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An Independent Licensee of the Blue Cross and Blue Shield Association20182019 CONFLICT OF INTEREST DISCLOSURE FORM FOR BLUE CROSS BLUE SHIELD OF ARIZONA, INC. AND ITS WHOLLY OWNED SUBSIDIARIES The

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How to fill out 2018-2019 conflict of interest

01

To fill out the 2018-2019 conflict of interest form, follow these steps:

02

Start by reading the instructions provided with the form.

03

Identify any potential conflicts of interest that may exist between yourself and the organizations or individuals you are associated with.

04

Fill in the required personal information, such as your name, contact details, and job title.

05

Clearly specify the nature of the conflict of interest, including any relationships, financial interests, or other relevant factors.

06

Provide additional details or explanations as required.

07

Review the completed form for accuracy and completeness before submitting it.

08

Submit the form to the designated person or department, as instructed.

09

Retain a copy of the completed form for your records.

10

Note: The specific requirements and instructions may vary depending on the organization or institution you are submitting the form to. Therefore, it's important to carefully read and follow the provided instructions.

Who needs 2018-2019 conflict of interest?

01

Various individuals may need to fill out the 2018-2019 conflict of interest form, including:

02

- Employees who work in organizations or institutions that require their staff to disclose potential conflicts of interest.

03

- Board members or directors of companies, non-profit organizations, or governmental bodies.

04

- Public officials or politicians who need to disclose any potential conflicts of interest that may arise from their positions.

05

- Researchers or academics who are involved in studies or projects that require disclosure of conflicts of interest.

06

It's important to note that the specific requirements for filling out the form may vary depending on the organization or institution's policies and regulations.

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What is conflict of interest disclosure?

Conflict of interest disclosure is a process in which individuals reveal any financial interests or relationships that could potentially influence their decision-making.

Who is required to file conflict of interest disclosure?

Certain individuals such as public officials, board members, and employees of organizations are typically required to file conflict of interest disclosure.

How to fill out conflict of interest disclosure?

Individuals must typically provide details about any financial interests, relationships, or investments that could create a conflict of interest on a designated form.

What is the purpose of conflict of interest disclosure?

The purpose of conflict of interest disclosure is to promote transparency and ethics by allowing stakeholders to assess the potential conflicts that individuals may have.

What information must be reported on conflict of interest disclosure?

Typically, individuals must report details about any income, stock ownership, board memberships, or other financial interests that could impact their decision-making.

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