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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

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How to fill out consultantcollaborator fcoi disclosure form

01

Obtain the consultant/collaborator FCOI disclosure form from the relevant department or office.

02

Fill out the form with accurate and complete information regarding any financial interests or relationships that could potentially create a conflict of interest.

03

Disclose any consulting fees, honoraria, equity interests, or other relevant financial relationships with external entities.

04

Provide detailed explanations if necessary to clarify the nature of the financial relationship and the steps taken to mitigate any conflicts of interest.

05

Submit the completed form according to the instructions provided by the department or office.

Who needs consultantcollaborator fcoi disclosure form?

01

Consultants and collaborators who are engaged in research or other activities at an institution that requires the disclosure of financial conflicts of interest.

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What is consultantcollaborator fcoi disclosure form?

The consultant/collaborator FCOI (Financial Conflict of Interest) disclosure form is a document used to disclose any potential financial conflicts of interest that may arise during consulting or collaborating activities.

Who is required to file consultantcollaborator fcoi disclosure form?

Consultants and collaborators who are engaged in activities that could potentially result in a financial conflict of interest are required to file the FCOI disclosure form.

How to fill out consultantcollaborator fcoi disclosure form?

The form can typically be filled out online or in hard copy, and it requires disclosing any financial interests, relationships, or arrangements that could lead to a conflict of interest.

What is the purpose of consultantcollaborator fcoi disclosure form?

The purpose of the FCOI disclosure form is to ensure transparency and integrity in consulting and collaborating activities by identifying and managing potential financial conflicts of interest.

What information must be reported on consultantcollaborator fcoi disclosure form?

Information such as financial interests, relationships, or arrangements that could influence a consultant or collaborator's decision-making must be reported on the FCOI disclosure form.

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