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Nondisclosure of Interest Statement Disclosure of Interest Statement (P1.104) The purpose of this form is to facilitate the reporting by My Supports staff of an actual, perceived, or potential conflict
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How to fill out disclosure of interest statement

01
Obtain the disclosure of interest form from the relevant department or organization.
02
Fill in your personal details such as name, address, contact information, and job title.
03
Disclose any financial interests you may have that could be perceived as a conflict of interest. This could include ownership of stocks, investments, or partnerships.
04
Disclose any non-financial interests such as relationships with individuals or organizations that could influence your decision-making.
05
Sign and date the form to certify that the information provided is accurate to the best of your knowledge.

Who needs disclosure of interest statement?

01
Employees of companies or organizations
02
Board members
03
Advisors
04
Consultants
05
Anyone involved in decision-making roles where conflicts of interest may arise
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A disclosure of interest statement is a formal declaration that outlines any financial interests, relationships, or affiliations that may influence an individual's or organization's decisions, particularly in a regulatory or governmental context.
Typically, individuals in positions of authority, such as government officials, board members, or employees of certain organizations, are required to file a disclosure of interest statement. Specific requirements may vary by jurisdiction and organization.
To fill out a disclosure of interest statement, individuals should provide accurate information regarding their financial interests, affiliations, and potential conflicts of interest, following the guidelines provided by the respective governing body or organization.
The purpose of a disclosure of interest statement is to promote transparency and accountability, minimizing conflicts of interest and ensuring that decisions are made in the public interest.
The statement typically requires reporting of relevant financial interests, ownership stakes, affiliations with organizations, gifts received, employment history, and any other potential conflicts of interest.
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