Conflict of Interest Committee (COIC) Case Number Section 1. General Information Name Department Management Plan Monitor Name of Outside Entity The Financial Conflict of Interest Application submitted trial Name and Outside Entity above is hereby incorporated into this Management Plan. The applicable actions in Sections 2-9 are the conditions that will be implemented to manage the COI and will be included in a required Annual Report. Section 2. Role of Applicant and Research Management - Check all that apply Applicant will have no involvement in related sponsored research Applicant remains as principal investigator with the Plan Monitor, in conjunction with the department head/director as applicable. Trial [for COIC use] If applicable: Independent research oversight is required and the activity will be monitored by the following reviewer(s): Section 3. Intellectual Property and Technology Transfer Applicant will disclose to the University Office of Commercialization (OC) any Intellectual Property (IP) for which he or she is named as inventor, regardless of the perceived origin of that IP. The University process will then be used to resolve IP issues. The Applicant will disclose to the OC, which is represented on the COIC, any IP that is developed by any person who is an employee or student of WSU, using WSU facilities or resources, or working on the Entity side of this Management Plan. ☐ Other [for COIC use]: Any individual who is determined by OC to be an inventor, including faculty, staff, students, under patent law has a right to be named as inventor. Section 4. University Resources
Conflict of Interest Committee (COIC) Case Number Section 1. General Information Name Department Management Plan Monitor Name of Outside Entity The Financial Conflict of Interest Application submitted Name and Outside Entity above is hereby incorporated into this Management Plan. The applicable actions in Sections 2-9 are the conditions that will be implemented to manage the COI and will be included in a required Annual Report. Section 2. Role of Applicant and Research Management - Check all that apply Applicant will have no involvement in related sponsored research Applicant remains as principal investigator with the Plan Monitor, in conjunction with the department head/director as applicable. [for COIC use] If applicable: Independent research oversight is required and the activity will be monitored by the following reviewer(s): Section 3. Intellectual Property and Technology Transfer Applicant will disclose to the University Office of Commercialization (OC) any Intellectual Property (IP) for which he or she is named as inventor, regardless of the perceived origin of that IP. The University process will then be used to resolve IP issues. The Applicant will disclose to the OC, which is represented on the COIC, any IP that is developed by any person who is an employee or student of WSU, using WSU facilities or resources, or working on the Entity side of this Management Plan. ☐ Other [for COIC use]: Any individual who is determined by OC to be an inventor, including faculty, staff, students, under patent law has a right to be named as inventor. Section 4. University Resources trial Trial
coi-management-plan-template.docx