Katz, David ng,syr'!; PALMBEACHCOUNTY
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CODE OF ETHICS
1
TRAINING ACKNOWLEDGEMENT
Honesty-Intgdo,-Character
LegalName:
i (Please print clearly)
Employee Identification Number:
Agency/ unicipalityL t- ,M 'YANPpt/ oard:
By signing this acknowledgement, I am attesting that I have done the following:
ead the Palm Beach ter Code of Ethics Ordinance (Ctrl+Click to followlinK
AND
Have completed additional training by viewing one of the following:
Whe Code of Ethics Training ProgramIntranet/Internet. (Ctrl+Click to follow link)
The Code f Ethics TrainingProgram . (Ctrl+click to follow link)
The Code of Ethics Training Program .
live presentationi on 20
understand that I am responsible for understanding and abiding the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
I also understand that the inforio int is policy is subject to change. Policy changes
ill eco ni tTa
supervisor or through official notices.
(Legal signature) - (Date)
Advisoty BoardMembers: Submit signed forms to Appropriate Advisory Board Representative
SUBMITPLEASE THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED
PLEASE DO NOTSUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach, 171, 33401
PHONE: 561.355-1915 FAX: 561.355-1904
Hotline: 877.766.5920 E-mail: ethicsCcbpalmbeachcountyethics.com
Website: al e c co et ics.co
Rev.01/20117