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Certificate of Confidentiality Assurance Template

The following assurances are required as part of your CoC application. Use the text below verbatim to create an Assurance document that must be signed by the PI and the Institutional Official listed in the application. The name, title, and address of the Institutional Official should be typed below the signature and should match that in the application.  Please prepare the assurance on Institutional  letterhead and upload a scanned version of the signed form into the application.  Failure to include this will delay NIH’s review of your application. 


(Click the box below to select all, then copy)


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