Worksheet for Preparing your COI DisclosureWe recommend you read the MIT COI Policy and go through this worksheet before you go into Coeus Lite to start your disclosure. Show
Download a PDF of this WorksheetDo you have any Significant Financial Interests to disclose?You must determine if you have any Significant Financial Interests (SFIs). Significant Financial Interest includes the financial interest of the Investigator and the financial interest of his or her spouse or domestic partner and dependent children (Family) when it could reasonably appear to be related* to the Investigators Institutional Responsibilities. *Investigators should make a reasonable, good-faith determination as to whether their research or other Institutional Responsibilities could affect the value of a financial interest, or have a financial impact on the Entity in which they hold a financial interest. For example, do not disclose a spouse’s salary with a company (Coca Cola) whose business focus is not related to Investigator’s Research (chemotherapeutics) or other Institutional Responsibilities. Significant Financial Interests that must be disclosed include any of the following (received during the 12 months preceding or anticipated in the 12 months following the disclosure): Publicly Traded Entities
Non-publicly traded entities:
Non-profit or Educational Institution:
Foreign organization including but not limited to a corporation, educational institution, research institution, governmental organization, or medical center
Sponsored Travel paid to or on behalf of Investigator/Family (PHS Investigators only):
Significant Financial Interests does not include (do not disclose):
Step 1: COI Disclosure Screening QuestionsYou will need to answer the following screening questions as part of your first COI disclosure or if you already have an approved disclosure on file (the system calls this your ‘master’ disclosure), the revision to your master. Gather any documentation that will help with identifying these organizations, e.g. W-2 forms from organizations other than MIT, 1099, quarterly statements showing equity, etc...:
Step 2: Significant Financial Interest (SFI):Before continuing, please confirm that all of your SFIs meet at least one of the above thresholds required for disclosing. For each SFI which meets a threshold, you will need to provide the following:
Relationship details (you will be required to provide at least one but you should enter all that apply)…
Step 3: RelationshipsFor each of your projects (active awards and pending proposals) and any Significant Financial Interest identified in the above worksheet:
If you need help…We have multiple resources in place to assist you: FCOI website: http://coi.mit.edu/ Significant Financial Interest Decision Tree (online tool) COI policy questions: RAS Contract Administrators: http://ras.mit.edu/about-ras/staff/by-department Kuali Coeus system help (“How do I...?”): What types of financial interests must be disclosed?Financial Interests that must be disclosed include:. Compensation/Remuneration.. Equity Interests.. Royalty Payments.. Special Relationships.. Sponsored Travel.. Other Financial Interests (e.g., certain intellectual property rights). Which of the following is considered to be a significant financial interest?A financial interest is deemed to be significant if: the aggregate value of Remuneration and Equity Interests in lieu of payment received from a US or foreign publicly traded entity during the 12 month period preceding the disclosure exceeds $5,000; or.
Which of the following is most likely to be considered a conflict of commitment Citi?Which statement most accurately describes a conflict of commitment? It occurs when outside activities interfere with one's responsibilities to an employer.
What triggers a COI disclosure to generate for an individual?An individual COI may arise when an individual has a personal or financial interest, which may affect or appear to affect the design, conduct, or reporting of the research.
|