World Journal of Orthodontics
Mandatory Submission Form

Title of article: ______________________________________________

A signature of each author below certifies compliance with the following statements:

Copyright transfer.
In consideration of the acceptance of the above work for publication, I do hereby assign and transfer to Quintessence Publishing Company all rights, title, and interest in and to the copyright in the above-titled work. This assignment applies to all translations of said article as well as to preliminary display/posting of the abstract of the accepted article in electronic form before publication. If any changes in authorship (order, deletions, or additions) occur after the manuscript is submitted, agreement by all authors for such changes must be on file with the Publisher. An author's name may be removed only at his/her written request. (Note: Material prepared by employees of the US government in the course of their official duties cannot be copyrighted.)

Author responsibilities.
I attest that:

  1. The manuscript is original work without fabrication, plagiarism, or fraud.
  2. The manuscript is not currently under consideration elsewhere and the research reported will not be submitted for publication elsewhere unless a final decision is made that the manuscript is not acceptable for WJO.
  3. I have made a significant scientific contribution to the study and I am thoroughly familiar with the primary data outlined in the manuscript.
  4. I have read the complete manuscript and take responsibility for the content and completeness of the final submitted manuscript and understand that if the manuscript, or part of the manuscript, is found to be faulty or fraudulent, I share responsibility.
  5. All clinical images included with the manuscript accurately portray the subjects or material photographed and have not been altered or retouched in any way.

Conflict of interest disclosure.
All institutional or corporate affiliations of mine and all funding sources supporting the study are acknowledged. Except as disclosed below, I certify that I have no commercial associations (eg, consultancies, patent-licensing arrangements, equity interests) that might represent a conflict of interest in connection with the submitted manuscript.

Experimental procedures in humans and animals.
WJO endorses the principles embodied in the Declaration of Helsinki and insists that all investigations involving human beings reported in WJO articles be carried out in conformity with these principles. Authors reporting on their experimental work in humans or animals should also cite evidence in the Materials and Methods section of the article that this work has been approved by, respectively, an institutional clinical/human experimentation panel or an institutional animal care and use panel (or equivalent).

Signature of each author is required in the same order as on the manuscript title page. (Fax signatures, multiple forms are acceptable.)

Signature (1)___________________________
Print name _____________________________
Date _____________________________
Signature (2)___________________________
Print name _____________________________
Date _____________________________
Signature (3)___________________________
Print name _____________________________
Date _____________________________
Signature (4)___________________________
Print name _____________________________
Date _____________________________
Signature (5)___________________________
Print name _____________________________
Date _____________________________
Corresponding author _____________________________
Mailing address _____________________________
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Phone _____________________________
Fax _____________________________
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Explaination of commercial association:

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