Research Conflict of Interest Certification Form
(Revised July, 2014)
One-page form submitted by all Covered Individuals to certify whether they have any significant financial interest related to the specific proposed research project. The Certification Form is submitted: 1) with the OSP Review & Approval Form for new grant or contract applications; 2) with protocol submissions to CPHS, and in some cases with protocol submissions to AWC; 3) with gifts, startup funds, or other internal funds designated for a specific investigator's research (submitted to the department, School, or funding decision authority); and 4) when a new research-related significant financial interest has been acquired during the life of an award or project. The Certification Form is embedded within the electronic OSP Review & Approval Form, and is included in iRIS for protocol submissions.