Fillable Conflict Of Interest Disclosure printable pdf download

Conflict Of Interest Disclosure

Download a blank fillable Conflict Of Interest Disclosure in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Conflict Of Interest Disclosure with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

This form is an interactive PDF. Save a copy to your computer, and complete it by typing directly into the fields.

Submit the completed form as an email attachment to Rosanne Money at .

If you prefer, the completed form may also be printed and faxed to Rosanne Money (630) 737-9790.

NOTE: This form is a requirement for every author of a submission.

CONFLICT OF INTEREST POLICY

Intent

To allow the readership to evaluate each editorial, review, and article with all the information

required to reach an educated conclusion about the results presented.

Scope

This policy applies to author(s) submitting editorials, reviews, or manuscripts to the Journal

of Dental Sleep Medicine (JDSM). Conflicts of interest may arise with the individuals or with

members of their family (spouses or domestic partners and dependent children). Examples of

potential conflicts requiring disclosure include but are not limited to:

1. Participation in research activities supported by a for-profit business or granting

agency whether or not the individual or family member has a financial interest.

This support may be in the form of grants, gifts or awards, financial or otherwise.

2. Any relationships with business including directorships, trusteeships,

management relationships or paid speaking engagements.

3. Personal financial interest in a business exceeding $10,000 per year; including

honoraria, consulting fees or any form of compensation.

4. Substantial gifts, discounted or free use of material or equipment provided by a

business.

These conflicts are of concern when the business entity stands to gain or lose based on

scientific information published in JDSM. As the author may not know when this is the case,

full disclosure of all relationships is recommended.

Policy

Author(s) are required to disclose potential conflicts of interest by submitting the Conflict of

Interest form for every submitted editorial, review, and manuscript. Substantive changes to

the disclosure must be reported as they occur. Disclosures will be reviewed by Editor-in-Chief

and the JDSM staff. This information will be listed within the article, but dollar amounts will

not be included.

Conflict Of Interest Disclosure

Related Articles

Related forms

Related Categories