Open Care Connect - Conflict of Interest Declaration

Conflict of Interest Declaration

Open Care Community Services Pty Ltd t/a Open Care Connect | ABN: 22 668 873 694 | NDIS: 4-JU2I9UJ

GOV-COI-001 | V1.1 | Custodian: Quality & Compliance Manager

A conflict of interest arises when personal, financial, or other interests could influence or appear to influence professional decisions or actions.

All OCC staff, contractors, and Key Personnel are required to declare any actual, potential, or perceived conflicts of interest.

Declarations must be made on commencement, annually, and whenever a new conflict arises.

This declaration is filed in Section 03 (Employment & Conduct) of the staff member’s HR folder.

Reference: NDIS Practice Standards 2.1 - Governance | OCC Conflict of Interest Policy

A - Declarant Details

Full name

OCC staff ID / contractor ID

Role / position

Employment type

Permanent staff Casual staff Contractor Board / Key Personnel

Date of declaration

Declaration type

Initial (on commencement) Annual renewal New conflict identified

B - Declaration of Interests

Review each category below. For each item, indicate whether you have an interest to declare. If YES, provide details in the space below or on a separate attachment.

Category of Interest	Yes	No	Details (if Yes)
Financial interest in any current or prospective OCC service provider, contractor, or supplier
Family or close personal relationship with a current or prospective OCC participant
Family or close personal relationship with another OCC employee or contractor
Secondary employment or business activity that could conflict with OCC work
Previous employment or professional relationship that could create a conflict
Receipt of gifts, hospitality, or benefits that could influence professional decisions
Directorship, shareholder interest, or formal role in any external organisation related to OCC's work
Any personal interest in a decision OCC is currently making or likely to make
Any other circumstance that could reasonably be perceived as a conflict of interest

C - Details of Declared Interests

For any "Yes" responses above, provide full details here: describe the nature of the interest, the relationship involved, any financial connection, and how it could potentially affect your professional role at OCC. Attach additional sheets if needed:

D - Proposed Management Strategy

Describe how you propose to manage the declared conflict. For example: recusal from decisions involving the party, disclosure to supervisor before taking any action, supervisor co-sign requirement, etc. This will be reviewed and confirmed by the Director:

E - No Conflict Declaration

If you have NO interests to declare, please complete this section.

I declare that I have NO actual, potential, or perceived conflict of interest to disclose at this time.

I understand I am obligated to notify OCC immediately if this situation changes.

F - Declaration and Sign-off

I confirm that the information provided in this declaration is accurate and complete. I understand my obligation to disclose any change in circumstances that may give rise to a conflict of interest, and that failure to disclose a conflict may result in disciplinary action including termination of employment.

By signing below in the signature pad and entering the required declaration details in this section, you are electronically confirming this declaration is true and complete and consenting to OCC storing your signature record, declaration date, and submission audit timestamp for governance and employment records.

Declarant

Date

Director / Authorised Manager

Date

Document No.	Version	Created	Review Due	Custodian
GOV-COI-001	V1.1	28 Feb 2026	Annually + on new conflict	Quality & Compliance Manager