ETHICS VIOLATION COMPLAINT FORM

All complaints alleging a violation of the Brooklyn Code of Ethics shall be filed with the Town Clerk. All complaints shall be signed by the complainant, who shall swear to the truth thereof. All complaints and preliminary proceedings on complaints shall be kept confidential.

Please check one of the following:

I allege that a violation of the Brooklyn Code of Ethics has occured. List the facts of the claimed violation below.

I request that the Board of Ethics render an advisory opinion on the following specific question. List the specific question below.

List the facts or question here

If you are requesting an advisory opinion, please state your status. Check all that apply below. I am:

An officer, official, a board or commission member, or an employee of the Town of Brooklyn or the Brooklyn Board of Education A voter of the Town of Brooklyn entitled to vote at Town Meeting A resident of the Town of Brooklyn A vendor or prospective vendor of the Town of Brooklyn An individual

Sign Here

First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

This portion of the form must be signed in front of a notary. Please print the completed form and bring to the Town Clerk's office.

To print: Hit the submit button and then download the PDF and print.

In addition if you have alleged that a violation of the Code of Ethics has occurred please complete the following:

The undersigned hereby states that the statements and facts set forth above in the allegation that a violation of the Brooklyn Code of Ethics has occurred are true to the best of my knowledge and belief.

_________________________________
Complainant

SS __________________, Connecticut

Date ___________________________

Personally appeared before me, the undersigned officer, one ____________________ who being duly sworn does depose and say that the allegations made and the facts stated above are true to the best of his/her knowledge and belief.

________________________________
Notary Public
Commissioner of the Superior Court