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Director Declaration Form

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DIRECTOR DECLARATION FORM

This Director Declaration (the Declaration) is made on between Company Name: (the Company), Company Registration Number: and Director Name: (the Director).

RECITALS

WHEREAS the Director has been appointed or proposed to be appointed to the board of directors of the Company and the Company requires a written declaration from the Director setting out the Director's eligibility, declarations of interests and undertakings in relation to the performance of the Director's duties; and

WHEREAS the Company requires the Director to confirm compliance with statutory and fiduciary duties, disclosure obligations and to provide warranties and representations as a condition of appointment and continued service as a director; and

WHEREAS the Parties wish to record the Director's declarations and the Company's acceptance of those declarations on the terms set out in this Declaration.

NOW THEREFORE in consideration of the mutual covenants contained in this Declaration the Parties agree as follows.

1. INTERPRETATION

In this Declaration, unless the context otherwise requires, words and expressions defined in applicable corporate legislation have the same meaning. Headings are for ease of reference only and do not affect interpretation.

2. DECLARATION OF ELIGIBILITY

The Director confirms that, as at the date of this Declaration, the Director:

a) is not disqualified from acting as a director under any applicable corporate or insolvency law and has not been removed or disqualified by any regulatory authority; and

b) has not been declared bankrupt, is not subject to any current insolvency proceedings and has not been convicted of any offence involving fraud, dishonesty or breach of trust which is unspent under applicable law.

3. DISCLOSURE OF INTERESTS

The Director must disclose all material interests, direct or indirect, in any contract, transaction, arrangement, company or matter which may reasonably be regarded as giving rise to a conflict of interest with the Company, including but not limited to shareholdings, directorships, partnerships and consultancies.

4. CONFLICTS OF INTEREST AND TRANSACTION APPROVAL

The Director acknowledges the duty to avoid and to disclose conflicts of interest and agrees to comply with the Company's conflict of interest policy. Where an actual or potential conflict arises, the Director shall promptly disclose full particulars to the Board and shall not participate in the decision-making process concerning any matter in which the Director has an interest except as permitted by law and by the Board in accordance with the Company's constitution.

5. DUTIES, CONFIDENTIALITY AND COMPLIANCE

The Director acknowledges the statutory and common law duties owed to the Company including duties to act in good faith in the best interests of the Company, to exercise independent judgment, to avoid conflicts of interest, to exercise reasonable care, skill and diligence, and to act for proper purposes. The Director agrees to comply with all applicable laws, regulations and the Company's constitution in the performance of those duties.

The Director shall keep confidential all Confidential Information obtained by the Director in connection with his or her role as a director and shall not use or disclose such information except for the proper performance of the Director's duties or as required by law.

6. REPRESENTATIONS AND WARRANTIES

The Director represents and warrants that the information provided in this Declaration is true, complete and not misleading in any material respect. The Director acknowledges that the Company is entitled to rely on the accuracy of the Director's representations in relation to appointment, remuneration and participation in Board decisions.

The Company represents that it has the authority to receive this Declaration and to require these declarations as a condition of the Director's appointment and continued service.

7. INDEMNITY

Subject to applicable law, the Company may indemnify the Director against liabilities incurred in the proper performance of the Director's duties to the extent permitted by the Company's constitution and applicable legislation. This Clause does not limit any right to indemnity or insurance provided by the Company under any separate agreement.

8. NOTICES

Any notice or other communication required or permitted under this Declaration shall be in writing and delivered to the addresses specified below or to such other address as a Party may notify in writing in accordance with this Clause.

9. AMENDMENTS, WAIVER AND COUNTERPARTS

No amendment or waiver of any provision of this Declaration is effective unless it is in writing and signed by both Parties. A failure or delay by a Party in exercising any right is not a waiver of that right. This Declaration may be executed in counterparts, each of which constitutes an original and all of which together constitute one and the same instrument.

10. GOVERNING LAW

This Declaration is governed by and shall be construed in accordance with the laws of and the Parties submit to the exclusive jurisdiction of the courts of that jurisdiction.

11. ENTIRE AGREEMENT AND SEVERABILITY

This Declaration constitutes the entire agreement between the Parties in relation to its subject matter and supersedes all prior agreements and understandings. If any provision of this Declaration is held to be invalid or unenforceable, the remaining provisions will remain in full force and effect.

12. ACKNOWLEDGEMENT

The Director acknowledges that the Director has had the opportunity to obtain independent legal advice with respect to the matters contained in this Declaration and that the Director understands the obligations and liabilities that arise from acting as a director of the Company.

Company:

By:

Date:

Name of signatory (print) and capacity of the signatory (e.g. Director, Company Secretary)

Director:

By:

Date:

If signing on behalf of a corporate director, state capacity and provide corporate authority documentation.

Enter text✕

What the Director Declaration Form Is and When It’s Used

A Director Declaration Form records a company director’s official statement about a specific matter—such as acceptance of appointment, disclosure of interests, declaration of conflicts, or confirmation of residency and eligibility to serve. It is commonly used by corporations, nonprofit boards, and LLCs that adopt director-level governance. The form documents the director’s assertions, provides a dated signature record, and becomes part of the corporate minute book or company records for audit and compliance purposes. Proper completion supports transparent governance and helps satisfy statutory and regulatory obligations.

