Free Financial Conflict of Interest Disclosure Form Template
Financial Conflict of Interest Disclosure Form
Employee Information
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Name: |
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Date: |
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Position: |
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Date of Disclosure: |
Financial Interests
Please disclose any financial interests that may constitute a conflict of interest with your role at [Your Company Name].
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Investments: |
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Business Interests: |
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External Employment: |
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Real Estate Holdings: |
Relationships with External Entities
Please disclose any relationships with external entities that may give rise to a financial conflict of interest.
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Business Relationships: |
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Professional Relationships: |
Certification and Agreement
I, [Employee Name], hereby certify that the information provided in this Financial Conflict of Interest Disclosure Form is accurate and complete to the best of my knowledge. I understand the importance of disclosing potential conflicts of interest to ensure transparency and ethical conduct in my role at [Your Company Name].
Employee Signature: __________________________
Date: ___________________________
