an individual's responsibilities and duties within an organization.
Who is required to file Conflict of Interest Disclosure Form?
Individuals such as employees, board members, contractors, or any other personnel involved in decision-making processes within the organization are typically required to file the Conflict of Interest Disclosure Form.
How to fill out Conflict of Interest Disclosure Form?
To fill out a Conflict of Interest Disclosure Form, individuals should provide their personal information, detail any potential conflicts, describe relationships or interests that could influence their decisions, and sign and date the form to confirm its accuracy.
What is the purpose of Conflict of Interest Disclosure Form?
The purpose of the Conflict of Interest Disclosure Form is to promote transparency and accountability within an organization by identifying and managing any potential conflicts of interest.
What information must be reported on Conflict of Interest Disclosure Form?
The form typically requires reporting of personal and professional relationships, financial interests, affiliations, and any other relevant information that could lead to a conflict of interest.
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