Collaborative Conflict of Interest Form

Maricopa Regional Continuum of Care
Conflict of Interest Disclosure Statement
Continuum of Care Board and Collaborative Members

In accordance with the provisions of 24 CFR 578.95, each member of a Continuum of Care ("CoC") Collaborative shall affirm that they have read and acknowledge that they are to avoid conflicts of interest in their actions and service on the CoC. It is expected that all CoC members will use good judgment, adhere to high ethical standards, and avoid situations that create an actual or perceived conflict of interest.

  • As a member of a CoC collaborative, you acknowledge the following (please acknowledge by checking the box):