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Conflict of Interest Disclosure
Annual COI disclosure โ outside employment, relatives, financial interests, gifts.
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What's inside this template
Outside Employment
- Do you hold any outside employment or directorship?
- If yes, describe (employer, role, hours per week)
Relatives & Relationships
- Are any relatives or close personal relations employed by, or doing business with, the company or its competitors?
- If yes, describe
Financial Interests
- Do you or your immediate family hold a financial interest >5% in any vendor, customer, or competitor?
- If yes, describe
Gifts / Entertainment
- Have you received gifts or entertainment >$100 in value from any vendor, customer, or business contact in the past 12 months?
- If yes, describe (giver, value, date, business context)
Attestation
- I attest that the above is complete and accurate to my knowledge
- Employee signature
- Date
Common use cases
Annual disclosure
New hire disclosure
Promotion disclosure
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