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PALMBE
A CH COUNTY
CODE OF ETHICS
TRAININGACKNOWLEDGEMENT
ffOnMY-IMWby-Charticle/
Legal Name:
ao�4 (Please print clearly)
Employee Identification Number. _/V
Agency/Municipalfty: d I l Dept/Board: ?m1Vw1A16.t agjl
By signing this acknowledgement, I am attesting that I have done the following:
10 Read the Palm Beach Cooty..Code otEthics ordinance iCtri*gick to follpWLnk
AND
Have completed additional training by viewing one of the following.
I The Code of Ethics Training Program on the Lntranet/Internet. (Ctrl+Cllck to follow link)
I The Code of Ethics Training Program on YouTube. (CtroClick to follow link)
I The Code of Ethics Training Program an DVD,
] A live presentation given on 20_
1 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 by my supervisor or through official notices.
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Advisory Boatilif MeniiijibersFASuilbm��signed�for m�s MoAp%Mpilaie A�dv/soa B68iV�R�pii�sentative
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 each,FL 33401
PHONE: 561.355-1915 FAX: 561-355-1904
Hotline; 877.766.5920 E-mail. ethics@)palmbeachcountyethics.com
Rev.01/2017 Website-