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Confidentiality and conflict of interest declaration

1Intro
2Personal
3Confidentiality
4Conflict of Interest
5Agreement
6Submit
  • This form is used to declare conflicts of interest and to acknowledge obligations in relation to maintaining the confidentiality of information obtained in the performance of TASC duties. This form must be completed by all persons employed under the State Service Act 2000 to work for, or on behalf of, TASC.

    Before completing this form you must read:
    • the Confidentiality and Conflict of Interest Disclosure Policy
    • the State Service Code of Conduct, outlined in section 9 of the State Service Act 2000.
    This declaration is governed by the law for the time being in force in the State of Tasmania.

    Your personal information will be used for the purpose for which it was collected in accordance with the Personal Information Protection Act 2004. A full personal information protection statement relevant to TASC is provided at www.tas.gov.au/stds/pip.htm.
  • This declaration is made on the day it is submitted to TASC:
  • I declare that:
    Refer to the Confidentiality and Conflict of Interest Disclosure Policy detail on each type of conflict.
  • Describe the reason you have a conflict, or the circumstances that lead to the conflict. Include specific names, dates, courses or schools as appropriate.
  • Think carefully and broadly about where your specific points of vulnerability are, in relation to your conflict(s) of interest. This will help you make sure your Conflict Management Plan (below) will be effective in protecting you and TASC in relation to the conflict(s) of interest.
  • Outline how you propose to manage / resolve / eliminate / avoid the conflict(s). What measures or arrangements will you put in place?
  • I agree to:
  • If a situation arises that results in an unforeseen conflict of interest, or a breach of my Conflict Management Plan or other conditions or restrictions that are imposed by TASC, I agree, as soon as possible, to:


  • Thank you. To submit your confidentiality and conflict of interest declaration to TASC, click the Submit Declaration button.
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