NEVADA ACKNOWLEDGMENT OF ETHICAL STANDARDS

NEVADA ACKNOWLEDGMENT OF

ETHICAL STANDARDS FOR PUBLIC OFFICERS

Pursuant to NRS 281A.500(3), each public officer* shall file an Acknowledgement of Statutory Ethical Standards as prescribed by this form.
https://www.leg.state.nv.us/NRS/NRS-281A.html#NRS281ASec500

Your form has been submitted and you will receive a copy of your completed form via email shortly.

WHO IS REQUIRED TO FILE:		WHEN (Due Date):
Appointed	Public officer appointed for a definite term of office.	Within 30 days of taking office and within 30 days of each reappointment, for each term of office.
Appointed	Public officer who serves at the pleasure of the appointing authority and does not have a definite term of office.	Within 30 days of taking office and then January 15th every even- numbered year while holding that office.
Elected	Public officer who is elected at general election.	January 15th of the year following the general election, for each term of office.
Elected	Public officer who is elected at an election other than the general election.	Within 30 days of taking office, for each term of office.

* Public Officers are those persons serving in a position designated by NRS 281A.160 or 281A.182.

Pursuant to NRS 281A.500(7), if a public officer is serving in a public office and executes and files thisAcknowledgement Formfor that office as required by the provisions of NRS 281A.500, the public officer shall be deemed to have satisfied the requirements of this section for any other office heldconcurrentlyby him or her.

Statutory Ethical Standards set forth in NRS Chapter 281A are available on the Commission’s website or may be requested from the Nevada Commission on Ethics.

Note: All references to NRS 281A include not yet codified amendments enacted by S.B. 84 of the 79th Legislative Session (2017)

Last Name

First Name

Phone

Street

City

State

Zip

Public Entity

Public Office Title

Date Appointed
(If applicable)

Date Elected
(If applicable)

Term
(If applicable)

I HEREBY ACKNOWLEDGE:

I have received, read and understand the statutory ethical standards for public officers and public employees provided in NRS Chapter 281A (NRS 281A.500(3)(a)); and

I have a responsibility to inform myself of any amendments to the statutory ethical standards as soon as reasonably practicable after each session of the Legislature (NRS 281A.500(3)(b)).

I understand that my refusal to execute and file this Acknowledgement Form constitutes a willful violation of NRS Chapter 281A and non-feasance in office pursuant to NRS 283.440, which may subject me to civil penalties. Further, if I am subject to removal from office pursuant to NRS 283.440, the Commission may file a complaint in the appropriate court for my removal for nonfeasance in office (NRS 281A.500(11)).

Clear

Print Name:

Signature Date

12/4/2021

NEVADA ACKNOWLEDGMENT OF ETHICAL STANDARDS FOR PUBLIC OFFICERS

Your form has been submitted and you will receive a copy of your completed form via email shortly.

NEVADA ACKNOWLEDGMENT OF

ETHICAL STANDARDS FOR PUBLIC OFFICERS