Integrity

Trust, Service

& Accountability

Behaving Ethically

4.4 Declaration of private interests template

About the declaration template

The Code of Ethics and Conduct for NSW government sector employees requires a senior executive to make a written declaration of private financial, business, personal and other interests or relationships that have the potential to influence, or could be perceived to influence, decisions made or advice given by the senior executive.

Where a senior executive has no such private interests to declare, s/he must declare a “nil return”.

After a senior executive makes an initial declaration, a fresh declaration must be made:

  • as soon as practicable, following any relevant change in the senior executive’s private interests
  • as soon as practicable, following the senior executive’s assignment to a new role or responsibility
  • at least annually.

The following  form for making a private interests declaration may be used as is, or augmented by a department/agency to reflect the operating environment and/or business risks which are specific to the department/agency.

A senior executive must provide their declaration to:

  • In a department, the Secretary
  • In an executive agency related to a department, the agency head
  • In a separate Public Service agency, the agency head
  • In the Teaching Service, NSW Police Force, Transport Service of NSW and any other service of the Crown, the head of the service.

A Department Secretary must provide their declaration to the Secretary of the Department of Premier and Cabinet.

The Secretary of the Department of Premier and Cabinet must provide their declaration to the Public Service Commissioner.

A head of an executive agency related to a department must provide their declaration to the Department Secretary.

A head of a transport-related service must provide their declaration to the Secretary of the Department of Transport.

A head of any other service of the Crown must provide their declaration to the Secretary of the Department of Premier and Cabinet.

A person to whom a declaration is to be provided is responsible for ensuring:

  • Senior executives complete declarations
  • Handling and storage of declarations complies with the requirements of the Privacy and Personal Information Protection Act 1998.

Declaration of Private Interests Template  (DOCX27.8KB)