NATSIC-AS
Interests and conflict management register

Organisation: [name and registration]
Register custodian and access controls: [details]
Applicable Act, rule book and policy: [references]
Review date: [date]

Interest declaration
Entry number: [ID]
Name and role of person declaring: [details]
Date declared and date interest arose or changed: [dates]
Nature of interest or relationship: [factual description]
Relevant business, property, employment, family, community or other connection: [only necessary detail]
Person or body receiving declaration: [details]
Signature and date: [details]

Decision-specific assessment
Decision, transaction, recruitment or investigation: [reference]
How the declared interest connects to this matter: [explain]
Actual, potential or perceived concern and reasons: [assessment]
Decision-maker authorised to assess management: [authority]
Relevant rule and any required approval: [checked basis]

Management record
Disclosure to whom and when: [details]
Access to papers restricted: [details]
Participation in discussion and voting: [permitted / excluded, with basis]
Departure and return times: [times]
Quorum before and after exclusion: [verified calculation]
Substitute decision-maker or other arrangement: [details]
Separate related-party approval required: [assessment and action]
Resolution, minutes and supporting document references: [IDs]
Person responsible for implementation and review: [details]

Keep interest declarations current and revisit them when a particular decision arises. Kinship, friendship or a past working relationship must be assessed in context; it is not, by itself, proof of wrongdoing. A board must not assume it has a power to remove an office-holder merely because it manages a conflict. Record the actual statutory, rule-book or other authority for any action.

Before use
Replace every bracketed field and remove instructions before using a document. Identify the entity, state or territory, governing Act, current registered rule book or constitution and any applicable policy first. A NSW or NT land council is not automatically a CATSI corporation. A PBC or RNTBC must separately consider native title consultation and consent requirements; an ordinary board or member vote does not necessarily satisfy them. Check notice, eligibility, quorum, voting, recording, lodgment and review requirements for the particular matter. These are advocacy preparation resources, not legal advice, legal services or a guarantee of compliance.

Source and use information
Informed by ORIC conflict-of-interest guidance and template catalogue. Source material © Commonwealth of Australia 2024 and 2026, CC BY 4.0. Rewritten and expanded by NATSIC-AS. Not an ORIC form or endorsed by ORIC.
https://www.oric.gov.au/for-corporations/decision-making/conflict-interest/managing-conflict-interest
Licence: https://creativecommons.org/licenses/by/4.0/
NATSIC-AS provides advocacy, not legal advice or legal services. Check applicable requirements and deadlines before use.