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\\kingcharles\Depts_AH\HEALTH\MANAGERS WORKING FILES\BOH\Policies and Procedures\BOH Policy Manual\Annual <br />Review\Track Changes\I.C. Appendix A_Confidentiality and Conflict of Interest Statement.doc <br /> <br />Document History: Original 1998; Revised 10/24/2007, 10/8/2014 <br />Confidentiality & Conflict of Interest Statement <br />For New Board of Health Member <br />Board Adopted Policy I.C. Appendix A <br /> <br />Confidentiality <br />In connection with my responsibilities as a member of the Orange County Board of <br />Health, I agree to treat all information concerning health department clients, personnel, <br />and financial matters in a confidential manner as required by state and federal statute <br />and will not divulge this information to unauthorized personnel or the public. I <br />understand that if I wrongfully and/or willfully disclose such information, I may be <br />subject to removal from the Orange County Board of Health. <br />Conflict of Interest <br /> <br />1. Each board member, upon accepting a seat on the board, agrees in writing by <br />signing below, to carefully guard against any conflict of interest that might <br />develop between his or her personal interest and that of the Orange County <br />Health Department. <br />2. If an issue arises in which a member of the board has a conflict of interest, the <br />member shall promptly disclose the conflict to the Chair of the Board prior to <br />consideration of the issue by the board. <br />3. In matters involving a conflict of interest, a board member must state the reason <br />for which they reasonably think a conflict exists and the board member shall not <br />vote on such policies or transactions unless requested by the board. <br />4. The abstention and the reason for it shall be recorded in the minutes. <br />5. A board member may not directly or indirectly benefit except as provided for as <br />members of the board of directors, from the county’s disbursement of funds. <br />6. Violation of this policy shall be grounds for recommending dismissal of a board <br />member. The Board of Health will forward recommendation for dismissal to the <br />Board of County Commissioners for action. <br /> <br />I have read and understand the confidentiality and conflict of interest statements. I <br />agree to abide by these policies. <br /> <br />___________________________ _______________ <br />Board Member Signature Date <br /> <br />____________________________ <br />Board Member Name (Printed) <br />_________ _______ <br />Staff initials Date