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ICMJE Form for Disclosure of Potential Conflicts of Interest - LWW.com 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin with Section 1, 'Identifying Information.' Fill in your given name, surname, date, and indicate if you are the corresponding author. Ensure accuracy as this information is crucial.
- Move to Section 2, 'The Work Under Consideration for Publication.' Answer whether you or your institution received any payment or services from a third party related to the submitted work. Select 'Yes' or 'No' accordingly.
- In Section 3, disclose any relevant financial activities outside the submitted work. Use the provided table to report relationships with entities over the past 36 months. Click 'Add +' to include additional entries as needed.
- Proceed to Section 4 regarding Intellectual Property. Indicate if you have any patents relevant to your work and provide details if applicable.
- In Section 5, report any other relationships that could influence your work. Be transparent about all affiliations.
- Finally, review your entries in Section 6 where a disclosure statement will be generated based on your inputs. Ensure everything is accurate before submission.
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Related links
by BJ Piper 2018 Cited by 31 Toward more uniform conflict disclosures-The updated ICMJE conflict of interest reporting form. New England Journal of Medicine 363(2): 188189. [DOI]Read more
The purpose of this form is to provide readers of your manuscript with information about your other interests that could.Read more