Declaration of Interests form Board members, committee members, staff and involved residents are required to act, and be seen to act, only in the interests of PA Housing Ltd. Everyone is required to use this form make a full and open declaration of any matters that may, or may appear to, conflict with their position. This must include any over lapping interest where there is a potential for a conflict arising. Completed are submitted to, and held by, the Company Secretary. The form can be filled in electronically but must be signed. The form must be completed annually, and at any time when a new matter to be declared arises. Staff should refer any queries on completing the form to their line manager in the first instance. Board and committee members and residents should refer to the Company Secretary. Guidance about declaring interests can be found in the Integrity and Bribery policy, Employee Code of Conduct and the NHF Codes of Governance and Conduct. YOUR DETAILS NAME What is your position at PA Housing? Please indicate one of the following: Board member or member of a Board committee Staff member (including agency staff and secondees) Involved resident please give details) If you are a member of staff, please give your:- Job title Work location YOUR DECLARATION Please answer the following questions. Self No No Are you currently or have you been within the past 12 months a – – tenant, leaseholder or resident of any property owned or managed by PA Housing?
Declaration of Interests form Board members, committee members, staff and involved residents are required to act, and be seen to act, only in the interests of PA Housing Ltd. Everyone is required to use this form make a full and open declaration of any matters that may, or may appear to, conflict with their position. This must include any over lapping interest where there is a potential for a conflict arising. Completed are submitted to, and held by, the Company Secretary. The form can be filled in electronically but must be signed. The form must be completed annually, and at any time when a new matter to be declared arises. Staff should refer any queries on completing the form to their line manager in the first instance. Board and committee members and residents should refer to the Company Secretary. Guidance about declaring interests can be found in the Integrity and Bribery policy, Employee Code of Conduct and the NHF Codes of Governance and Conduct. YOUR DETAILS NAME What is your position at PA Housing? Please indicate one of the following: Board member or member of a Board committee Staff member (including agency staff and secondees) Involved resident please give details) If you are a member of staff, please give your:- Job title Work location YOUR DECLARATION Please answer the following questions. Self No No Are you currently – or have you been within the past 12 months – a tenant, leaseholder or resident of any property owned or managed by PA Housing?
Declaration-of-Interests-Form.docx