# Conflict of Interest Declaration Template Source: https://nerix.ai/templates/conflict-of-interest-declaration Declare any outside interest that could affect your work, and record how the company will manage it. Before you send it 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. ## Fill it in and preview You are signed in. Fill it in your workspace and it is kept as a document you can send, share and have signed. [Open in your workspace](https://app.nerix.ai/documents/templates/conflict-of-interest-declaration) ### 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](https://nerix.ai/templates/company-legal) 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 1. Other jobs, directorships and roles - 2 2. Shareholdings and investments - 3 3. Family and close personal ties - 4 4. Gifts, hospitality and favours - 5 5. Anything else - 6 6. How this could affect my work - 7 7. Signature - 8 8. Review by the organisation Templates ## How it works - 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. - 02 ### Check Read it through. Gaps you have not filled stay marked, so nothing goes out half done. - 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](https://nerix.ai/try?template=conflict-of-interest-declaration) ### Was this template helpful? 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. Templates ## More in Company and legal - [Acceptable use policy Set clear rules for using your systems, accounts, devices and services, and what happens when they are broken. Company and legal](https://nerix.ai/templates/acceptable-use-policy) - [Agency agreement Appoint an agent to find customers and negotiate sales for you in an area, for a commission. 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