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Financial Interests Report

This form must be completed annually by all key personnel on research projects funded by Public Health Services, either directly or through subawards.  Please answer the questions below for the 12 month period preceding the date of this certification.  If you answer "yes" to any item below, you will be required to submit additional information.  Following submission, you will receive a confirmation message and email with a list of the additional information required.  

Enter your nine-digit EKU ID number.

Reimbursed and sponsored travel from federal, state, or local government agencies, institutions of higher education, or academic teaching hospitals or medical centers may be excluded.  

Please note that assets in or income from investment vehicles such as mutual funds and retirement accounts do not need to be disclosed as long as you do not directly control the investment decisions made in these vehicles.  

Do not include intellectual property owned or managed by the University.  

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