Get Request For Information Regarding Financial Conflict Of Interest

Completing the Request For Information Regarding Financial Conflict Of Interest form is essential for individuals involved in PHS-funded research. This guide will provide you with clear, step-by-step instructions to fill out the form online efficiently.

Follow the steps to complete your form accurately

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering your personal information in the designated section. Fill in your name (first and last), email address, street address, city, state, and zip code.
3. Proceed to the information about your request. Enter the PHS award number in the specified format (5R21AB123456-01) and the PHS award title.
4. In this section, provide the name of the investigator associated with the award.
5. Describe the reason for requesting the information in the space provided. Be clear and concise to ensure your request is understandable.
6. Sign the form in the designated area to validate your request. Ensure you are aware of any requirements for electronic signatures.
7. Finally, include the date of completion in the specified field. After filling out the form, remember to save your changes.
8. Once you have completed and signed the form, you can download, print, or share it by scanning and emailing it to grants@burke.org, or mailing it to the Office of Grants Management at the address provided.

Start your document today by completing the Request For Information Regarding Financial Conflict Of Interest online.