Marietta, PA · Lancaster County
Act 44 Disclosure Form for Entities Providing Professional Services to the Borough Pension System
This disclosure form collects information from contractors providing professional services to the Borough of Marietta’s pension system under Act 44.
What this form is
The form requests contractor, personnel, contribution, gift, business relationship, and conflict-of-interest disclosures related to professional services for the Borough’s pension system. The document says contractors identified by the Borough as subject to Act 44 must complete it annually and submit it; it also requests written updates when certain information changes.
Who needs it
Contractors providing professional services to a Borough of Marietta pension system and identified as subject to Act 44 must complete this disclosure.
How to submit it
Return the completed form to Borough of Marietta, Attn: Sharon L. Bradnick (CAO), 111 East Market Street; the form also lists [email protected].
About notarization
This disclosure is signed and dated without a notary; its verification refers to unsworn falsification, but no notarized attachment or related step is identified.
How to submit this form
- 1
Download The Form
Download the Act 44 disclosure form for the Borough of Marietta pension system.
- 2
Complete The Disclosure
Provide the requested contractor, personnel, contribution, relationship, gift, and conflict-of-interest information.
- 3
Gather Any Attachments
Use a separate sheet if needed and reference the applicable item number. If reporting a covered business relationship, attach the Borough’s acknowledgment and consent letter.
- 4
Sign And Return The Form
Have an individual named in Item 1 participate and sign the verification, then return the form to the Borough address listed.
Frequently asked questions
- Who completes the Act 44 disclosure form?
- The form is for contractors providing professional services to a Borough of Marietta pension system when the Borough has determined that Act 44 disclosure requirements apply.
- What information does the form request?
- It asks about the contractor and related personnel, municipal relationships, contributions, gifts, and potential conflicts of interest, among other disclosures.
- How do I submit the Act 44 disclosure?
- The form directs contractors to return it to the Borough of Marietta, Attn: Sharon L. Bradnick (CAO), 111 East Market Street. It also lists [email protected].
- Do I need a notary for the Act 44 disclosure form?
- No. The document has a signature and date line but no notary block. Its verification refers to unsworn falsification, and it identifies no notarized attachment or related step.