Advisory Committee for Therapeutics (ACT) toolkit – Conflict of interest (CoI) form template

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To ensure that a review panel includes independent and objective reviewers, each reviewer is required to complete a conflict of interest form for each application they review. The conflict of interest form must be submitted when a reviewer agrees to provide advice at a particular ACT meeting. Each form will be reviewed by the secretariat, in consultation with the ACT Chair. If a conflict of interest is identified for a specific application, they will not be able to review the application form or provide advice on the application.

This conflict of interest form template can be used in conjunction with the ACT toolkit. For further information, please see the ACT toolkit. 

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