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Disclosure of Conflict of Interest Form page 1 Part 1 completed by Scientific Planning Committee, Speakers, Moderators, Facilitators and Authors. I do not have an affiliation (financial or otherwise)
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How to fill out declaration of potential conflict

01
Start by identifying any potential conflicts of interest that may exist.
02
Clearly state the nature of the potential conflict, including any relevant details or circumstances.
03
Provide any additional supporting information or documentation that may be required.
04
Sign and date the declaration to confirm its accuracy and authenticity.
05
Submit the declaration to the appropriate authority or person responsible for reviewing potential conflicts.

Who needs declaration of potential conflict?

01
A declaration of potential conflict is typically required by individuals or entities involved in professional or organizational settings where conflicts of interest may arise.
02
This can include employees, executives, board members, contractors, consultants, or anyone who has a duty to act in the best interests of an organization or its stakeholders.
03
Government officials, public servants, or individuals working in regulated industries may also be required to file a declaration of potential conflict.
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A declaration of potential conflict is an official statement made by an individual to disclose any potential conflicts of interest that may arise due to personal relationships, financial interests, or other factors that could affect their duties or responsibilities.
Individuals in positions of authority, such as board members, executives, employees, or anyone in a decision-making capacity, are typically required to file a declaration of potential conflict.
To fill out a declaration of potential conflict, individuals should provide their personal information, describe any potential conflicts of interest, include relevant financial or business relationships, and sign the declaration to verify its accuracy.
The purpose of declaration of potential conflict is to promote transparency, maintain ethical standards, and prevent any undue influence or bias in decision-making processes.
Information reported should include the individual's name, position, details of potential conflicts such as relationships or financial interests, and any previous disclosures that may be relevant.
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