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CONFLICTOFINTERESTSTATEMENTFOR HAWAIICAPTIVEINSURANCECOUNCILCORPORATION I, acknowledge that I have received, read and fully understand the Conflict of Interest Policy (Policy) of Hawaii Captive Insurance
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How to fill out conflict of interest statement

How to fill out conflict of interest statement:
01
Start by reading the instructions or guidelines provided by your organization or employer. The conflict of interest statement may have specific requirements or questions that need to be addressed.
02
Begin by providing your personal information such as your name, position/title, and contact details. This will help identify you as the person filling out the statement.
03
Clearly state the nature of your conflict of interest. Explain the circumstances or relationships that could potentially influence your decision-making or create a bias.
04
Be transparent and disclose all relevant financial interests, such as ownership in companies, partnerships, or investments that could be affected by your professional decisions.
05
Declare any personal relationships, whether familial, romantic, or social, that could influence your judgment or create a conflict of interest.
06
Mention any memberships in boards, committees, or organizations that may pose a conflict of interest with your current position.
07
Provide a detailed account of any other potential conflicts of interest that may arise from your involvement in outside activities or engagements.
08
If applicable, outline any steps you have taken or propose to take to mitigate or manage the conflict of interest effectively.
09
Sign and date the conflict of interest statement to indicate your understanding and agreement with its contents.
10
Submit the completed statement to the designated individual or department within your organization.
Who needs a conflict of interest statement:
01
Individuals in positions of authority or decision-making roles within organizations or companies.
02
Employees who have financial stakes or vested interests that could potentially compromise their impartiality.
03
Those involved in public or government sectors where conflicts of interest could undermine public trust and impartiality, such as politicians or civil servants.
04
Members of boards, committees, or other governing bodies who are responsible for making objective and unbiased decisions.
Remember, the specific requirements and guidelines regarding conflict of interest statements may vary depending on the organization or industry. It's essential to refer to the regulations and policies in your specific context.
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