Conflict of Interest Declaration

The 1-page declaration every worker, contractor and director fills in annually — with 10 specific scenarios pre-listed.

A simple, clean Conflict of Interest Declaration form. Every worker, contractor, director and volunteer signs one on engagement and again annually. Even 'nil' declarations get filed — auditors look for completeness more than they look for declarations.

Includes 10 specific conflict scenarios pre-listed (personal relationships, financial interests, gifts, secondary employment, referrals to family-owned services, board roles in related organisations, and more) so workers don't miss a conflict because they didn't know what counted. Manager review section and next-due tracking built in.

Pairs with the Conflict of Interest Policy in the Foundation Policies Pack — that's the principles, this is the sign-off.

What's included

• 1-page declaration form (editable .docx)
• 10 pre-listed conflict scenarios with checkboxes
• Free-text 'tell us more' section for declared items
• Worker commitment statement
• Manager review section
• Next declaration due tracker
• Practice Standards reference (Governance)

FAQs

Q. How often should workers complete this?
A. On engagement (Day 1), then every 12 months, plus any time something changes.

Q. What about directors and contractors?
A. Same form, same cadence. The Practice Standards expect declarations from everyone making decisions on behalf of the organisation.

Q. Format?
A. Editable Word (.docx). Adapt to your business.

Q. Affiliated with NDIS Commission?
A. No. We're an independent template publisher. Not legal advice.

Q. Refund policy?
A. Digital downloads non-refundable. File replacement available if it won't open.

Format: Single .docx (2 pages)

Template by Northform Health. Not legal, regulatory or clinical advice. Not affiliated with the NDIS Quality and Safeguards Commission. Single-user licence. Digital downloads are non-refundable once accessed.