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FORM DISLOYAL GOVERNMENT OFFICER CONFLICTS DISCLOSURE STATEMENT (Instructions for completing and filing this form are provided on the next page.) This questionnaire reflects changes made to the law
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How to fill out conflicts of disclosure statements

01
Review the conflicts of interest policy to understand what needs to be disclosed.
02
Gather all relevant information about potential conflicts, such as financial interests, personal relationships, and outside activities.
03
Complete the conflicts of disclosure form accurately, providing details about the nature of the conflict and its potential impact.
04
Consult with a supervisor or ethics committee if you are unsure about what needs to be disclosed.
05
Submit the completed form to the appropriate department or individual for review and approval.
06
Update the conflicts of disclosure form as new conflicts arise or existing conflicts change.

Who needs conflicts of disclosure statements?

01
Employees
02
Contractors
03
Consultants
04
Board members
05
Anyone involved in decision-making or activities that could be influenced by a conflict of interest
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Conflicts of disclosure statements are documents that require individuals to disclose any potential conflicts of interest that may affect their decision-making.
Public officials, government employees, and individuals in positions of authority are typically required to file conflicts of disclosure statements.
Conflicts of disclosure statements are typically filled out by providing detailed information about any financial interests, relationships, or other potential conflicts of interest.
The purpose of conflicts of disclosure statements is to promote transparency and prevent unethical behavior by ensuring that individuals in positions of authority do not make decisions that are influenced by personal interests.
Information that may need to be reported on conflicts of disclosure statements includes financial investments, sources of income, business relationships, and gifts or other benefits.
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