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