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FCOI Forms

  • Disclosure Form (annual or new): UConn Health requires that all investigators promptly and fully disclose any Significant Financial Interest (including those of a spouse or dependent child) that reasonably relates to the investigator’s institutional responsibilities. This applies to all investigators responsible for the design, conduct, or reporting of research. Please click COI-SMART to complete the questionnaire in the electronic disclosure system. See Policy Number 2006-01 for further details and definitions. Effective January 23, 2014, all disclosures must be filed using the UConn Health COI-SMART system.

If you have any questions or problems with the system, please contact Gus Fernandez-Wolff at gfernandez@uchc.edu or 860-679-8125.

For Public Accessibility requests for information regarding Financial Conflict of Interest related to Public Health Service-Funded Research, please complete this form.