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State of Alaska Department of Health and Social Services Senior and Disabilities Services Home and Community based Services Adults with Physical and Developmental Disabilities Alaskans Living Independently

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How to fill out conflict of interest exception

01

Start by clearly understanding what a conflict of interest is and how it can impact your decisions and actions.

02

Identify any potential conflicts of interest that you may have in the given situation.

03

Determine whether the conflict of interest is significant enough to require an exception.

04

Consult your organization's policies and guidelines to understand the process for filling out a conflict of interest exception form.

05

Gather all relevant information and documentation regarding the conflict of interest.

06

Clearly and accurately fill out the conflict of interest exception form, providing all necessary details and explanations.

07

Submit the completed form to the designated authority within your organization.

08

Follow up on the status of your request and provide any additional information if required.

09

Adhere to any decisions or actions resulting from the conflict of interest exception process.

10

Regularly review and update your conflict of interest disclosures to ensure ongoing compliance.

Who needs conflict of interest exception?

01

Anyone who finds themselves in a situation where their personal interests or relationships could potentially influence their decision-making or actions needs a conflict of interest exception.

02

This can include employees, board members, executives, volunteers, contractors, and anyone else working within an organization.

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