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CITY OF DETROIT BOARD OF ETHICS PUBLIC SERVANT DISCLOSURE OF INTEREST Name of Public Servant*: Date: Work Address: Street City State Zip Code Public Servant Work Telephone Number: Current Public Servant:
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How to fill out public servant disclosure of:

01
Gather all relevant information: Before starting the disclosure form, make sure you have all the necessary information at hand. This may include your personal details, financial information, and any potential conflicts of interest.
02
Review instructions: Read through the instructions provided with the public servant disclosure form carefully. Make sure you understand the purpose of the form and any specific requirements for filling it out.
03
Provide personal information: Fill in your personal details, such as your name, contact information, job title, and department. Be sure to double-check the accuracy of this information.
04
Declare financial interests: Disclose any financial interests you hold, including investments, stock ownership, and other assets. Provide detailed information about each financial interest, such as the type, value, and any potential conflicts of interest.
05
Disclose outside employment: If you have any outside employment or business activities, indicate them on the form. Include the name of the employer or business, your job title or role, and the number of hours per week you dedicate to this outside activity.
06
Report gifts and benefits: If you have received any gifts or benefits from individuals or organizations in relation to your public servant role, disclose them on the form. Provide information about the nature of the gift or benefit, its value, and the giver's name.
07
Declare potential conflicts of interest: Identify and disclose any potential conflicts of interest you may have. This includes situations where your personal interests or outside activities could potentially influence your decision-making or performance of public duties.
08
Review and sign: Carefully review the completed form once you have filled it out. Make sure all the information is accurate and complete. Then, sign and date the form, acknowledging that the information provided is true and accurate to the best of your knowledge.

Who needs public servant disclosure of:

01
Public servants: All public servants, including government employees, elected officials, and individuals appointed to public roles, are typically required to fill out a public servant disclosure form. This is to ensure transparency and to prevent conflicts of interest in the performance of their duties.
02
Government agencies and organizations: Public servant disclosure forms are often required by government agencies and organizations responsible for regulating public servants. These organizations use the information provided in the forms to assess and manage any potential conflicts of interest that may arise.
03
Stakeholders and the public: The disclosure forms help promote transparency and accountability within the public sector. By filling out these forms, public servants provide stakeholders and the public with information about their financial interests, outside employment, and potential conflicts of interest, ensuring that their actions and decisions are not influenced by personal gain.
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Public servant disclosure is the disclosure of financial interests and potential conflicts of interest by public servants.
Public servants, including government officials and employees, are required to file public servant disclosure forms.
Public servants must provide detailed information about their financial interests, assets, liabilities, and outside activities on the disclosure form.
The purpose of public servant disclosure is to promote transparency, integrity, and accountability in government by identifying and addressing potential conflicts of interest.
Public servants must report information such as their income, assets, debts, investments, and any outside positions or business interests.
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