About this template
A Nepotism Disclosure Form is a vital compliance tool used by human resources teams and management to identify, evaluate, and manage potential conflicts of interest arising from familial or close personal relationships in the workplace. Maintaining transparency around employee relationships helps organizations ensure fair hiring, unbiased performance evaluations, and adherence to company governance policies.
This template collects critical details regarding employment actions, related parties, project funding ties, supervision plans, and same-office assignments. It enables HR departments to systematically assess potential risks, establish appropriate supervisory safeguards, and secure official attestations from employees.
With Doc2Form, you can instantly convert this template into a fully customizable Google Form. Easily update fields to reflect your specific corporate governance rules, share it securely with staff during onboarding or annual reviews, and streamline your compliance record-keeping without manual paperwork.
Key features
- Collect clear disclosures of familial relationships and close ties.
- Evaluate potential supervisory conflicts and same-office assignments.
- Document mitigation plans and connected project details.
- Secure formal attestations and acknowledgments of accuracy.
- Standardize internal HR compliance reviews across all departments.
Use cases
Annual employee conflict of interest and ethics disclosures.
Onboarding new hires to declare existing familial connections within …
Onboarding new hires to declare existing familial connections within the company.
Reviewing reporting structures when internal transfers or promotions …
Reviewing reporting structures when internal transfers or promotions occur.
Assessing grant or funded project teams for potential bias or partial…
Assessing grant or funded project teams for potential bias or partiality.
What this form collects
- Employee Full Name (Short answer)Enter your first and last name.
- Employee ID or Department (Short answer)Provide your internal employee identification number or current department.
- Employment Action Type (Dropdown)Select the primary reason for submitting this disclosure form.
- Related Person Details (Paragraph)Provide the name, department, and relationship of the related employee (e.g., spouse, sibling, parent, child).
- Funded Project Details (Paragraph)If applicable, describe any grants, contracts, or funded projects where both individuals have involvement.
- Subordinate-Supervisor Relationship Status (Multiple choice)Does one individual directly or indirectly supervise the other?
- Same Office Assignment Status (Multiple choice)Do both individuals work within the same office, team, or operational unit?
- Supervision & Mitigation Plan (Paragraph)If a reporting conflict exists, outline the proposed management or supervision plan to ensure objectivity.
- Conflict of Interest Risk Status (Dropdown)Assess the potential impact of this relationship on impartial decision-making.
- Information Accuracy Certification (Short answer)By typing your full name below, you certify that all information provided is accurate and complete to the best of your knowledge.
- Date of Submission (Date)Select today's date.
FAQ
What is a nepotism disclosure form?
It is an internal document used by organizations to track familial or close personal relationships between employees, helping to prevent conflicts of interest and ensure fair management practices.
Who is required to fill out this form?
Typically, new hires during onboarding, employees undergoing promotions or transfers, or all staff members during annual compliance review cycles.
How does Doc2Form help with this template?
Doc2Form instantly transforms this template into a ready-to-use Google Form, allowing you to customize questions, collect secure responses, and manage compliance data directly in your Google Workspace.
What happens if a conflict of interest is identified?
HR and management review the disclosure details to implement appropriate safeguards, such as adjusting reporting lines or establishing alternative supervision plans.
Can I customize the questions to fit our company policy?
Yes! Once generated in Google Forms, you have complete control to add, remove, or modify any fields to align with your organization's specific code of conduct.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.