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Ministers' Office Handbook

Attachment D

Personal Interest Declaration for Office Holder Staff

PERSONAL INTEREST DECLARATION FOR OFFICE HOLDER STAFF

Name

 

Job

 

Political office holder and portfolio

 

 

The NSW Office Holder’s Staff Code of Conduct provides that all office holder staff must take reasonable steps to avoid, and in all cases disclose, any actual or potential conflicts of interests (real or apparent), noting that staff are required to provide their office holder with a statement of private interests and update accordingly.

The Premier’s determination of conditions under section 7 of the Members of Parliament Staff Act 2013 requires that political office holders’ staff complete and lodge a Personal Interest Declaration and provide updated declarations as required.

Declaration of personal interests

To the best of my knowledge, I declare the following personal interests and those of my family members, which may cause, or may be perceived to cause, a conflict of interest with my role and responsibilities in the political office holder’s office:

 

 

Family member declaration

Political office holders’ staff must disclose whether they are a family member of past or sitting Member/s of the NSW Parliament. YES/NO. If yes, detail whom you are related to and the nature of this relationship:

 

 

Secondary employment

Political office holders’ staff must provide details of any other paid employment or business activity that they undertake outside of the employment in the political office holder’s office. YES/NO. If yes, specify name of employer, business or service sector, nature of duties:

 

 

 

 

 

 

 

……………………………………………………………………………………………………………

Employee signature, date

Lodging declaration of personal interests

Email new or updated declarations to your Chief of Staff, with a copy to: people&employment@mins.dpc.nsw.gov.au

Confidentiality

The declaration of personal interests will be treated confidentially, will be used only for employment related purposes, and will only be disclosed outside employment processes in accordance with official procedures for release of confidential employment information or where this is required by law.

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