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CONFLICT OF INTEREST FORMSEPARATE DOCUMENT DEPARTMENT OF HEALTH AND HUMAN SERVICES PATIENT PROTECTION COMMISSION DISCLOSURE STATEMENT The Patient Protection Commission Bylaws include the following

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How to fill out conflict of interest form

01

Obtain the conflict of interest form from the appropriate department or supervisor.

02

Fill out all sections of the form completely and accurately.

03

Disclose any potential conflicts of interest, including financial interests or personal relationships.

04

If unsure about whether a conflict exists, seek guidance from a supervisor or ethics committee.

05

Sign and date the form to certify that the information provided is true and accurate.

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What is conflict of interest form?

Conflict of interest form is a document used to disclose any potential conflicts between an individual's personal interests and their responsibilities in a particular organization or position.

Who is required to file conflict of interest form?

Employees, board members, and other individuals in positions of authority within an organization are typically required to file a conflict of interest form.

How to fill out conflict of interest form?

To fill out a conflict of interest form, individuals typically need to provide information about any financial interests, relationships, or other factors that could potentially create conflicts.

What is the purpose of conflict of interest form?

The purpose of a conflict of interest form is to promote transparency, ethical behavior, and accountability by identifying and managing potential conflicts of interest.

What information must be reported on conflict of interest form?

Information that must be reported on a conflict of interest form can include details about financial interests, relationships, and other potential conflicts that could impact decision-making.

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