Get Draft Conflict Of Interest Screening/disclosure Form-1999-2000 - Utoledo

Filling out the DRAFT Conflict Of Interest Screening/Disclosure Form is a crucial step for individuals involved in research at the University of Toledo. This guide will provide you with clear instructions to complete this form accurately online.

Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Enter your full name in the designated field at the top of the form.
3. Input the sponsor of your protocol/proposal along with your email address.
4. Fill in the title of the protocol/proposal and/or provide the IRB number if applicable.
5. If you have a protocol/proposal account number, include that information in the appropriate field.
6. In Part I – Financial Disclosure, answer the initial questions regarding personal income and financial relationships related to your proposed research. Select 'Yes' or 'No' as applicable.
7. If applicable, list any companies or organizations related to your financial interests if you answered 'Yes' to the previous questions.
8. For each financial interest indicated, check 'Yes' or 'No' and provide the appropriate dollar amount or estimated value next to each item listed.
9. Proceed to Part II – Affirmation and Assessment and affirm that the information provided is true by signing and dating the form.
10. If you answered 'Yes' to any items in Part I, obtain the signature and date from your department chairperson or equivalent supervisory official.
11. Upon completion, save the changes made to your document. You may also download, print, or share the completed form as needed for submission.

Complete your forms online today to ensure compliance with the University of Toledo's guidelines.