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- Click ‘Get Form’ to open the form in the editor.
- Begin by entering the name of the clinical investigator in the designated field. This is crucial for identifying who participated in the study.
- Next, fill in the name of the clinical study. Ensure accuracy as this links back to the investigator's disclosures.
- Review and mark any applicable checkboxes regarding financial arrangements or interests. Each option pertains to different types of financial relationships that must be disclosed.
- Attach any additional details regarding disclosable financial arrangements and interests as required. This may include descriptions of steps taken to minimize bias.
- Complete the title, name, firm/organization, and signature fields at the bottom of the form. Don’t forget to enter the date in mm/dd/yyyy format.
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Fill out FDA Form 3455 Financial Disclosure online
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