Skip to content

Conflict of interest declaration

Declare any outside interest that could affect your work, and record how the company will manage it.

Fill it in and preview

Conflict of interest declaration

Organisation: Northfield Foods Ltd
Name: Sam Okafor
Role: Head of Purchasing
This declaration is: This declaration is
Date: 10 January 2031

I understand that a conflict of interest is a situation where a personal, family, financial or other interest could affect, or look as if it could affect, my judgement at work. I have answered honestly and in full, and I will tell Northfield Foods Ltd promptly if anything changes.

1. Other jobs, directorships and roles

Director of a family company, Okafor Transport Ltd (unpaid)
Trustee of a local food bank

2. Shareholdings and investments

None above 1 percent of a listed company

3. Family and close personal ties

My brother works at Harbor Cold Storage, one of our suppliers

4. Gifts, hospitality and favours

Dinner worth about 80 from a supplier on 3 November 2030, declined

5. Anything else

Nothing further

6. How this could affect my work

I may be asked to decide on a contract with Harbor Cold Storage.

7. Signature

Signature of the person declaring:

Date:

8. Review by the organisation

How the conflict will be managed:

Sam does not take part in any decision on Harbor Cold Storage. Another buyer handles that supplier.

Reviewed by: Maria Silva, Managing director
Date reviewed: 15 January 2031

Templates are a careful starting point, not legal advice. Where the law matters, check what applies where you are.

Company and legal

What this template is for

A conflict of interest declaration for staff, directors or volunteers to disclose outside roles, shareholdings, gifts and family ties, and how each is managed.

It is free to fill in online, needs no account, and downloads as a Word document or a PDF. See all Company and legal templates

Company and legal

What you fill in

The form asks for 14 details. The document fills itself in as you type.

  • Organisation

    For example: Northfield Foods Ltd

  • Your name

    For example: Sam Okafor

  • Your role

    For example: Head of Purchasing

  • This declaration is

  • Date

    For example: 10 January 2031

  • Other jobs, directorships or unpaid roles

    One per line. Write 'none' if none.

    For example: Director of a family company, Okafor Transport Ltd (unpaid) Trustee of a local food bank

  • Shareholdings or investments in suppliers, customers or competitors

    Write 'none' if none.

    For example: None above 1 percent of a listed company

  • Family or close personal ties with suppliers, customers, competitors or staff

    Write 'none' if none.

    For example: My brother works at Harbor Cold Storage, one of our suppliers

  • Gifts, hospitality or favours received or offered (optional)optional

    Include anything worth more than your company's limit. Write 'none' if none.

    For example: Dinner worth about 80 from a supplier on 3 November 2030, declined

  • Anything else that could look like a conflict

    Think about how it would look to an outsider.

    For example: Nothing further

  • How this could affect your work (optional)optional

    For example: I may be asked to decide on a contract with Harbor Cold Storage.

  • How the conflict will be managed (filled in by the manager) (optional)optional

    For example: step aside, tell others, remove from the decision, or give up the interest.

    For example: Sam does not take part in any decision on Harbor Cold Storage. Another buyer handles that supplier.

  • Reviewed by (optional)optional

    For example: Maria Silva, Managing director

  • Date reviewed (optional)optional

    For example: 15 January 2031

Company and legal

What is inside

The parts of this document, in order.

  1. 11. Other jobs, directorships and roles
  2. 22. Shareholdings and investments
  3. 33. Family and close personal ties
  4. 44. Gifts, hospitality and favours
  5. 55. Anything else
  6. 66. How this could affect my work
  7. 77. Signature
  8. 88. Review by the organisation

Templates

How it works

  1. 01

    Fill in

    Type your details in the form. The document fills itself in as you type; click any gap to jump to its field.

  2. 02

    Check

    Read it through. Gaps you have not filled stay marked, so nothing goes out half done.

  3. 03

    Download

    Save it as a Word document to edit further, or as a PDF to send or print.

Make it yours with AI

Open it in the chat and ask for changes: shorter, firmer, another situation, another language.

Adapt it with nerix

Company and legal

Questions people ask

What details does this template ask for?

The form asks for 14 details, starting with Organisation, Your name, Your role, This declaration is, Date. 5 more are optional.

Can I download this template as Word or PDF?

Yes. When you have filled in the form, save it as a Word document to keep editing, or as a PDF to send or print. It is free and needs no account.

Is what I type sent anywhere?

No. What you type stays in your browser while you fill in the document. It only goes to nerix if you choose to open the template in the chat.

What should I check before I use this template?

Directors and public bodies often have legal duties to declare interests. This form records a declaration; it does not replace those duties. Check the rules that apply to your organisation.

Are these company templates free?

Most are. Fill in and download them for free as Word or PDF, with no account. A few longer documents are premium: free to fill in, paid once to download, and marked with their price.

Is a template the same as legal advice?

No. A template is a careful starting point. Company, contract and data protection law differ by country, so have a lawyer read anything that carries real risk before you sign.

Can I change the clauses?

Yes. Download the Word version and edit it, or open the template in the nerix chat and ask for a clause that is stricter, shorter or in another language.