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RESEARCH SALARY BILLING AGREEMENTVersion: May 2022Prime InstitutionNonGrantee InstitutionInstitution Name:Institution Name:Address:Address:Prime Principal Investigator:NonGrantee Principal Investigator/Employee:
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How to fill out fcoi disclosure form

01
Review the instructions provided by the institution regarding the FCOI disclosure form.
02
Gather all relevant financial interests and relationships that need to be disclosed.
03
Fill out the form accurately and completely, providing all requested information.
04
Submit the completed form to the designated individual or office within the institution.

Who needs fcoi disclosure form?

01
Researchers who are involved in sponsored research projects.
02
Institutional officials responsible for overseeing research compliance.
03
Anyone else who is required to disclose financial conflicts of interest as per institutional policies.
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The FCOI (Financial Conflict of Interest) disclosure form is a document that individuals must complete to disclose any potential conflicts of interest related to their financial interests that may influence research activities.
Individuals who are involved in research funded by the Public Health Service (PHS) or other federal agencies, including researchers, faculty, and staff, are typically required to file the FCOI disclosure form.
To fill out the FCOI disclosure form, individuals should provide detailed information about their financial interests, including any equity interests, consulting fees, or other remuneration received that may create a conflict with their research.
The purpose of the FCOI disclosure form is to identify and manage any potential conflicts of interest to ensure that research integrity is maintained and that the interests of the public are protected.
The FCOI disclosure form must report information including the nature and extent of financial interests, sources of funding, and relationships with external entities that could affect the research.
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