Conflict Of Interest Form Example
Description
How to fill out Sample Attorney Conflict Of Interest Waiver Letter?
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FAQ
Because of the perception of a conflict of interest and in the interest of full transparency, I am disclosing my relationship with [insert company name and/or nature of IP] to my research team members and collaborators.
State the reasons why you think these interests could, or could be seen to, influence your decisions, actions or advice. Finally, set out the steps you intend to take, or which you may require others in the department to take, to mitigate any conflict arising. Attach supporting documentation if required.
I confirm that neither I nor any of my relatives nor any business with which I am associated have any personal or business interest in or potential for personal gain from any of the organizations or projects linked to XYZ AIS.
Examples of non-financial conflicts of interest include: Gifts (eg, drugs, equipment, tools, software) Access to data repositories. Holding a position on boards. Close relationships with editors at the journal. Competing interests (eg, personal, political, religious, academic)