Conflict of Interest Form - Office of Communications and Marketing 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name, employee ID number, department, school/college, sponsoring agency, and title of the project at the top of the form.
3. Indicate whether you or a family member has any affiliations with state agencies or businesses that could affect your activities related to the contract or grant. Select 'Yes' or 'No' and provide details if applicable.
4. Answer whether you or your spouse/dependents own more than 5% of any business enterprise related to the contract. Again, select 'Yes' or 'No' and elaborate if necessary.
5. Respond to questions regarding any significant financial interests in state agencies related to the contract. Choose 'Yes' or 'No', providing additional information as needed.
6. Finally, confirm if a paid lobbyist was used for securing the contract. Select your answer and describe further if required.
7. Review the certification section carefully before signing and dating the form. Ensure all required disclosures are made.

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