Skip to main content
Loading...
compliance

Conflict of Interest Disclosure

Annual COI disclosure — outside employment, relatives, financial interests, gifts.

14 days free, $0 today — Forms comes with every suite.

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.

What's inside this template

Outside Employment

  • Do you hold any outside employment or directorship? (required)
  • If yes, describe (employer, role, hours per week)

Relatives & Relationships

  • Are any relatives or close personal relations employed by, or doing business with, the company or its competitors? (required)
  • If yes, describe

Financial Interests

  • Do you or your immediate family hold a financial interest >5% in any vendor, customer, or competitor? (required)
  • If yes, describe

Gifts / Entertainment

  • Have you received gifts or entertainment >$100 in value from any vendor, customer, or business contact in the past 12 months? (required)
  • If yes, describe (giver, value, date, business context)

Attestation

  • I attest that the above is complete and accurate to my knowledge (required)
  • Employee signature (required)
  • Date (required)

Common use cases

Annual disclosure
New hire disclosure
Promotion disclosure

Go deeper on the topic

Related concepts
  • Lockout/tagout (LOTO) is the procedure for controlling hazardous energy — electrical, hydraulic, pneumatic, mechanical, thermal, chemical — before...
  • Job hazard analysis (JHA) — also called job safety analysis (JSA) — is the structured exercise of breaking a work task into sequential steps, identifying the...
  • A near-miss is an event that could have caused injury or damage but didn't — a slip that didn't fall, a load that shifted but didn't drop, a machine that...
  • AI governance is the framework a company uses to decide what AI tools are allowed to do, who's accountable for their outputs, what data they're allowed to...

Ready to use this template?

Conflict of Interest Disclosure runs on a platform app included with every MangoApps plan — pick a suite and it comes along.

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.