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Calvert County Ethics Commission - Concern/Inquiry Form

2. I wish to register a concern, suggestion or inquiry... (Select one by using the drop down)*
   -- Select One --Request Training (Board, Department, Division or Other Group)Financial Disclosure InquiryGifts InquiryPotential Conflict of InterestRequest an Advisory OpinionRegister as LobbyistRegister a RecusalBecome a Member of Calvert County Ethics CommissionAsk a Question/Other

4. Department/Division or Board/Commission*

6. When Would You Like the Training By?*
   When Would You Like the Training By?

8. Submit a Question

10. Financial Disclosure Form 1A
    Download Form 1A

    For Elected Officials & Candidates
    Please complete and attach to this form before submission.

11. Financial Disclosure Form 1B
    Download Form 1B

    For Employees & Appointed Officials
    Please complete and attach to this form before submission.

13. Lobbyist Registration Form
    Download the Registration Form

    Please complete and attach to this form before submission.

14. Lobbyist Activity Report Form
    Download the Activity Report Form

    Please complete and attach to this form before submission.

16. Recusal Documentation Form
    Download the Recusal Form

    Please complete and attach to this form before submission.

18. Member Application
    Download the Application

    Please complete and attach to this form before submission.

20. File Upload

    Please upload any completed forms or supporting documents

21. File Upload

23. Please describe what you are requesting an opinion on.*

25. Please describe your gift inquiry in detail.*

27. Please describe your question or inquiry in detail.*

29. My inquiry is...*

    1. Regarding a certain individual
    2. General inquiry/hypothetical question

31. If your concern is regarding a certain individual, please provide their information below.
    
    First and Last Name

33. Address 1

35. Address 2

37. City

38. State

39. Zip Code

41. Add Another Person

    1. Yes
    2. No

43. First and Last Name

45. Address 1

47. Address 2

49. City

50. State

51. Zip Code

53. Please describe your concern or inquiry in as much detail as possible, include time, place, actions and other persons involved.*

55. I hereby certify under penalty of false statement that the foregoing statement describing a possible violation of the designated Code of Ethics is true and accurate to the best of my knowledge and belief.*

    1. Check here to confirm

57. Date*

61. Contact Name

63. Contact Phone

64. Contact Email

66. Remain Anonymous?*

    1. Yes
    2. No

    Article II § 41.12.A. Any person may file a written, signed complaint with the Commission alleging a violation of any of the provisions of this chapter. The complaint shall set forth sufficient facts to support the alleged violation. H.2. Until a violation is determined, the Commission and its staff may not disclose to the public any information about the complaint and any proceedings involving it, including the identities of the complainant and the respondent.
    
    Article IV. Protection from harassment and retaliation §41-18 through §41-20.
    
    If you selected to remain anonymous above, your information will be kept private, but may be used by staff in case follow up is required.

68. For additional information
    Please contact the Calvert County Ethics Commission at <a href="mailto:calvertethics@gmail.com">calvertethics@gmail.com</a> (for quick response) or call 410-414-8079 (voicemail).

    Please contact the Calvert County Ethics Commission at calvertethics@gmail.com (for quick response) or call 410-414-8079 (voicemail).

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70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

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