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Northwestern paper disclosure forms

Northwestern Investigator Research Disclosure Form PDF

This form should be used in exceptional circumstances only if/when a Northwestern Investigator is unable to access eDisclosure to disclose in the system. 

This paper disclosure form includes a link to the page containing Northwestern's Research Conflict of Interest Training Module, which the discloser is attesting to having reviewed by signing the disclosure form. 

Completed paper disclosure forms should be sent to nucoi@northwestern.edu

subrecipient forms & Documents

Subrecipient and Consultant Disclosure Form for PHS-sponsored Projects PDF

This form should be used for all consultants deemed to be investigators, as well as subrecipient investigators, whose organizations have elected to follow Northwestern’s COI Policy on specific PHS-sponsored projects, and specific projects sponsored by organizations that have adopted PHS regulations (e.g., American Heart Association, Susan G. Komen Foundation; a full list can be found here).  The completed form should be sent to nucoi@northwestern.edu 

Subrecipient and Consultant Disclosure Form for NSF-sponsored Projects PDF

This form should be used for all consultants deemed to be investigators, as well as subrecipient investigators, whose organizations have elected to follow Northwestern's COI Policy on specific NSF-sponsored projects.  The completed form should be sent to nucoi@northwestern.edu

Other forms

Student-Faculty Agreement for Student Engagement in Faculty Enterprisese Word

This agreement should be used prior to engaging students in faculty enterprises, including startup companies and consulting activities, to ensure protection of the academic interests of such students.