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Pursuant to N.D. Admin. Code §§ 115-05-01-03 and 115-05-01-06, a director, officer, commissioner, head, or other executive involved in a quasi-judicial proceeding must disclose information that has potential to create an appearance of bias. The individual must disclose the required information on this form and attach relevant documentation.

The neutral reviewer or director, officer, commissioner, head, or other executive shall document the facts and decision regarding any disclosure. Upon completion, the neutral reviewer or director, officer, commissioner, head, or other executive shall provide a copy of the documentation and this form to the Ethics Commission.

Departments, agencies, boards, commissions, or public entities shall document in the official minutes of a proceeding, if applicable, that a director, officer, commissioner, head, or other executive has 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.

Did the appearance of bias involve a party to the proceeding?
Did the appearance of bias involve the issues of the proceeding?
Did the appearance of bias involve campaign monetary or in-kind support*
Did the campaign monetary of in-kind support include the current or immediately preceding election cycle?
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