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PALM BEACH COUNTY r
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• J ' t CODE OF ETHICS G
TRAINING ACKNOWLEDGEMENT
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Honesty-Integrity-Character
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Legal Name: 1 (Please print clearly)
Employee Identification Number:
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Agency/Municipality: 1,4 b) Dept/Board: AL.112d ...
By signing this acknowledgement, I am attesting that I have done the following:
Po4ead the Palm Beach County Code of Ethics Ordinance(Qtrl+Click to follow lin
AND
Have completed additional training by viewing one of the following:
[ ] The Code of Ethics Training Program on the Intranet/Intern t. (Ctrl+Click to follow I
jo]olhe 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 Be
County Code of Ethics as I conduct my assigned duties during my term of employm,
I also understand that the information in this policy is subject to change. Policy chan
will be communicate , to me by my supervisor or through official notices.
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eg SighRtl ) ,< (Date)
Advisory Board Members: Submit signed forms to Appropriate Advisory Board Representati
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABO
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: ethicsCibpalmbeachcountyethics.com
Website: WWW p,AIMbgachc&UULXe ics
Rev.41/2017