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Pursuant to N.D. Admin. Code ยง 115-04-01-04, disclosure of potential conflicts of interest are required. This form allows public officials to input information and attach relevant documentation as required.

The neutral reviewer or public official shall document the decision regarding a disclosure of a potential conflict of interest. Upon completion, the neutral reviewer shall provide a copy of the documentation to the disclosing public official, the relevant department, agency, board, body, commission, or committee. A copy of the documentation and this form must also be submitted to the Ethics Commission.

Departments, agencies, boards, commissions or public entities shall document in the official minutes of a proceeding information, if applicable, that a public official has been recused from any further involvement in the matter.

If you have questions about this form or would like to request the form in an alternate format, contact the Ethics Commission at (701) 328-5325. We will take reasonable steps to accommodate your needs.

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