Form 1 financial disclosure florida
[DOC File]34-5 - Florida Administrative Register
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(a) Effective May 1, 2013, the Commission shall treat an amended annual CE Form 6 ‒ Full and Public Disclosure of Financial Interests, or CE Form 1 ‒ Statement of Financial Interests, filed prior to September 1 of the year in which the disclosure is or was due as the original filing, regardless of whether a complaint has been filed.
[DOC File]Request for Exemption/Disclosure
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Feb 11, 2021 · Request for Exemption/Disclosure Form (If applicable) List of proposed and awarded projects per Section 1.B above. Outside Activities and Financial Interests Report(s) per Section 1.C above. Other attachments:_____ Exhibit A. Employee Disclosure Statement. TO: [Name of individual to receive disclosure]
34-7 - Florida Administrative Register
(2) Any of the above forms and instructions may be obtained without cost upon request to the Florida Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709 and may also be downloaded from the Commission’s website: www.ethics.state.fl.us.
[DOC File]Standard Disclosure and Acknowledgement Form
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of this form must be furnished to the insurer pursuant to Section 627.736(4)(b), Florida Statutes and may . not. be electronically furnished. Failure to furnish this form may result in non-payment of the claim. OIR-B1-1571. 12/03. Office of Insurance Regulation Bureau of Property & Casualty Forms and Rates. OIR-B1-1571. Pub. 1/2004
[DOC File]1 - Florida Department of Management Services - DMS
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2.6 Financial Disclosure Cardholders who are authorized to make purchases over $15,000 may be required to comply with financial disclosure requirements set forth by the Department of State. Also, cardholders who expend federal funds will need to meet the requirements set forth by the federal grantor.
[DOC File]AUTHORIZATION FOR RELEASE OF FINANCIAL RECORDS
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TO: Custodian of Records. RE: DATE OF BIRTH: SOCIAL SECURITY NUMBER: You are hereby authorized to furnish to the law firm of , and their duly authorized representatives, copies of any and all information they may request concerning any salaries, bonuses, commissions, allowances, travel expenses, stocks, investments, retirement and pension plans, stock ownership or option plans, pay …
[DOC File]20th Judicial Circuit Florida
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IN AND FOR COLLIER COUNTY, FLORIDA. Case No.: Division: XXXX. Husband, and. XXXXX. Wife. WAIVER OF MANDATORY DISCLOSURE. COMES NOW _____, who is the Husband/Wife in the above-styled case and hereby acknowledge that I have received a Financial Affidavit from the Husband/Wife and waive my right to receive any further financial disclosure pursuant to Florida Family Law Rule 12.285 …
[DOC File]INSTRUCTIONS FOR COMPLETING DISCLOSURE OF
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INSTRUCTIONS FOR COMPLETING DMAHS DISCLOSURE OF. OWNERSHIP AND CONTROL INTEREST STATEMENT. Completion and submission of this form is a condition of participation, certification, or recertification under any of the programs administered in whole or in part by the Division of Medical Assistance and Health Services (DMAHS), or as a condition of approval or renewal of a …
[DOCX File]Significant Financial Interest Disclosure Form
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Florida State University. Significant Financial Interest Disclosure (SFI) Form for the. National Science Foundation (NSF) See . Purpose of this Form. and . Definitions. on Page 2. SECTION 1. Does: the Investigator (including the Investigator’s spouse and dependent children)
[DOCX File]Health Care Licensing Application - FL Agency for Health ...
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A person who knowingly submits a false, misleading, or fraudulent application or other document when applying for licensure as a health care clinic, seeking an exemption from licensure as a health care clinic, or demonstrating compliance with part X of chapter 400, Florida Statutes, with the intent to use the license, exemption from licensure ...
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