Get For Phs And Other Sponsors (i.e. American Heart) That Adopt This ...

This guide provides a comprehensive overview of how to complete the form required by PHS and other sponsors, such as the American Heart Association. Filling out this disclosure of financial conflict of interest (FCOI) form is critical for investigators involved in research funded by these organizations.

Follow the steps to effectively complete the FCOI form.

1. Click ‘Get Form’ button to obtain the form and access it in the designated interface.
2. Begin by filling out the project title and the University Principal Investigator (UF PI) fields at the top of the form. This information is essential for identifying the research project.
3. In the disclosure sections, carefully assess your financial interests. For publicly traded entities, indicate whether any remuneration or equity interest exceeds $5,000 by checking 'Yes' or 'No'.
4. For non-publicly traded entities, similarly check 'Yes' or 'No' based on whether you have received remuneration exceeding $5,000 or hold any equity interest in the entity.
5. Complete the intellectual property section by disclosing any related income and again checking 'Yes' or 'No' as applicable.
6. Disclose any reimbursed or paid travel that is not covered under institutional reimbursement. Indicate your travel status and complete the PHS FCOI Reimbursed or Paid Travel Disclosure Form as necessary.
7. Confirm your completion of FCOI training before engaging in research activities. Check 'Yes' if the training is completed; otherwise, check 'No'.
8. Sign the form confirming that all disclosed information is accurate and complete. Print your name and date your signature.
9. Finally, review the completed form for any errors. You can then save changes, download, print, or share the form as needed.

Complete your FCOI form online today to ensure compliance and support your research endeavors.