DOCUMENT

POL - Conflict of Interest Questionnaire - Miscellaneous (Sample) 2005

  • YEAR CREATED: 2005
  • TYPE OF DOCUMENT: POL - Policies/Procedures
This document is a Conflict of Interest Questionnaire. It is a form that individuals are required to fill out in relation to a specific ITB, RFP, ITN, or contract. The form consists of six questions related to potential conflicts of interest with the bidders or entities involved in the process. The questions inquire about financial or other interests, acceptance of gratuities or favors, previous employment, current or future financial interests, future employment plans, and any other conditions that may cause a conflict of interest. If any of the questions are answered with a "yes," the individual is required to provide a written explanation. The form concludes with a declaration of truthfulness and requires the printed name, agency, signature, and date of the individual filling it out. The document is revised as of April 2005.
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