Conflict of Interest Waiver Request

Conflict of Interest Waiver Request — Form Fields

This legal template includes 5 fields. Allows employees or board members to disclose a potential conflict of interest and request an official waiver from legal or the ethics committee. Free to customize and use on ZenBuild.

• Your Name (text, required)
• Job Title (text, required)
• Nature of Conflict (dropdown selection, required) — options: Financial interest in a vendor/customer, Family member employed by counterparty, Outside employment or consulting, Board membership or directorship, Other
• Full Description of the Conflict (long text, required)
• Proposed Mitigation (long text, optional)