Get Impaact Fda Financial Disclosure Form - Impaactnetwork

The IMPAACT FDA Financial Disclosure Form is essential for documenting financial interests related to clinical investigations. This guide provides step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by verifying the protocol number and protocol title, which will be prefilled by the IMPAACT Operations Center. Ensure this information matches the study details you are involved in.
3. Enter your site name and number as required in the designated field. This information should reflect the location where you conduct research.
4. Review the prefilled details of the participating pharmaceutical or biotechnology companies. If any discrepancy exists, contact the Operations Center for clarification.
5. Provide the name of the principal investigator or subinvestigator as it appears on the 1572 form. Accurately indicate which role you hold.
6. Fill in your contact information, including your institution's name, telephone number, fax number, and email address, ensuring all provided details are correct.
7. Indicate whether any financial interests or arrangements that concern the FDA apply to you, your spouse, or dependent children by marking YES or NO, based on the criteria listed. If answering YES to any, provide the necessary descriptions.
8. Complete all relevant sections concerning significant payments from participating companies, proprietary interests, and equity interests, ensuring to provide descriptions where applicable.
9. Review the declaration statement carefully. Confirm that all information provided is true, correct, and complete before signing the form.
10. Once completed, you can save changes, download the form, print it, or share it as needed.

Complete your documents online to ensure compliance and proper documentation.