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FORM CONFLICT OF interest QUESTIONNAIRE CIQ / For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter I76 of the Local
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How to fill out a conflict of interest questionnaire?

01
Begin by reading the instructions carefully. Understand the purpose of the questionnaire and the specific information that needs to be disclosed.
02
Gather all the necessary documents and information. This may include financial statements, employment contracts, and any other relevant documents that can help you accurately assess potential conflicts of interest.
03
Start by providing your personal information, such as your name, position, and contact details.
04
Proceed to answer the questions regarding your outside activities, financial interests, and relationships. Be thorough and honest in your responses, as providing incomplete or false information can have serious consequences.
05
If you are unsure about any particular question or need further clarification, don't hesitate to seek guidance from your supervisor, Human Resources department, or compliance officer.
06
Review your responses before submitting the questionnaire. Double-check for any errors or omissions that need to be corrected.
07
Sign and date the questionnaire to indicate your understanding and agreement to the provided information.
08
Submit the completed questionnaire to the appropriate authority as instructed.

Who needs a conflict of interest questionnaire?

01
Individuals in positions of authority or decision-making roles within organizations.
02
Employees who have access to confidential information or are involved in financial transactions.
03
Professionals in fields such as healthcare, finance, law, and research, where conflicts of interest are common.
04
Board members, executives, and directors who oversee the operations of an organization.
05
Companies and organizations that are required by law or regulation to ensure transparency and prevent conflicts of interest.
06
Individuals involved in government, public administration, or politics, to ensure transparency and prevent corruption.
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Conflict of interest questionnaire is a form used to disclose any potential conflicts of interest that an individual may have in their professional activities.
Certain individuals such as government officials, employees, and board members may be required to file a conflict of interest questionnaire.
To fill out a conflict of interest questionnaire, individuals must provide information about any financial interests, relationships, or activities that could potentially impact their decision-making.
The purpose of a conflict of interest questionnaire is to promote transparency and ethical behavior by disclosing any potential conflicts that could influence decision-making.
Information such as financial interests, relationships, gifts, and outside activities that could create a conflict of interest must be reported on the questionnaire.
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