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CONFLICT OF INTEREST ACKNOWLEDGEMENT AND POLICY State of County I, Notary Public for said County and State, certify that personally appeared before me this day and acknowledged that he/she is of name
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NCDHHS COI1015 Rev 411 is a form used by certain individuals to disclose potential conflicts of interest.
Certain individuals who are involved in activities that may present a conflict of interest are required to file NCDHHS COI1015 Rev 411.
To fill out NCDHHS COI1015 Rev 411, individuals must provide information about their affiliations, financial interests, and potential conflicts of interest.
The purpose of NCDHHS COI1015 Rev 411 is to promote transparency and integrity by disclosing potential conflicts of interest.
Information such as affiliations, financial interests, and potential conflicts of interest must be reported on NCDHHS COI1015 Rev 411.
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