Manually curated variant knowledgebases and their associated knowledge models are serving an increasingly important role in distributing and interpreting variants in cancer. These knowledgebases vary in their level of public accessibility, and the complexity of the models used to capture clinical knowledge. CIViC (Clinical Interpretations of Variants in Cancer -www.civicdb.org) is a fully open, free-to-use cancer variant interpretation knowledgebase that incorporates highly detailed curation of evidence obtained from peer-reviewed publications. Currently, the CIViC knowledge model consists of four main components: Genes, Variants, Evidence Items, and Assertions. Each component has an associated knowledge model and methods for curation. Gene and Variant data contextualize the genomic region(s) involved in the clinical statement. Evidence Items provide structured associations between variants and their clinically predictive/therapeutic, prognostic, diagnostic, predisposing, and functional implications. Finally, CIViC Assertions summarize collections of CIViC Evidence Items for a specific Disease, Variant, and Clinical Significance with incorporation of clinical and technical guidelines. Here we present the CIViC knowledge model, curation standard operating procedures, and detailed examples to support community-driven curation of cancer variants.relevant variants, as well as open distribution of a standardized cancer variant knowledgebase [8,9]. The Clinical Interpretations of Variants in Cancer (CIViC) knowledgebase (www.civicdb.org) was developed to address the challenges outlined above [10].CIViC is a fully open, free-to-use knowledgebase, which incorporates clinical evidence associated with a biomedical publication. Evidence supporting specific clinical interpretations is gathered via crowdsourced curation followed by expert review and moderation. All submissions, revisions, moderations, and comments on CIViC entries are tracked and displayed through the CIViC web interface, providing transparency and clear provenance of all content in the knowledgebase.Here we describe the CIViC knowledge model, and provide a standard operating procedure for clinical interpretation of variants in cancer using the CIViC platform. We first provide details on how the knowledge model permits consumption as well as curation of clinical information. We then describe each of the four components (Genes, Variants, Evidence Items, and Assertions) by outlining associated features, detailing methods for moderation, and providing curation examples. Further details on the CIViC knowledge model, standards and guidelines for curation and moderation, and details on the CIViC project are available in the CIViC help documents (https://civicdb.org/help/introduction).