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Print Form UCLA MEDICAL CENTER SEND FORM TO MCCS USE ONLY USER ID ACCESS REQUEST FORM Department of Medicine 32-139 CHS M/C 173617 PLEASE TYPE or print legibly REQUIRED INFORMATION BELOW. INCOMPLETE FORMS WILL BE RETURNED TO YOU. IF YOU NEED HELP TO COMPLETE THE FORM PLEASE CONTACT GITI ZARENIA EXT. 55799 1 LEGAL NAME Last/First/Initial 3 TELEPHONE Work 2 TITLE PLEASE CHECK THE APPROPRIATE BOX NEW USER DEPARTMENT TRANSFER 5 MOTHER S MAIDEN NAME O...
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What is ucla mccs form?
The UCLA MCCS form is a form used by the University of California, Los Angeles to collect information about individuals who may have a conflict of interest or commitment with the university.
Who is required to file ucla mccs form?
All faculty, staff, and certain other individuals affiliated with UCLA are required to file the UCLA MCCS form.
How to fill out ucla mccs form?
To fill out the UCLA MCCS form, individuals need to provide their personal information, including their name, title, department, and contact information. They also need to disclose any potential conflicts of interest or commitment they may have with UCLA.
What is the purpose of ucla mccs form?
The purpose of the UCLA MCCS form is to identify and manage potential conflicts of interest or commitment that individuals may have with the university. This helps ensure transparency, integrity, and compliance with relevant policies and regulations.
What information must be reported on ucla mccs form?
On the UCLA MCCS form, individuals must report any financial interests, outside activities, and financial support related to their roles at UCLA. They must also disclose any relationships with external organizations that may present conflicts of interest or commitment.
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