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Office of Compliance
Conflict of Interest Program


Chief Compliance Counsel
Bret Moberg
Tel: (847) 578-8308 || Email
Rosalind Franklin University of Medicine and Science
3333 Green Bay Road
North Chicago, Illinois 60064

Disclosure Reports
 
List of COI Policies

Office of Compliance
Conflict of Interest Program


Chief Compliance Counsel
Bret Moberg
Tel: (847) 578-8308 || Email
Rosalind Franklin University of Medicine and Science
3333 Green Bay Road
North Chicago, Illinois 60064

Disclosure Reports
 
List of COI Policies

 

Disclosure Reports

 

At times, the step of disclosing certain interests needs to be formalized in a written disclosure report. Further information about that requirement is contained in the policy "Written Disclosure Reports."  Please note that it is possible for one individual to be required to forward a copy of the disclosure report to more than one reviewer, due to the various roles held by that individual.  The form and its appendix are linked below:

Link to Form                                   Link to Appendix A for Form

 

[Note:  University policy requires each member of the University's IRB to complete and submit a conflict of interest disclosure report annually that focuses on the person's role as a member of the IRB. This form is to be forwarded to the IRB Administration Office.  That form is linked at Form (PDF).]

 

 
                        Rosalind Franklin University of Medicine and Science - 3333 Green Bay Rd, North Chicago, IL 60064    (847) 578-3000