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Convict of Interest Disclosure Statement CME Faculty, Authors, Members of Planning Commies and Sta Name: Name of Activity: Date: 10/7/2022___ ACHE Semiannual Research Symposium Location: ACHE Research

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How to fill out conflict of interest disclosure

01

Obtain the conflict of interest disclosure form from the relevant organization or institution.

02

Fill in your personal details such as name, position, and contact information.

03

Disclose any financial interests or relationships that may present a conflict of interest.

04

Provide details of any grants, funding, or gifts that could be perceived as influencing your decision-making.

05

Sign and date the form to confirm the accuracy of the information provided.

Who needs conflict of interest disclosure?

01

Employees of organizations

02

Members of boards or committees

03

Researchers or authors submitting work for publication

04

Anyone involved in decision-making processes where conflicts of interest may arise

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What is conflict of interest disclosure?

Conflict of interest disclosure is a process in which individuals and organizations acknowledge any potential conflicts of interest that may arise in their professional or personal lives.

Who is required to file conflict of interest disclosure?

Certain individuals, such as public officials, employees, and board members, are typically required to file conflict of interest disclosure forms.

How to fill out conflict of interest disclosure?

To fill out a conflict of interest disclosure form, individuals must provide information about any potential conflicts of interest, such as financial interests or relationships that could influence their decision-making.

What is the purpose of conflict of interest disclosure?

The purpose of conflict of interest disclosure is to promote transparency, integrity, and ethical decision-making by identifying and addressing potential conflicts of interest before they impact decision-making processes.

What information must be reported on conflict of interest disclosure?

Individuals typically need to report any financial interests, relationships, or other factors that could potentially influence their decision-making in a professional setting.

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