Conflict of Interest Declaration - Councillors

Instructions

When should I use this form?
This form should be used to declare conflict of interests as described in the Code of Conduct for Councillors which arise outside of Council meetings.

For declarations of conflicts of interest arising in council meetings please refer to Resolve’s Resource Library - ‘Quick Reference Guide - Declaring and managing conflicts of interest at council meetings’

When and how should I make the disclosure?
You should declare the interest as soon as you become aware of the conflict by completing this form.

Who do I contact for further information?
Please email Councillor_services@ncc.nsw.gov.au with your enquiry.  

YOUR DETAILS
CONFLICT DETAILS
Select either Pecuniary or Non-Pecuniary interest as follows:
Note: a relative is you or your spouse’s parent, grandparent, brother, sister, uncle, aunt, nephew, niece, lineal descendant or adopted child and the spouse or de facto partner of those persons.
MANAGEMENT
DECLARATION