AGENCY: Department of Health. Human Resource Management and Employee Development

SERIES: 1226
TITLE: Conflict of interest clearance forms
DATES: 1983-2014.
ARRANGEMENT: Alphanumerical

DESCRIPTION: This is a record of activities of state employees that may pose a conflict of interest with the performance of their duties and the means by which they plan to avoid a conflict. It includes employee's name, the non-state activity in which the employee is involved, the hours and the days/weeks worked at the activity, what the employee intends to do if a conflict of interest arises, the employee's signature, whether the employee's immediate supervisor and division/office director agrees that there is no conflict of interest, and, if he/she disagrees, what action must be taken to ensure that no conflict arises, and the signatures of the immediate supervisor and the division/office director.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 01/1986

FORMAT MANAGEMENT

Paper: Retain in Office until employee is no longer in potential conflict and then destroy.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private

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