Conflict of Interest Declaration Form

This form is used to disclose any actual, potential, or perceived competing interests in accordance with the Science Integrity Alliance's Confidentiality and Competing Interests Policy.

Personal / Entity Information

Name

Role / Affiliation with SIA (e.g., Leadership Team member, Contributor, Partner Entity)

Declaration of Interests

Please declare any financial, professional, personal, or organizational interests that could influence, or appear to influence, your work with SIA.

I have no conflicts to declare.

I have conflicts to declare.

Acknowledgment and Confirmation

I understand that this declaration will be handled in accordance with the Science Integrity Alliance's Confidentiality and Competing Interests Policy.

I confirm that the information above is accurate and complete, and I agree to notify the Science Integrity Alliance of any changes that may affect this declaration.