Siegel, Larry (SAB) t
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rrCODE OF ETHICS
PALMBEACHCOUNTY
TRAINING ACKNOWLEDGEMENT
Honesty-Integrhy-Character
Legal _ (Please print clearly)
Employee Identification u er:
Agency/Municipality: C�L Dept/Board: a
By signing this acknowledgement, I am attesting that I have done the following:
Palm eac ounty Code of Ethics Ordinance (Ctrl+Click to follow"ink
AND
Have completed additional training by viewing one of the following.,
e Code of Ethics Training Programon the Intranet/Internet. (Ctrl+Click to follow link)
he Code f ics Training Programon YouTube. (Ctrl+Click to follow link)
[ The Code of EthicsTraining Program n DVD.
[ live presentation given o n✓ �, 20_L$-.
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethicss I conduct my assigned utis during my term of employment.
I also understand t a the information in this policy is subject to change. Policy changes
will be co Ica ed by my supervisor or through official notices.
s
{Leg gnature} (Date)
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Advisory Members: Submitm signed forms to Appropriate Advisory Board Representative
PLEASE SUBMIT THIS FORM TO APROPRIATEHIGHLIGHTED
1p. SUBMIT T l TO THE COMI41SSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach,FL 33401
PHONE: 561.355-1915 : 561.355-1904
Hotline: 77.7 .5 2 - ail: ethics@paimbeachcountyethics.com
Website: w.oalin eac coun et ics.co
Rets,01/2017