---
title: "Conflict of Interest Disclosure Statement"
id: "59456"
type: "post"
slug: "conflict-of-interest-disclosure-statement"
published_at: "2008-09-18T09:00:00+00:00"
modified_at: "2026-11-04T19:02:29+00:00"
url: "https://associationsnow.com/2008/09/18/conflict-of-interest-disclosure-statement/"
markdown_url: "https://associationsnow.com/2008/09/18/conflict-of-interest-disclosure-statement.md"
excerpt: "A fill-in conflict of interest disclosure statement for board members, officers, senior staff, and agents to report situations that could create conflicting duties to the association."
taxonomy_category:
  - "Ethics"
taxonomy_post_tag:
  - "conflict of interest"
  - "disclosure"
  - "PDF"
  - "professional tips"
  - "The Sample Center"
taxonomy_content_format:
  - "Templates"
taxonomy_role:
  - "Association CEO / Executive Director"
  - "Director"
  - "Executive Team"
  - "VP"
taxonomy_persona:
  - "Association Professionals"
---

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[Margaret Vassilikos](https://associationsnow.com/author/margaret-vassilikos/)

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 [#The Sample Center](https://associationsnow.com/tag/the-sample-center/)

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