Administrator Support

Disclosure Templates and Examples

The table below provides options for disclosure, templates for doing so, and documentation options:

Placement	Immediately after title slide	Any part of a promotion piece	On or next to activity sign-in sheet	Verbal delivery
Examples\ Templates	1.  Powerpoint with multiple disclosure types	1. No financial relationship 2. With financial relationship	1. No financial relationship 2. With financial relationship	Verbal disclosure form
Process to submit	Store and submit all presentations via email	1. Include uab@cme.edu on event promotion communications 2. Upload all promotional flyers to the Activity record	Scan sign-in sheets and submit via email to your CME representative	Scan course director signature and submit via email to your CME representative

For series that will have presenters who are internal to UAB (or primarily internal to UAB), we have the option to custom-build a single disclosure sheet for the course director and all presenters that can be reused for all presentations. Please contact us if you think this option would work for you.

Forms

Financial Disclosure Form

Conflict of Interest Mitigation Form for (page #2) Planners and (page#3) Authors/Presenters

This document contains both conflict of interest resolution forms. Use page 2 for for planners and activity directors, and page 3 for authors and presenters of content.