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Health Science Center
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The original of the Outside Activity Disclosure should be routed to the Personnel Section, Office of the Dean, prior to the outside employment taking place. All Outside Activities Disclosures involving expert witness will be forwarded to Mr. W. Martin Smith, Director of the Self Insurance trust Fund for review. After his review, Mr. Smith will forward the packet to the personnel section with his recommendation. Please be sure the Form #OAA-GA-L-267/Rev.4/02 is used. Final approval for expert witness and all other Outside Activity Disclosures except those involving the Division of Sponsored Research (if 2, h is answered 'yes', outside activities will be forwarded to the Division of Sponsored Research for approval) is at the Dean's level. An approved copy will be returned to the department once approved.
B) Effective Dates
If the employment is for the entire year, the effective dates must coincide with the fiscal year 07-01-XX / 06-30-XX. A form must be completed each July 1st. The number of outside activity disclosures submitted for the fiscal year must be included (2, j).
C) Use of University Equipment, Facilities, and Services
When University facilities are used in conjunction with outside activity, Form #OOAA-GA-L-268 /10/02 must be submitted with the outside employment form. This form requires approval of the Vice President for Administrative Affairs. An approved copy will be returned to the department once approved.
D) Instructions for filing a Request for an Exemption under 112.313 (12(H) Florida Statue - from certain conflict of interest provisions
Forward original to Personnel Section, Office of the Dean. (see primer on conflict of interest -- available in Personnel Section or call the Office of Technology Licensing, 2-8929 for further information). Include signature line for faculty member, Department Chair and Dean. Will be forwarded to the Office of Technology Licensing for approval.
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