Author Agreement

Please copy and fill it



Manuscript Title:


Author(s) of the abovementioned manuscript have read the following statements and agree with them by signing this form.

If the manuscript is not published in either print or electronic versions of the Journal of Preventive Epidemiology (JPE) within 12 months of acceptance (or as otherwise agreed), this agreement shall automatically terminate.

Statement of Authorship

This statement acknowledges that each undersigned author has made a substantial contribution to the manuscript and is willing to take public responsibility for its contents. Author(s) attest that all persons designated as authors qualify for authorship and all those who qualify are listed. The corresponding author takes responsibility for the integrity of the work as a whole, from inception to published article. The JPE follows the latest definition provided by the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org): “Authorship credit should be based on 1) substantial contributions to conception and design, or acquisition of data, or analysis and interpretation of data; 2) drafting the article or revising it critically for important intellectual content, and 3) final approval of the version to be published. Authors should meet conditions 1, 2, and 3.” All others who contributed to the work but are not authors (if any) are named in the Acknowledgements of the manuscript.

Ethical Requirements

Author(s) herein attest that all human and/or animal studies undertaken as part of research from which this manuscript is derived are in compliance with the regulations of their institution(s) and generally accepted guidelines governing such work. Author(s) warrant that this manuscript contains no violation of any existing copyright or other third party right or any material of an obscene, indecent, libelous, or otherwise unlawful nature and that to the best of their knowledge the manuscript does not infringe the rights of others.

Conflict of Interest and Financial Supports

Author(s) warrant that any financial interests, direct or indirect, that exist or may be perceived to exist for individual contributors in connection with this manuscript have been disclosed in the covering letter. Furthermore, sources of financial support for the project are named in the covering letter as well as the Acknowledgements.

Previous Publications

Author(s) certify that neither this manuscript nor one with substantially similar content under their authorship has been published or being considered for publication elsewhere in any language, except as described in the covering letter. They also certify that any previous presentations of this paper in meetings are mentioned in the covering letter.

Names of all authors in the order in which they appear in the Article:

Author’s Name and Signature                            Date