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Lobbyist Annual Disclosure Form


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Your contact information


Your Job Information

Do you have Individuals, Business, Organizations or other Entities which you have authorized to lobby on your behalf?
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Employees or Agents

Employees or agents are individuals, businesses, organizations, or other entities which you have authorized to lobby on your behalf.

Business Address

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Employee/Agent

Business Address

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Do you have Individuals, Businesses, Organizations or other Entities which have compensated you to lobby on their behalf?
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Clients

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Client

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Sign Electronically

  • I have been provided with the electronic website address for the Cuyahoga County Ethics Law (http://code.cuyahogacounty.us/en-US/CCRC-T4.aspx)
  • I agree I have read and I understand the pertinent sections of the Cuyahoga County Ethics Law
  • I agree to follow the pertinent sections of the Cuyahoga County Ethics Law
  • I acknowledge that I am responsible for periodically reviewing the Cuyahoga County Ethics Law to stay abreast of any pertinent amendments