Why a Formal Director Declaration Matters

A clear, signed declaration provides verifiable evidence of a director’s status, statements of interest, or consent to act, reducing uncertainty in governance, audits, and regulatory reviews while creating a reliable record for future disputes or due diligence.

Why a Formal Director Declaration Matters

Who Typically Prepares and Signs This Form

Organizations use Director Declaration Forms to document director actions and disclosures across corporate, nonprofit, and public entity boards.

  • Corporate boards and their corporate secretaries preparing formal records on appointments and conflicts.
  • Nonprofit boards documenting director eligibility, conflict disclosures, and independence statements.
  • Legal and compliance teams collecting declarations during onboarding and annual governance reviews.

Use consistent templates and retention practices so declarations are searchable in the minute book and available for audits and filings.

Step-by-Step: Filling and Finalizing the Declaration

Follow these sequential steps to complete and preserve a legally sound Director Declaration Form.

  • 01
    Prepare Draft: Populate party and resolution details; attach supporting documents.
  • 02
    Review Disclosures: Confirm all material interests are clearly listed and accurate.
  • 03
    Authenticate Signer: Provide appropriate signer authentication and consent to e-sign if used.
  • 04
    File and Store: Add the signed form to the minute book and digital records with retention tags.

Configuring an Online Completion Workflow

Set up a straightforward routing workflow to collect declarations from directors while preserving audit data and attachments.

Field Configuration
Signer Order Single signer or sequential for multiple directors
Authentication Email link, SMS code, or stronger KBA if required
Attachments Allow PDF uploads for supporting disclosures
Retention Tag Apply record type, retention period, and access controls

Where to Send or File the Completed Form

Choose destinations that meet governance, audit, and regulatory needs and ensure the record is discoverable and protected.

  • Corporate Records: Minute book or corporate record repository; maintain original signed copy.
  • Legal Counsel: Provide counsel copies for review and retention when conflicts or statutes are implicated.
  • HR or Governance: Notify governance or HR teams for onboarding and compliance tracking.
  • Regulatory Filings: File with state agencies only when statutory filings require director statements.

Options for Distribution and eSubmission

Distribute declarations via secure email links, enterprise eSignature platforms, or in-person signing; choose the method that meets authentication and retention needs.

  • Email Link: Simple distribution with email authentication
  • Enterprise eSignature: Strong audit trails and configurable authentication
  • In-Person / Notary: Used when notarization or witnesses are legally required

Ensure chosen platforms integrate with corporate storage and preserve an immutable audit trail, including signer identity, timestamp, and method of authentication.

Typical Timing and Internal Deadlines

Set internal deadlines that align with board cycles, annual meetings, and any statutory filing windows to keep records current and compliant.

Upon Appointment:

Complete form when director is appointed or elected

Annual Review:

Update declarations during annual governance or board refresh

Before Decision:

Collect declarations prior to votes involving potential conflicts

Statutory Filing:

Meet state-specific filing deadlines where required

Record Update:

Amend within 30 days of material changes when possible

Key Milestones from Draft to Storage

Track these sequential milestones so the declaration completes correctly and is preserved for compliance and audit purposes.

01

Drafting

Prepare statement and attach supporting documentation.

02

Board Approval

Confirm content during board or committee review.

03

Signature

Collect authenticated signature and timestamp.

04

Archival

Store signed copy in the corporate record system.

Common Mistakes to Avoid

  • Using informal or incomplete names that do not match government ID, creating verification issues.
  • Failing to list material interests fully, which can later be contested in disputes.
  • Neglecting to capture signer authentication method and timestamp, weakening evidentiary value.
  • Storing signed forms only in personal email accounts rather than corporate records, risking loss.

Risks and Potential Consequences

Governance Risk: Invalid board actions
Disclosure Liability: Conflict-related disputes
Regulatory Exposure: State filing penalties
Contract Risk: Challenges to contract enforceability
Audit Findings: Qualification of corporate records
Reputational Harm: Stakeholder trust erosion

Required Information Typically Included

Director Name: Full legal name
Position: Board or committee role
Effective Date: MM/DD/YYYY
Interest Disclosures: Material relationships
Signature: Signed and dated
Authentication: Method and audit data

Real-World Examples of Director Declarations

Practical examples show how organizations use declarations to document appointments, conflicts, and eligibility.

Optica Ventures — Appointment

When appointing a new director, the company used a standard declaration to record acceptance and qualifications

  • The form captured director residency and prior board service
  • This simplified onboarding, supported accurate minutes, and provided a clear record for future diligence requests.

Martin Properties — Conflict Disclosure

A director disclosed an ownership interest in a vendor during a board procurement decision

  • The declaration listed the interest and recusal plan
  • The signed record prevented later challenges and supported the board’s independence findings during an audit.

Who May Be Authorized to Sign

Board Secretary

The corporate or board secretary commonly prepares and files director declarations and may sign as the custodian of corporate records, ensuring the document is indexed and retained correctly in the minute book.

Director

The director named in the declaration must sign personally or via authenticated electronic signature to attest to the accuracy of disclosures and to provide legally attributable consent.

eSignature Provider Comparison for Director Declarations

Compare basic pricing and capabilities from common eSignature providers; signNow is listed first in accordance with verified product data.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions About Director Declarations

Answers to common questions about execution, eSigning, notarization, and recordkeeping for Director Declaration Forms.


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