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INDIANA STATE ETHICS COMMISSION AUG 2 1 Z017ETHICS DISCLOSURE STATEMENT CONFLICTS OF INTEREST DECISIONS AND VOTING State Form 55660 (R/1015]FILEDOFFICE OF THE INSPECTOR GENERAL 1C 4269In accordance

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How to fill out conflict of interest statement

01

Begin by clearly identifying any financial interests or relationships that may present a conflict of interest.

02

Provide detailed information about each conflicting interest, including the nature of the relationship and any financial value involved.

03

Disclose any potential conflicts of interest related to research, collaborations, or other professional activities.

04

Sign and date the conflict of interest statement to certify its accuracy and completeness.

Who needs conflict of interest statement?

01

Individuals working in academic institutions, research organizations, government agencies, and companies where conflicts of interest may arise.

02

Professionals conducting research, publishing papers, or participating in decision-making processes where impartiality is crucial.

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What is conflict of interest statement?

The conflict of interest statement is a document where individuals disclose any potential conflicts between their personal interests and their duties or responsibilities in a particular organization.

Who is required to file conflict of interest statement?

Certain individuals such as board members, executives, and employees of an organization may be required to file a conflict of interest statement.

How to fill out conflict of interest statement?

The conflict of interest statement usually requires individuals to detail any financial interests, relationships, or activities that could potentially create conflicts of interest.

What is the purpose of conflict of interest statement?

The purpose of the conflict of interest statement is to maintain transparency and integrity within an organization by identifying and managing potential conflicts of interest.

What information must be reported on conflict of interest statement?

Individuals are typically required to disclose any financial interests, business relationships, or other affiliations that could influence their decision-making at the organization.

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