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CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor or other person doing business with local governmental entity OFFICE USE ONLY This questionnaire reflects changes made to the law by H.B. 1491,
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How to fill out conflict of interest questionnaire:

01
Begin by carefully reading the instructions provided with the questionnaire.
02
Gather all the necessary information and documents that may be required to complete the questionnaire accurately.
03
Start by filling in your personal details such as name, contact information, and any affiliations or positions held.
04
Answer each question accurately and honestly, providing any relevant details or explanations where necessary.
05
If any questions are unclear or require further clarification, seek assistance from the appropriate authority or individual responsible for the questionnaire.
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Review your responses before submitting the questionnaire to ensure accuracy and completeness.

Who needs conflict of interest questionnaire:

01
Individuals who hold positions in organizations, companies, or institutions where conflicts of interest may arise.
02
Professionals in fields such as finance, law, research, healthcare, or government, where conflicts of interest need to be identified and managed.
03
Employees or board members of non-profit organizations or government agencies who may encounter situations where personal interests could compromise their decision-making.
04
Contractors or consultants working with organizations or institutions that require disclosure of potential conflicts of interest.
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Anyone involved in a situation where their personal interests may conflict with their professional responsibilities or duties.
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A conflict of interest questionnaire is a document that is used to identify and disclose any potential conflicts of interest that individuals may have in relation to their professional duties.
The individuals who are required to file a conflict of interest questionnaire may vary depending on the organization or institution. Typically, it applies to employees, board members, and high-ranking officials who have decision-making authority.
To fill out a conflict of interest questionnaire, individuals are usually required to provide their personal information, details about their employment or position, and disclose any potential conflicts of interest they may have. The specific instructions and format may vary depending on the organization.
The purpose of a conflict of interest questionnaire is to proactively identify and address any conflicts of interest that could potentially impact an individual's decision-making or compromise their impartiality. It helps ensure transparency and ethical conduct in professional settings.
The information that must be reported on a conflict of interest questionnaire typically includes personal details such as name, position, and contact information, as well as a comprehensive disclosure of any financial interests, relationships, or other potential conflicts of interest.
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