FCOI Submit Institutional Certification

Institution Name
Authorized Representative First Name
Authorized Representative Last Name
Authorized Representative Email
UEI
Entity certifies that it has an active and enforced conflict of interest policy that is consistent with the provisions of the following agencies Yes   No         Public Health Service (PHS)
Yes   No         National Science Foundation (NSF)
Yes   No         National Aeronautics and Space Administration (NASA)
Yes   No         Department of Energy (DoE)
Entity certifies that it has either incorporated conflict of commitment into its conflict of interest policy or has a stand-alone conflict of commitment policy. Yes   No
Entity certifies that it has an organizational conflict of interest policy that is consistent with the provisions of FAR 9.5. Yes   No