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Western University of Health Sciences CONFLICT OF INTEREST DISCLOSURE Form be completed and filed by all investigators before submitting proposals to federal agencies requiring financial disclosures.
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How to fill out conflict of interest disclosure

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How to fill out conflict of interest disclosure

01
Begin by stating your name and position within the organization.
02
Identify any potential conflicts of interest that may arise in your role.
03
Describe the nature of each conflict of interest in detail.
04
Disclose any financial interests, investments, or partnerships that could present a conflict.
05
Provide information on any relationships or affiliations that may influence your decisions or actions.
06
Explain the steps you will take to mitigate or manage these conflicts.
07
Sign and date the disclosure form to verify its accuracy and completeness.

Who needs conflict of interest disclosure?

01
Conflict of interest disclosure is required for anyone who holds a position of authority or decision-making power within an organization, especially those involved in procurement, contracting, or financial management.
02
This may include executives, board members, managers, employees, consultants, or contractors.

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Conflict of interest disclosure is the process by which individuals report any potential conflicts between their personal interests and their professional responsibilities that could influence their decision-making.
Individuals in positions of authority, such as public officials, employees of government agencies, and members of boards or commissions, are typically required to file conflict of interest disclosures.
To fill out a conflict of interest disclosure, individuals must provide detailed information about their personal interests, financial holdings, relationships, and any other factors that may create a conflict, as outlined in the disclosure form provided by their organization.
The purpose of conflict of interest disclosure is to promote transparency, accountability, and integrity in decision-making processes by allowing potential conflicts to be identified and managed appropriately.
Information that must be reported includes personal financial interests, relationships with entities that could be impacted by decisions, sources of income, gifts received, and any other potential conflicts that might interfere with an individual's duties.
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