Form 3 "Conflict of Interest Disclosure" - New York

What Is Form 3?

This is a legal form that was released by the New York State Department of Environmental Conservation - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the New York State Department of Environmental Conservation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 3 by clicking the link below or browse more documents and templates provided by the New York State Department of Environmental Conservation.

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Download Form 3 "Conflict of Interest Disclosure" - New York

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Form 3: Conflict of Interest Disclosure
In the appropriate fields below, disclose all facts or circumstances that have the potential to
create a conflict of interest with respect to the offset project, offset project developer, offset
Project Sponsor (including the offset project sponsor organization), or any other party with a
direct or indirect financial interest in the offset project.
Ownership of
Accredited Verifier
Organization:
Past and Current
Clients/Contractual
Arrangements:
Direct/Indirect
Financial Relationship
and/or Agreements
with the Project
Developer/Project
Sponsor Organization:
Related Entities:
Personal
Relationships
:
Any other Facts or
Circumstances that
have the potential to
create a conflict of
interest:
Form 3: Conflict of Interest Disclosure
Accredited Offset Verifier Pre-Engagement Disclosure Submittal
Version NY-1.0
Page 1 of 1
Form 3: Conflict of Interest Disclosure
In the appropriate fields below, disclose all facts or circumstances that have the potential to
create a conflict of interest with respect to the offset project, offset project developer, offset
Project Sponsor (including the offset project sponsor organization), or any other party with a
direct or indirect financial interest in the offset project.
Ownership of
Accredited Verifier
Organization:
Past and Current
Clients/Contractual
Arrangements:
Direct/Indirect
Financial Relationship
and/or Agreements
with the Project
Developer/Project
Sponsor Organization:
Related Entities:
Personal
Relationships
:
Any other Facts or
Circumstances that
have the potential to
create a conflict of
interest:
Form 3: Conflict of Interest Disclosure
Accredited Offset Verifier Pre-Engagement Disclosure Submittal
Version NY-1.0
Page 1 of 1