Statement on Prior Publication, Concurrent Submission

A copy of this form must be submitted with all manuscripts. Completed forms may be submitted to the AHVMA Publications Office by fax (1.410.569.2346) or electronically scanned and submitted with the manuscript via email to [email protected].

Statement on Prior Publication, Concurrent Submission, Authorship, Copyright, Funding, and Conflict of Interest

Tentative title:

1. Prior Publication and Concurrent Submission As corresponding author, I affirm that neither the manuscript nor any of its parts, including tables and figures, has been published or submitted for publication in any compiled printed (e.g., journals, symposia, proceedings, newsletters, and books) or electronic (e.g., Web sites and CD-ROMs) format and that neither the manuscript nor any of its parts will be published or submitted for publication elsewhere while it is under consideration by the AHVMA Journal. Further, I understand that publication of an abstract of the manuscript that is less than 250 words long does not violate this policy, but that publication of longer abstracts may preclude publication of the manuscript. I have included with this submission copies of any abstracts of the manuscript that have been published, submitted for publication, or are expected to be submitted for publication.

2. Authorship As corresponding author, I affirm that each author listed has contributed to the intellectual content of the manuscript, has participated sufficiently to take public responsibility for interpretations and conclusions given in the work, has approved the submitted version, and will be given the opportunity to approve any revisions.

3. Funding As corresponding author, I affirm that all sources of funding and financial support have been indicated in the manuscript and that the authors have disclosed to the editors any financial interests (including ownership, employment, consultancy arrangements, and service as an officer or board member at the present time or in the past) they have with companies that manufacture products that are the subject of this research and with companies that manufacture competing products.

of 4 4. Conflict of Interest The purpose of this form is to provide readers of your manuscript with information about your other interests that could influence how they receive and understand your work. Each author should submit a separate form and is responsible for the accuracy and completeness of the submitted information.

Did you or your institution at any time receive payment or services from a third party (government, commercial, private foundation, etc.) for any aspect of the submitted work (including but not limited to grants, data monitoring board, study design, manuscript preparation, statistical analysis, etc.)?

Are there any relevant conflicts of interest related to the Work under consideration for publication? Yes ______No ______

Are there any relevant conflicts of interest to financial activities outside the submitted Work? Yes _____ No _____

Place explain any financial relationships (regardless of amount of compensation) with entities as described in the instructions. Use one line for each entity. Add as many lines as you need. You should report relationships that were present during the 36 months prior to publication.

______

5. Intellectual Property -- Patents & Copyrights

Do you have any patents, whether planned, pending or issued, broadly relevant to the work? Yes _____ No _____

Are there other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing, what you wrote in the submitted work?

____ Yes, the following relationships/conditions/circumstances are present (explain below): ______No other relationships/conditions/circumstances that present a potential conflict of interest.

of 4 Relationships not covered above

At the time of manuscript acceptance, the Journal will ask authors to confirm and, if necessary, update their disclosure statements. On occasion, the Journal may ask authors to disclose further information about reported relationships

Use this section to report other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing, what you wrote in the submitted Work. ______

Definitions.

Patent Pending: The patent has been filed but not issued Patent Issued: The patent has been issued by the agency Patent Licensed: The patent has been licensed to an entity, whether earning royalties or not Royalties: Funds are coming in to you or your institution due to your patent Entity: government agency, foundation, commercial sponsor, academic institution, etc. Grant: A grant from an entity, generally [but not always] paid to your organization Personal Fees: Monies paid to you for services rendered, generally honoraria, royalties, or fees for consulting, lectures, speakers bureaus, expert testimony, employment, or other affiliations Non-Financial Support: Examples include drugs/equipment supplied by the entity, travel paid by the entity, writing assistance, administrative support, etc.

6. AHVMA Copyright Transfer Agreement In consideration of the American Holistic Veterinary Medical Association (AHVMA) taking action to review and edit this submission (including the manuscript and all of its parts), the undersigned authors transfer ownership of copyright, including the right to publish and distribute the work by any means, method, or process whether now known or to be developed in the future, to the AHVMA in the event that the work is published by the AHVMA. The authors affirm that this submission is an original work and has not been published elsewhere in whole or in part, except in abstract form, that this submission does not contain any material that is libelous, defamatory, or otherwise unlawful, and that this submission does not contain any material that invades the right of privacy or any proprietary right. The authors affirm that they have the right to assign copyright and that no portion of the copyright of this submission has been assigned previously. The authors further affirm that if this contribution contains any material that has been previously published, they have obtained permission for publication from the copyright holder and submitted a copy of the permission release to the AHVMA. It is understood that the authors will not receive any royalty or other monetary compensation for transferring copyright ownership to the AHVMA. In the event that the AHVMA decides not to publish the authors’ submission, the corresponding author will be notified and copyright ownership will revert to the authors. Authors’ signatures Authors’ names (please type or print) Date signed ______

of 4 ______Exemption for Employees of the US Federal Government The undersigned attest that all authors were employees of the US government at the time that this submission was prepared and that the submission was written as part of the of authors’ official duties or that, if one or more authors were not employees of the US government, that the submission was prepared as a work-for-hire for the US government. (Such submissions are not subject to copyright.) Authors’ signatures Authors’ names (please type or print) Date signed ______

JAHVMA February 2016