About ASF · Governance

Annexes and Forms

The forms referenced throughout ASF’s 47 institutional policies, in one place. Print any of these, or use your browser’s print function to save as PDF.

These forms exist because a policy that says “sign the acknowledgement” or “declare the conflict” is only real if the form to do that actually exists. Each one below is referenced by name from at least one numbered policy.

Annex A — Policy Acknowledgement Form

Referenced by: Policy 1 (Code of Conduct and Ethics) · signed on joining and confirmed annually

Full name

Role at ASF (staff / Board / Coordinator / Monitor / consultant / volunteer)

Date

I confirm that I have read the ASF Code of Conduct and Ethics (Policy 1) and the policies referenced within it. I understand that a breach may lead to disciplinary action, termination of my engagement with ASF, or referral to the relevant authorities.

Signature

Annex B — Conflict of Interest Declaration

Referenced by: Policy 2 (Conflict of Interest) · filed on joining, and whenever a new conflict arises

Full name and role

I have no conflict of interest to declare at this time.

I declare the following potential or actual conflict:

Facility, company, or relationship involved

Nature of the interest (financial / family / prior employment / other)

Date

Signature

Annex C — Incident Report Form (Internal)

Referenced by: Policy 14 (Incident Reporting, Investigation and Management) · for concerns about ASF’s own governance, staff, or operations — not for concerns about an accredited facility, which go through the public Complaints channel

Date and time of incident

What happened (facts only, no interpretation)

Who was involved

Immediate action taken, if any

I wish to remain anonymous

Reporter name (optional)

Date submitted

Annex D — Third-Party Due Diligence Form

Referenced by: Policy 4 (Gift Acceptance, Donor Due Diligence and Commercial Independence) and Policy 7 (Sanctions and Prohibited Parties Screening) · completed before ASF enters a financial relationship with a new donor, partner, or major supplier

Organisation name and country of registration

Nature of proposed relationship

Sanctions and prohibited-parties screening completed — no match found

No board member or senior staff of ASF holds a personal or financial interest in this organisation

The relationship does not create a real or perceived threat to ASF’s editorial or accreditation independence

Completed by

Date

These four annexes cover the forms explicitly named in the 47 policies today. As policies are revised, this page is updated to match — see About This Manual for how that review cycle works.

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