Conflict Interest Agreement Document Without Comments
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FAQ
To the best of my knowledge and belief any actual, perceived or potential conflicts between my duties as an employee and my private and/or business interests have been fully disclosed in this form in ance with the requirements of the [insert School name] Conflict of Interest Policy.
Fines or loss of funding: Failure to disclose can result in fines from thousands to millions of dollars, and grants can be suspended. Loss of employment: Researchers who fail to disclose could be fired or forced to resign, and the conditions of which could make finding a new position difficult.
The authors have no conflicts of interest to declare. All co-authors have seen and agree with the contents of the manuscript and there is no financial interest to report. We certify that the submission is original work and is not under review at any other publication.
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.
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)
