Disclosure of Significant Financial Interests

Principal Investigator Certification Form

Addendum - ADD Investigators to PI Certification Form


Disclosure of Significant Financial Interests

Investigators engaged in research must report details of any significant financial interest held by the Investigator and family members (defined as spouse and dependent children) related to the Investigator's institutional responsibilities. Investigators are defined as individuals with responsibility for the design, conduct or reporting of research. A Disclosure of Significant Financial Interests form must be submitted before engaging in research, re-submitted annually and updated within thirty days if relevant circumstances change.

Mount Sinai St. Luke’s and Mount Sinai Roosevelt Investigators should complete the Disclosure of Significant Financial Interests form located on this site and email that disclosure to: awards-slrhc@chpnet.org.

 

Principal Investigator Certification Form

Principal Investigators must include a fully completed and signed MSSLR Principal Investigator Certification form with an initial or renewing Institutional Review Board or IACUC application or other grant or contract submission. By submitting this form the PI declares the names of involved Investigators, initiating institutional review of the conflict of interest compliance status (disclosure and training) of the named Investigators. This form must be signed by the Principal Investigator.

For assistance or inquiries regarding the forms or conflict of interest compliance status of Investigators, please contact the Grants Manager or email awards-slrhc@chpnet.org.



Addendum - ADD Investigators to PI Certification Form

Principal Investigators use the Addendum – Add Investigators to PI Certification form to declare the names of Investigators added to a project’s roster subsequent to submission of a complete MSSLR Principal Investigator Certification form. The Addendum-Add Investigators to PI Certification form should show only newly added Investigators as described above.  There is no need to repeat Investigator data already submitted. 

For assistance or inquiries regarding the forms or conflict of interest disclosure status and training status of Investigators, please contact the Grant Manager or email awards-slrhc@chpnet.org.
Submit completed forms to awards-slrhc@chpnet.org

 

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