Get Fl Fshp Disclosure Declaration Form 2014-2025

The FL FSHP Disclosure Declaration Form is essential for disclosing any potential conflicts of interest related to financial support for continuing education activities. This guide will walk you through the process of completing this form online, ensuring a clear understanding of each section and requirement.

Follow the steps to successfully complete the online form.

1. Click the ‘Get Form’ button to access the form and open it in your preferred digital format.
2. Begin by filling in your activity details. Specify the event name (e.g., Florida Residency Conference 2014) and meeting date (e.g., May 8-9, 2014). Ensure accuracy as this information is crucial for records.
3. Indicate whether you or any immediate family member have a vested interest in any corporate organizations that support this continuing education activity. Carefully select the appropriate option to reflect your situation.
4. If applicable, provide detailed information about any affiliations or financial interests. This includes the name of the corporate organization, type of support received (e.g., grant, consultant fee, speaker honorarium), and specify if you are a stock shareholder.
5. Review your disclosures for accuracy to ensure compliance with the requirements. Remember that it is necessary to be transparent about any potential bias.
6. Proceed to sign the document electronically by printing your name in the designated area and adding your signature and the date. This signature confirms your acknowledgment of the disclosure and your commitment to unbiased presentation.
7. After completing all sections, save your changes. You can also choose to download, print, or share the form as needed, ensuring you retain a copy for your records.

Complete your FL FSHP Disclosure Declaration Form online today to ensure compliance and transparency in your educational presentations.