Orange County, NY · Orange County
Orange County Board of Ethics Waiver Form
This form lets an applicant request a waiver from the future employment provisions of the Orange County Ethics and Disclosure Law.
At a glance
- Issued by
- City of Orange County · Orange County, Orange County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- orangecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Applicants use this form to request a waiver from the future employment provisions of the Orange County Ethics and Disclosure Law. The form asks for contact and department information, a detailed narrative explaining the grounds for the request, and the applicant’s signature and date. It states that applicants must demonstrate entitlement to a waiver by clear and convincing evidence.
Who needs it
An applicant seeking a waiver from the future employment provisions of the Orange County Ethics and Disclosure Law should complete this form.
How to submit it
Submit the completed request to the Orange County Board of Ethics at 40 Matthews Street, Suite 101, Goshen, New York 10924, or email it to [email protected].
About notarization
This document is signed and dated without a notary; it does not mention a notarized or sworn attachment or related step.
How to submit this form
- 1
Download the Form
Download the Orange County Board of Ethics Waiver Form.
- 2
Complete the Applicant Details
Provide your name, contact information, and department name if applicable.
- 3
Explain the Waiver Request
Write a detailed narrative explaining the grounds for your request.
- 4
Sign and Date the Form
Sign and date the completed request.
- 5
Submit the Request
Send it to the Board of Ethics by mail or email using the contact details on the form.
Frequently asked questions
- Do I need a notary for the Orange County ethics waiver form?
- No. The form asks the applicant to sign and date it and does not include a notary requirement or mention a notarized or sworn attachment.
- How do I submit the Orange County ethics waiver form?
- Send the completed request to the Orange County Board of Ethics at 40 Matthews Street, Suite 101, Goshen, New York 10924, or email it to [email protected].
- What information does the waiver form ask for?
- It asks for the applicant’s name, contact information, department name if applicable, and a detailed narrative explaining the grounds for requesting a waiver.