NOTE: This form is a requirement for every editor, reviewer and author of a submission for the journal SLEEP. CONFLICT OF INTEREST POLICY
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1 Each author must disclose all potential conflicts of interest and attest their part in authorship of the paper by submitting the Conflict of Interest Disclosure/Attestation of Authorship forms. Please note no submission will be considered for review past the initial submission without receipt of all required submission forms. These forms are interactive PDFs. Save a copy to your computer, and complete it by typing directly into the fields. The file(s) of the completed form(s) must be uploaded as a Forms option during the Upload Files section as part of your manuscript submission. In extenuating circumstances, the form(s) may be ed to sleepjournals@aasmnet.org. However, we strongly encourage all forms be uploaded as directed above. NOTE: This form is a requirement for every editor, reviewer and author of a submission for the journal SLEEP. CONFLICT OF INTEREST POLICY Intent To allow the readership to evaluate each editorial, review, and article with all the information required to reach an educated conclusion about the results presented. Scope and Policy This policy applies to all editors, reviewers and author(s) submitting editorials, reviews, or manuscripts to the journal SLEEP. Each editor, reviewer and author must disclose any financial interest or relationship with a commercial interest held by the individual or members of their family (spouses, domestic partners and dependent children) over the preceding twelve months. A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Editors and reviewers are required to disclose potential conflicts of interest by submitting the Conflict of Interest Disclosure form on an annual basis. Authors are required to disclose potential conflicts of interest by submitting the Conflict of Interest Disclosure form for every submitted editorial, review, and manuscript. Substantive changes to the disclosure must be reported immediately. Disclosures will be reviewed by the Editor-in-Chief and SLEEP staff. This information will be listed within the article, but dollar amounts will not be included.
2 CONFLICT OF INTEREST DISCLOSURE Name (print): Rapid Review Manuscript # (complete if known) MS # SP- Title of Manuscript: Each editor/reviewer/author must disclose any financial interest or relationship with a commercial interest held by the individual or members of their family (spouses, domestic partners and dependent children) over the preceding twelve months. A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Check here if you have relationships to disclose and complete Section I. Check here if you have nothing to disclose and skip to Section II. Section I Please list all financial interests or relationships and indicate whether or not the article submitting is relevant to these relationships below. Each line should only include one Name of Commercial Interest Type of Financial Interest/Relationship Relationship to Article 1) Grant/Research Support 2) Grant/Research Support
3 Name of Commercial Interest Type of Financial Interest/Relationship Relationship to Article 3) Grant/Research Support 4) Grant/Research Support 5) Grant/Research Support 6) Grant/Research Support 7) Grant/Research Support
4 Name of Commercial Interest Type of Financial Interest/Relationship Relationship to Article 8) Grant/Research Support 9) Grant/Research Support 10) Grant/Research Support Should you have additional financial interests/relationships to disclose, please use additional sheets as necessary. Section II I have read the Conflict of Interest Policy. I certify that the information provided is true, accurate and complete to the best of my knowledge. I have disclosed all financial interests/relationships with commercial interests. If any of the above information changes, I agree to update the information with the journal staff at sleepjournals@aasmnet.org. Name (print): Signature* Date: * If you do not have an electronic signature, replace the empty box with a checked box here to represent an electronic signature:
5 ATTESTATION OF AUTHORSHIP Instructions: 1. Part I of this form MUST be completed by all authors. 2. Part II of this form MUST be completed by the corresponding author. 3. Forms from all authors must be received by SLEEP s editorial office before a manuscript will be considered for publication by SLEEP s editorial staff. 4. All authors must sign. Part I: Attestation of Authorship Contribution (to be completed by all authors) As an author of the manuscript entitled: I attest to having provided substantive intellectual contribution to one or more of the following activities related to this manuscript (one or more boxes MUST be checked). Study design Data collection Data analysis Interpretation of results Preparation of the manuscript Individuals not performing one of the above activities do not meet SLEEP s authorship criteria. Part II: Attestation of Writing Assistance (to be completed by all corresponding authors) Has anyone other than the authors assisted in writing the text or conducting statistical analyses of the data? Yes No If Yes: Provide the name(s) of those who assisted in the writing: Indicate who provided the funding for the writing assistance or data analysis: Individuals identified in Part II should be added as authors or listed in the manuscript s acknowledgments. By signing below, I certify that I have read and approved the manuscript draft submitted for publication, and I certify to the best of my knowledge that the information provided on this form is true and accurate. Name (print) Signature* Date * If you do not have an electronic signature, replace the empty box with a checked box here to represent an electronic signature:
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