Sinking Spring, PA · Berks County

No notary required

Act 44 Pension Services Disclosure Form

This annual disclosure form is completed by entities providing professional services to the Borough of Sinking Spring pension system and receiving payment from its pension fund.

What this form is

The Borough identifies this form as required for contractors providing professional pension services and receiving payment from its pension fund. It asks about the contractor and related personnel, services, relationships, communications, contributions, gifts, and potential conflicts of interest. A participating individual must sign and date the verification, and information identified for updates must be updated in writing as changes occur.

Who needs it

Entities providing professional services under contract to the Borough of Sinking Spring pension system and receiving payment from its pension fund complete this disclosure.

How to submit it

Return the completed disclosure to the Borough of Sinking Spring, Attn: Elizabeth Eagelman, 3940 Penn Avenue, Sinking Spring, PA 19608, or email [email protected].

About notarization

This document is signed without a notary; the signer completes and dates the verification, which refers to unsworn falsification.

How to submit this form

  1. 1

    Download The Form

    Download the Act 44 disclosure form PDF.

  2. 2

    Complete The Disclosure

    Complete the disclosure questions about the contractor and related information.

  3. 3

    Gather Any Attachments

    If an answer needs more space, use a separate sheet and reference the question number. Attach the required municipal letter if disclosing a covered relationship.

  4. 4

    Sign And Date

    Have an individual identified in Item 1 participate in completing the disclosure and sign and date the verification.

  5. 5

    Return The Form

    Send the completed disclosure to the Borough at the address or email listed on the form.

Frequently asked questions

Do I need a notary for the Act 44 disclosure form?
No. This document is signed without a notary; the signer completes and dates the verification, which refers to unsworn falsification.
How do I submit the Act 44 disclosure form?
Return it to the Borough of Sinking Spring, Attn: Elizabeth Eagelman, at 3940 Penn Avenue, Sinking Spring, PA 19608, or email it to [email protected].
Who completes the Act 44 disclosure form?
The form is for contractors providing professional services to the Borough of Sinking Spring pension system and receiving payment from its pension fund. An individual identified in Item 1 must participate in completing it.
What information does the form request?
It requests information about contractors, related personnel, pension services, relationships, communications, contributions, gifts, and potential conflicts of interest.

Need something notarized?

This Act 44 Pension Services Disclosure Form doesn’t need a notary — but if you have another Sinking Spring form that does, a commissioned online notary can help.