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 emailed to
[email protected]. 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.
CONFLICT OF INTEREST DISCLOSURE
Name (print):
Rapid Review Manuscript # (complete if known) MS # SPTitle 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 relationship.
Name of Commercial Interest
1)
Type of Financial Interest/Relationship
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
Relationship to Article
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
2)
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
Other Financial Material/Support, please explain below
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Name of Commercial Interest
3)
Type of Financial Interest/Relationship
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
Relationship to Article
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
4)
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
5)
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
6)
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
7)
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
Other Financial Material/Support, please explain below
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Name of Commercial Interest
8)
Type of Financial Interest/Relationship
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
Relationship to Article
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
9)
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
10)
Grant/Research Support
Consultant
Investigational Device/Drug
Salary
tock/Stockholder (excluding
S
diversified mutual funds)
Royalties
Speakers’ Bureau
I ntellectual Property
Rights
The article submitted
is not related to this
relationship.
The article submitted
is related to this
relationship.
Other Financial Material/Support, please explain below
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
[email protected].
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:
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
Interpretation of results
Data collection
Preparation of the manuscript
Data analysis
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: