Get Gim 10 Exhibit 1 - University Of Washington

Filling out the GIM 10 Exhibit 1 form is an essential step for individuals disclosing significant financial interests at the University of Washington. This guide will provide you with a clear and comprehensive framework to ensure that you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to access the GIM 10 Exhibit 1 form and open it in your preferred document editor.
2. Begin filling out Part I – Disclosing Person. Enter your full name, along with your school or college and the department or other unit you are affiliated with. Ensure that all information is accurate.
3. Indicate the purpose of the disclosure by checking one box: either for Research or Technology Transfer Transaction. Based on your selection, make sure to complete the corresponding section.
4. If you selected Research, proceed to Part II-A. Input the title of the research and check the appropriate box to specify whether it is Sponsored or Non-Sponsored Research. Additionally, indicate if it involves Human Subjects Research, and if so, specify if it is a Clinical Trial or Non-Clinical Trial.
5. If you selected Technology Transfer Transaction, complete Part II-B. Enter the title of the transaction, the name of the transferee, and provide a brief description of the transaction as required.
6. Move to Part III – Disclosures. Clearly disclose all Significant Financial Interests related to your research or transaction, indicating if they are for you or your immediate family members. Choose option A or B, and complete the detailed disclosure form accordingly.
7. If you choose option A, include a detailed description of all financial interests and check the applicable categories, such as compensation interests or equity interests. If you select option B, indicate that no disclosure is required.
8. Review the exemptions from disclosure and ensure you understand what qualifies as a Significant Financial Interest. Acknowledge your agreement by signing and dating the form.
9. Obtain the necessary recommending signatures from your department/unit head and school/college dean, filling in the corresponding dates.
10. Once all sections are complete, save your changes. You can then choose to download, print, or share the completed form as needed.

Take the next step in your disclosure process by completing the GIM 10 Exhibit 1 form online today.