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* SUBMITTING THIS FORM DOES NOT MEET YOUR FINANCIAL DISCLOSURE OBLIGATIONS TO THE UNIVERSITY. THIS FORM IS USED BY THE CONFLICT OF INTEREST OFFICE TO IDENTIFY SPECIFIC CONFLICTS OF INTEREST. PLEASE SUBMIT FINANCIAL BRR DISCLOSURE FORMS USING THE BUSINESS RELATIONSHIP REPORTING (BRR) SITE.

 

Conflict Reporting Form

Employees should submit an Conflict Reporting Form if they believe their financial interests create a conflict of interest with their University activities. If an employee is uncertain, the COI Committee will review the submitted Conflict Reporting Form to determine if a conflict of interest exists. 

Submit an Conflict Reporting Form for these University activities if you believe your financial interests create a conflict of interest:

  1. Unsponsored, or internally funded, Research that is not administered by the Office of Sponsored Projects or the Institutional Review Board,
  2. Scholarly or Educational Activity,
  3. Business Transactions including, but not limited to, purchases, contracts, subawards, license negotiations, lease agreements, etc.

Sponsored research administered by the Office of Sponsored Projects and Human Subjects Research administered by the Institutional Review Board include built in mechanisms for conflict of interest review, and do not need to be self-reported. 

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Last Updated: 4/8/21