Athol, Toby SSIoty �� CI'I 'T OF 3U't N:!!ON BEACH
('II Y CLERKS OFFICE
PALM BEACH COUNTY
N 19MAY - 7 AM8: I5
• ! • CODE OF ETHICS
9� TRAINING ACKNOWLEDGEMENT
v
NA CH CO
Honesty-Integrity-Character
Legal Name: ATH O L, TO BY (Please print clearly)
Employee Identification Number: N/A
Agency/Municipality: Boynton each Dept/Board: Police Pension
By signing this acknowledgement, I am attesting that I have done the following:
[Read the Palm Beach County Code of Ethics Ordinance (Ctrl+Click to follow link)
AND
Have completed additional training by viewing one of the following:
[ ] The Code of Ethics Training Program on the Intranet/Internet. (Ctrl+Click to follow link)
[iThe Code of Ethics Training Program on YouTube. (Ctrl+Click to follow link)
[ ] The Code of Ethics Training Program on DVD.
[ ] A live presentation given on , 20_
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
I also understand that the information in this policy is subject to change. Policy changes
will be communicated to me b m suu.r or through official notices.
5/1/2019
(Legal Signature) (Date)
Officials ELF6 Employees:Submit signed forms according fb agency's polic
dviso Board Members: Submit sinned forms ft)Ao orooriate Advisor Board Re oresentativo
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach,FL 33401
PHONE: 561.355-1915 FAX: 561.355-1904
Hotline: 877.766.5920 E-mail: ethics@palmbeachcountyethics.com
Website: www.palmbeachcountyethics.com
Rev.01/2017