Conflicts Form

Conflicts Form

I declare that I have read and understand the Arcus Conflicts of Interest Policy. I have disclosed all real, potential, or perceived conflicts of interest, and I agree to report any future conflicts immediately.
Please only complete this form IF any personal, financial, or family relationships could influence, or appear to influence, your work decisions.

Use this form to declare all current or potential conflicts of interest.
Your name:

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I have perceived, or real conflicts with the following people:
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I certify that, to the best of my knowledge, this is the extent of my conflicts.
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