The Conflict of Interest in Employment form is required when a faculty/academic staff member is employed in the same unit or under the same supervisor as another person who is related by blood, marriage, adoption, domestic partnership or other personal relationship in which objectivity might be impaired.
(Current form = CIE1199, White)
Date: Typing date.
Employee: Name as recorded on the Social Security card, except type last name first with a comma after, and then the rest of the name.
Department/College: The primary department/college has administrative responsibility for employee. If there is more than one department, list each department/college with the primary unit first. Type out the full depart ment name or the 18 character common code abbreviation. For the department code, use the three-digit department common unit code; for the college code use the two-digit college common unit code.
Recommended by: Signatures must be the chairperson/director's and dean/MAU administrator's name with any other initials below. In the case of a multiple appointment the signatures for each unit involved are required. Each signer must date her/his signature.
Routing: This form is usually attached to an Appointment, Reappointment or Change of Status form and is routed accordingly. If the form is processed by itself (for example, when a relationship first comes into existence while the two employees are employed in the same unit or under the same supervisor) the routing is: All departments and colleges involved; Associate Provost and Associate Vice President for Academic Human Resources; Academic Human Resources.