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Declaration of Conflict of Interest - Template Form

✓ Valid in Australia

Create your Declaration of Conflict of Interest for use in Australia. Answer a few plain-English questions and the document fills in automatically as you go - then download it in Word and PDF, ready to sign or share.

  • Answer 8 simple questions - the document fills in as you go
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  • Edit your answers and re-download anytime

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  1. 1Answer a few simple questions
  2. 2Preview your document live
  3. 3Pay once - download in Word & PDF

Below you can preview the Declaration of Conflict of Interest, complete it by answering a few plain-English questions, and download a ready-to-sign copy in Word and PDF — tailored for use in Australia.

What the Declaration of Conflict of Interest includes

This template is organised into the following sections:

Frequently asked questions

What is a Declaration of Conflict of Interest?

A Declaration of Conflict of Interest is a ready-to-use legal template for Australia. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Declaration of Conflict of Interest cover?

The Declaration of Conflict of Interest is organised into sections covering CONFLICT OF INTEREST DECLARATION, STAFF MEMBER DETAILS, Name, Job title/position, Email, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Declaration of Conflict of Interest as an editable Microsoft Word (.docx) file and as a PDF.

Can I edit the document later?

Yes — save it to your account and you can re-open, edit and re-download it at any time.

Prepared and reviewed by the LegalDocs team.

Document preview

CONFLICT OF INTEREST DECLARATION

________ (ACN..............................................) ("Organisation")



STAFF MEMBER DETAILS

Name: ________

Job title/position: ________

Email: ________

Phone: ________


DECLARATION

I, ________ of ________, hereby declare that to the best of my knowledge the following is true and correct, except as disclosed in this form:

  • I do not have any actual, potential, or perceived personal interest in any matters related to my role with ________ which could affect my ability to act impartially in the best interests of ________.
  • I do not have any friends, family members, business partners or other acquaintances who have a personal interest in any matters related to my role with ________ which could affect my ability to act impartially in the best interests of ________.
  • I do not have any actual, potential, or perceived personal interest in any matters related to my role with ________ which could affect my ability to act honestly and impartially, to fulfil my duties and perform my role with ________ in accordance with community expectations and Australian law.
  • I do not have any actual, potential, or perceived personal interest in any matters related to my role with ________ which could be considered by a reasonable person to potentially affect my ability to perform or to act honestly and impartially, to fulfil my duties and perform my role with ________ in accordance with community standards and Australian law.

Notwithstanding the foregoing, I hereby disclose the following actual, potential or perceived conflict(s) of interest:

________

I warrant and agree that:

  • I have carefully reviewed this form and I confirm that the information I have provided in this form is true, correct, and complete to the best of my knowledge.
  • I will immediately notify ________ if there are any changes in my circumstances which affect in any way the truth, correctness or completeness of the information provided in this form.
  • I will take all reasonable steps to avoid, and to assist the Organisation in managing, any actual, potential or perceived conflict of interest disclosed in this form or arising in the future.


Signed by ________: ............................................................

Date: ________

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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.