Dual Employment Disclosure Form

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State of Delaware
Public Integrity Commission Dual Employment Disclosure Form

Pursuant to 29 Del. C. § 5824

Instructions

An elected or appointed official who is also an employee must complete and submit this form to the Public Integrity Commission within 15 days after commencement of dual employment, or within 15 days after enactment of the Act if already serving in a dual capacity. A separate form must be filed for each employer.