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DUKE UNIVERSITY Office of Research AdministrationCONSULTANT/COLLABORATOR FCI DISCLOSURE FORM PROPOSAL The United States Public Health Service (PHS) Financial Conflict of Interest (FCI) policy (effective

How to fill out consultant fcoi disclosure form

How to fill out consultant fcoi disclosure form

1. Obtain the consultant fcoi disclosure form from the appropriate department or individual within your organization.
2. Read the instructions and guidelines provided along with the form to understand the requirements and expectations.
3. Fill in your personal information accurately, including your name, contact information, and any relevant identification numbers.
4. Provide detailed information about your consulting activities, such as the duration, parties involved, and financial aspects.
5. Clearly disclose any potential or actual conflicts of interest that may arise due to your consulting work.
6. If applicable, attach any supporting documentation or evidence to support your disclosure.
7. Review the completed form for any errors or missing information, ensuring that all sections are properly filled out.
8. Submit the consultant fcoi disclosure form according to the specified method or to the designated individual.
9. Keep a copy of the submitted form for your records in case of future reference or audits.

Who needs consultant fcoi disclosure form?

1. Consultants or individuals who engage in consulting activities and have the potential or actual conflicts of interest related to their consulting work need to fill out the consultant fcoi disclosure form.
2. This may include external consultants working with a particular organization, scientists or researchers providing consultancy services, or individuals involved in any professional consulting engagements where conflicts of interest may arise.

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What is consultant fcoi disclosure form?

The consultant FCOI (Financial Conflict of Interest) disclosure form is a document used to disclose any financial interests or relationships that could potentially influence the objectivity of a consultant’s work.

Who is required to file consultant fcoi disclosure form?

Individuals serving as consultants for an organization, particularly those involved in research funded by federal agencies, are required to file the consultant FCOI disclosure form.

How to fill out consultant fcoi disclosure form?

To fill out the consultant FCOI disclosure form, provide accurate information regarding financial interests, relationships, and any potential conflicts, ensuring all required fields are completed.

What is the purpose of consultant fcoi disclosure form?

The purpose of the consultant FCOI disclosure form is to identify and manage potential conflicts of interest, ensuring transparency and safeguarding the integrity of research and consulting activities.

What information must be reported on consultant fcoi disclosure form?

The form typically requires reporting any significant financial interests, affiliations with external organizations, and any compensation received for services that may influence the consultant's work.