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LOCAL GOVERNMENT OFFICER CONFLICTS DISCLOSURE STATEMENTFORM CIS(instructions for completing and filing this form are provided on the next page.) This questionnaire reflects changes made lo the law
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How to fill out conflict disclosure statement and

How to fill out conflict disclosure statement and
01
Begin by providing your personal information such as name, contact details, and job title.
02
Identify the parties involved in the conflict or potential conflict.
03
List any financial interests or relationships that could present a conflict of interest.
04
Describe the nature of the conflict or potential conflict in detail.
05
Sign and date the disclosure statement to certify its accuracy and completeness.
Who needs conflict disclosure statement and?
01
Employees or representatives of organizations who may have a financial interest or relationship that could influence their decision-making.
02
Professionals in fields such as law, finance, healthcare, and research where conflicts of interest are common.
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What is conflict disclosure statement?
A conflict disclosure statement is a document where individuals disclose any potential conflicts of interest that may arise in their position or decision-making.
Who is required to file conflict disclosure statement?
Individuals who hold positions of authority or decision-making power in an organization are usually required to file a conflict disclosure statement.
How to fill out conflict disclosure statement?
To fill out a conflict disclosure statement, individuals must provide detailed information about any potential conflicts of interest they may have, including financial interests, relationships, or other relevant factors.
What is the purpose of conflict disclosure statement?
The purpose of a conflict disclosure statement is to promote transparency and integrity in decision-making processes by identifying and addressing potential conflicts of interest.
What information must be reported on conflict disclosure statement?
On a conflict disclosure statement, individuals must report any financial interests, relationships, or other factors that could potentially influence their decision-making.
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