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Plagiarism Declaration Form for the United States

Plagiarism Declaration Form Template for United States

A legally binding document used within United States jurisdiction that requires individuals to formally declare the originality of their work and compliance with academic integrity standards. The document serves as both an educational tool and a legal safeguard, requiring declarants to acknowledge their understanding of plagiarism, confirm proper citation of sources, and accept responsibility for the originality of their work. It includes specific provisions aligned with U.S. copyright law and educational regulations, while incorporating institutional policies on academic integrity and potential consequences of false declarations.

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What is a Plagiarism Declaration Form?

The Plagiarism Declaration Form is a crucial document used across educational institutions and professional organizations in the United States to maintain academic and professional integrity. This declaration serves as a legally binding statement where individuals affirm the originality of their work, whether it's academic assignments, research papers, publications, or professional content. The form is designed to address requirements under U.S. copyright law and educational regulations, while also aligning with institutional policies on academic integrity. It typically includes declarations about proper citation practices, acknowledgment of sources, and understanding of plagiarism consequences. The document is particularly important in contexts where original work verification is essential, such as academic submissions, professional publications, and content creation.

What sections should be included in a Plagiarism Declaration Form?

1. Student/Author Information: Full name, student ID, course/program details, and contact information of the person making the declaration

2. Work Details: Title, type, and submission date of the work being declared, including course/assignment reference numbers if applicable

3. Declaration Statements: Clear, numbered statements confirming original work, proper citation, and acknowledgment of all sources

4. Understanding of Plagiarism: Confirmation that the declarant understands what constitutes plagiarism and academic misconduct

5. Consequences Acknowledgment: Statement acknowledging understanding of the consequences of plagiarism or false declaration

6. Authorization: Signature block, date, and statement that the declaration is being made truthfully and voluntarily

What sections are optional to include in a Plagiarism Declaration Form?

1. Group Work Declaration: Additional section for collaborative assignments, detailing individual contributions and shared work

2. Third-Party Assistance: Declaration of any permitted third-party assistance received (e.g., proofreading, editing)

3. Previous Submission Declaration: For work that builds on or includes previously submitted material

4. Digital Tools Declaration: Statement regarding the use of AI tools, language processors, or other digital assistance

5. Confidentiality Statement: For works containing sensitive or confidential information

What schedules should be included in a Plagiarism Declaration Form?

1. Citation List: Detailed list of all sources cited in the work (if not included in the main work)

2. Collaboration Agreement: For group work, details of the collaboration agreement and division of responsibilities

3. Institutional Policies: Reference copy of relevant academic integrity policies and procedures

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

United States

Document Type

Declaration Form

Cost

Free to use
Relevant legal definitions

























Clauses
















Relevant Industries

Education

Higher Education

Academic Research

Publishing

Media and Entertainment

Professional Services

Research and Development

Corporate Training

Online Learning

Relevant Teams

Academic Affairs

Faculty Administration

Research Administration

Quality Assurance

Compliance

Legal

Content Management

Editorial

Professional Development

Student Services

Relevant Roles

Professor

Academic Dean

Department Head

Research Director

Academic Integrity Officer

Content Manager

Educational Administrator

Publishing Editor

Research Supervisor

Compliance Officer

Academic Affairs Director

Course Coordinator

Quality Assurance Manager

Professional Development Manager

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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