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Columbus State University Conflicts of Interest Disclosure Form Purpose: This form should be completed by Columbus State University (CSU) employees (faculty and staff) who have any personal, professional,
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Begin with your name and contact information at the top of the form.
02
Clearly state the nature of the conflict in the designated section.
03
Provide a detailed description of the events leading to the conflict, including dates and relevant parties involved.
04
Include any previous attempts at resolution and their outcomes.
05
List any supporting documents or evidence that corroborate your claim.
06
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Who needs appendix a - conflict?

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Individuals involved in disputes requiring official documentation.
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Organizations that need to formally record conflicts for resolution processes.
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Legal professionals seeking to present evidence of conflict.
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Appendix A - Conflict is a document that outlines potential conflicts of interest that may influence an individual's ability to perform their duties impartially.
Individuals in positions that may create a conflict of interest, such as employees or officials in certain government roles, are required to file Appendix A - Conflict.
To fill out Appendix A - Conflict, individuals must provide personal information, disclose relationships or affiliations that may pose a conflict, and sign the document to affirm its accuracy.
The purpose of Appendix A - Conflict is to ensure transparency and accountability by identifying any potential conflicts of interest that could affect decision-making.
Information that must be reported includes names of related parties, nature of the conflict, any financial interests, and details of relevant affiliations or relationships.
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