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Potential Conflict of Interest Disclosure Statement Name:(please print or type)Please select one (or more) of the following: Current member of:New appointment to [Term begins: ___]:Committee/Task
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How to fill out conflict-of-interest statement
How to fill out conflict-of-interest statement
01
Review the conflict-of-interest policy of your organization to understand the guidelines and requirements.
02
Complete all sections of the conflict-of-interest statement accurately and honestly.
03
Disclose any financial interests, relationships, or other potential conflicts that may arise.
04
Provide any additional information or explanations as needed.
05
Submit the completed conflict-of-interest statement following the submission instructions provided by your organization.
Who needs conflict-of-interest statement?
01
Employees
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Board members
03
Volunteers
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Contractors
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What is conflict-of-interest statement?
A conflict-of-interest statement is a document that discloses any financial interests or relationships that may affect an individual's objectivity in their professional roles.
Who is required to file conflict-of-interest statement?
Employees, board members, and other individuals who have a potential conflict of interest are typically required to file a conflict-of-interest statement.
How to fill out conflict-of-interest statement?
To fill out a conflict-of-interest statement, individuals must disclose any financial interests or relationships that may influence their decision-making.
What is the purpose of conflict-of-interest statement?
The purpose of a conflict-of-interest statement is to promote transparency and ensure that individuals in positions of authority act in the best interest of their organization or constituents.
What information must be reported on conflict-of-interest statement?
Information such as financial interests, business relationships, and other potential conflicts of interest must be reported on a conflict-of-interest statement.
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