Conflict of Interest

Forms

Consulting and Outside Activity Reporting for Faculty

The UMass Lowell campus requires an annual disclosure from all faculty members regarding Outside Activities as defined in Trustee Policy T96-047. 

Please contact Elaine Major for the appropriate form.

FCOI Forms for Research Activities

U.S. Public Health Service (PHS) Funded Research

Faculty investigators who are supported by PHS funding, including but not limited to the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Food and Drug Administration (FDA) and the Agency for Healthcare Research and Quality (AHRQ) are required to submit a PHS Conflict of Interest Disclosure Form at the point of each proposal submission, complete training on the regulations, and provide annual disclosure updates.

Non-PHS but Other Agency Funded Research

Faculty investigators supported by external funding, such as NSF and other federal agencies adopting the NSF requirement, must submit an annual conflict of interest disclosure, as well as a "transactional update" at the point of each proposal submission.

ALL Other Externally Funded Research

Faculty investigators funded by all other resources (Non-Federal) must also submit an annual COI Disclosure Form. 

State of Massachusetts Ethics Commission Information & Forms

Ethics Commission Textbook Ruling

In a case involving a faculty member at a state college, the Massachusetts Ethics Commission has issued an opinion that a faculty member who wishes to assign his or her own textbook or other materials to students, and will thereby benefit financially, must first disclose this potential conflict of interest to the Provost and receive written permission from the Provost to proceed. Copies of the disclosure and the Provost's written decision must be forwarded to the Commission. A faculty member who did not follow this procedure might be deemed to be in violation of the state conflict of interest law and subject to sanctions. The Ethics Commission recognizes that faculty members have the right to decide what textbooks to assign but points out that state law prohibits them, as state employees, from gaining personal financial benefit from their work.

Effective immediately, prior to assigning to students any material from which you will benefit financially, you must submit the attached disclosure form to the Provost, receive written authorization from the Provost, and forward a copy of the disclosure form with the Provost's approval to the Massachusetts Ethics Commission. If you choose to donate all of your earnings deriving from the assignment of your works to a student scholarship fund and forego any tax benefit from that donation, you will not have to go through this process of getting permission and notifying the Ethics Commission, since you will thus realize no financial benefit and there will therefore be no conflict of interest.