Free Conflict of Interest Declaration Template
Conflict of Interest Declaration
I, [Your Name], currently serving as [Your Position] at [Your Company Name], hereby submit this Conflict of Interest Declaration to affirm my commitment to uphold the integrity and transparency required by my role within the company. As an employee, I recognize the potential for conflicts of interest which could compromise or appear to compromise my decision-making capabilities.
I. Declaration of Affiliation
This declaration encompasses all known and potential conflicts of interest that might influence, or appear to influence, my professional duties and decisions. I am obliged to disclose any relationships, associations, or activities that could conflict with my role at [Your Company Name]. These include, but are not limited to, personal investments, consultant roles, board memberships, and affiliations with other businesses or organizations that might pose a conflict of interest.
II. Commitment to Transparency
I pledge to maintain the highest standards of honesty and integrity in my professional conduct, ensuring that all my activities and associations are transparent and aligned with the ethics and objectives of [Your Company Name]. It is my duty to immediately report any condition or event that might influence my ability to perform my duties impartially.
III. Reporting of Conflicts
Should a situation arise where a potential conflict of interest is identified, I will promptly disclose this information in writing to [Your Supervisor's Title/Name], adhering to the protocols outlined in [Your Company Name]'s conflict of interest policy. This process ensures all necessary measures are taken to address such conflicts, safeguarding the integrity of both my position and [Your Company Name].
IV. Adherence to Company Policies
I acknowledge that I have read, understood, and agreed to comply with the conflict of interest policies and procedures as outlined in the official staff manual of [Your Company Name]. I understand that it is my responsibility to familiarize myself with these policies and to seek clarification from my department’s ethics officer or legal advisor when uncertain if a potential conflict exists.
V. Confirmation of Disclosure
By signing this declaration, I confirm that the statements made herein are true and correct to the best of my knowledge. I understand that failure to disclose or improperly managing a conflict of interest could result in disciplinary measures, including termination of employment.
VI. Conclusion:
In conclusion, I affirm my commitment to transparency, integrity, and ethical conduct in my role at [Your Company Name]. By diligently adhering to the protocols outlined in this Conflict of Interest Declaration, I aim to maintain the trust and confidence of both my colleagues and the company's stakeholders. Should any potential conflicts of interest arise, I am dedicated to promptly disclosing them and taking appropriate actions in accordance with [Your Company Name]'s policies and procedures.
VI. Signature
[Your Name]
[Position Title]
[Your Company Name]
Date: [Date]