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2. Date*
4. Your Name:*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Email Address*
14. Phone Number*
18. Name of Person Complaining Against*
20. Office, Council, Board, Committee, or Commission:*
22. Which section of the Code of Ethics do you allege was violated? Check one or more:*

    1. §6.3.1 Conditions for Holding Office
    2. §6.3.2 No Conflicts of Interest
    3. §6.3.3 A Duty to Recuse in Quasi-Judicial Actions
    4. §6.3.4 A Duty to Disclose
    5. §6.3.5 A No Unfair Use of Town Property
    6. §6.3.6 No Misuse of Confidential Information
    7. §6.3.7 Use of Influence
    8. §6.3.8 No Improper Gifts
    9. §6.3.9 Disposition of Fees
    10. §6.3.10 Duty to Cooperate
    11. §6.3.11 Fair and Equal Treatment
    12. §6.3.12 Future Employment

    See linked Code of Ethics Article 6 for description of each option above.

24. Describe in detail the alleged violation, including names, dates, and other relevant information that would assist the Ethics Committee in investigating the complaint.*
26. File Upload(s)

    Please attach any relevant file(s) that would provide more context to the complaint or concern.

28. File Upload(s)

    Please attach any relevant file(s) that would provide more context to the complaint or concern.

32. Certification

    By signing this complaint form you certified that you:

    • Have read the Code of Ethics Article 6;
    • Believe the matter with the complaint is a fair subject of inquiry;
    • Have exhausted all other avenues of relief within the Town government (e.g. having raised the issue with the Chair of said Committee); and
    • Will keep the fact that you have filed a complaint confidential until the Ethics Committee has completed its work.
34. Signature*

    Please type your name indicating your signature of this complaint form.

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36. 1. Receive an email copy of this form.
37. Email address

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38. Submit

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