Statement of Economic Interest (700-U)

Statement of Economic Interest (700-U) Form (PDF)
Interactive Version of the Statement of Economic Interests for use by Principal Investigators employed by the University of California.

Instructions for 700-U Form

The Statement of Economic Interest Form (700-U) must be completed when a research gift is given to the University of California San Francisco or to the UCSF Foundation from a non-governmental entity for a specific research project or for the use of a specific faculty member.

Non-governmental entities include private business partnerships, LLCs, corporations, and non-profit foundations including matching gifts and gifts from donor advised funds.

The 700-U Form must be completed ONLY by the Principal Investigator or by the faculty member.

Incomplete forms or those containing positive responses will require review by the COIAC. Pending this review the gift cannot be accepted and will be held in an unallocated account.

Link to COIAC Website: http://www.research.ucsf.edu/coiac/

Send the following to:

Conflict of Interest Advisory Committee (COIAC)
Office of Sponsored Research
Box 0962

  1. Original signed and completed 700-U form.
  2. Attach a copy of all backup documents (gift transmittal form, correspondence, check copy)

Send the following to Gift Administration:

UCSF
P.O. Box 45339
San Francisco, CA 94145-0339

or

Union Bank of California
Lockbox Operations, N01622
For Lockbox #45339, UCSF Foundation
460 Hegenberger Road, Bldg.930
Oakland, CA 94621

 

  1. Copy of signed 700-U form with the annotation that the original was forwarded to Conflict of Interest Advisory Committee (COIAC) at UCSF Box 0962
  2. Original check
  3. Gift Transmittal Form
  4. Correspondence and Conditions of Gift Award Letter
  5. Envelope

If you have any questions, please call Gift Administration at custsvc@support.ucsf.edu or (415) 476-3952.

Printable Version

This page last updated on: Friday February 08 2008