Conflict of Interest | Management Plan
Principal Investigator
Project Personnel with
Familial Relationship
Role on Project
Title of Project
Project Sponsor
Description of Management Plan (to be completed by Principal Investigator)
Describe how you chose
the personnel with whom
you have a familial
relationship to be
included on the project.
Justify how that
individual’s qualifications
are necessary to support
the project.
Describe how research
integrity will be
maintained.
Outline an alternative
reporting structure to
eliminate any real or
perceived COI related to
project-specific salary,
working conditions and
work responsibilities.
Description of Deans Role
Describe the plans for
providing administrative
and financial oversight of
the COI.
Signat
ures
Princ
ipal Investigator _______________________________________ Date ____________________
Project Personnel __________________________________________ Date ____________________
Please note that by signing this form, you are providing explicit approval of the management plan
described above (or as amended/agreed to by PI).
Coll
ege Dean ______________________________________________ Date ____________________
Office of Research _________________________________________ Date ____________________
Refer to 42 CFR 50.603.
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