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Transcript
01/09 IRB Office Suite 100 Jewett (208) 495-5600 Fax (208) 459-5043 FINANCIAL CONFLICT OF INTEREST When a potential financial conflict of interest is indicated, the financial interest will need to be reviewed by the IRB. Check one of the following. Describe the extent of the involvement in the space provided. [ ]Financial Interest Under $10,000 in aggregate Check all that apply: [ ] Consulting [ ] Speaking Fees [ ] Honoraria [ ] Gifts [ ] Licensing agreement or royalty income [ ] Equity interests, including stock, stock options, warrants, partnership or equitable ownership interests. [ ] Other fees/compensation Describe the extent of the involvement: [ ] Financial Interest Over $10,000 in aggregate Check all that apply: [ ] Consulting [ ] Speaking Fees [ ] Honoraria [ ] Gifts [ ] Licensing agreement or royalty income [ ] Equity interests, including stock, stock options, warrants, partnership or equitable ownership interests. [ ] Other fees/compensation Describe the extent of the involvement:
