2021 Conflict of Interest (COI) Forms

Please see attached the Chancellor’s Memo regarding the annual Conflict of Interest Disclosure forms. The Department/Unit Heads are requested to forward the Memo and COI forms to all the employees in your department. Required by UH Executive Policy E5.214, this form must be completed by all employees (defined in A5.504 employee means any person possessing either a full-time or part-time appointment at the University, whether compensated or not, including positions of the Research Corporation of the University of Hawai‘i (RCUH)).

Part I and Part II (if applicable) must be completed, signed, dated, and given to the supervisor for review and signature. A physical/wet or digital signature is accepted for COI forms.
Please ensure all the employees complete:

  • All the questions of Part I; signs and dates; along with the supervisor’s certification. (Note: Question #4 is a two-part question that is frequently left unanswered)
  • Part II only needs to be completed if your employee answered ‘yes‘ to any of the Part I questions.
 A tracking sheet has been prepared for each department to assist in tracking the completion of the forms and they will be emailed out separately to each departmental contact.
Should you have any questions or concerns, please do not hesitate to contact the HR office at kapcchr@hawaii.edu.
Attachments: