Marietta, PA · Lancaster County
Act 44 Pension Services Disclosure Form
This disclosure form is for contractors providing professional services to the Borough of Marietta’s pension system and is completed by a participating contractor representative.
What this form is
The form collects information about contractors, their personnel, political contributions, gifts, business relationships, and potential conflicts of interest involving the Borough’s pension system. The document says contractors identified as subject to Act 44 disclosure requirements must complete it and update specified information when changes occur. It also requires a contractor representative to participate in completing the disclosure and verify the information.
Who needs it
A contractor providing professional services to the Borough of Marietta’s pension system and identified by the Borough as subject to Act 44 disclosure requirements must complete this form.
How to submit it
Return the completed disclosure to the Borough of Marietta, Attn: Sharon L. Bradnick (CAO), 111 East Market Street, or email [email protected].
About notarization
This document is signed without a notary; the verification describes the statements as subject to penalties for unsworn falsification, and no notarized attachment is specified.
How to submit this form
- 1
Download The Form
Download the Act 44 Pension Services Disclosure Form.
- 2
Complete The Disclosure
Answer the disclosure questions and provide the requested contractor and pension system information.
- 3
Gather Any Required Attachment
If disclosing a direct relationship with a listed municipal official, attach the Borough’s written acknowledgment and consent letter.
- 4
Sign And Submit
Have a participating contractor representative sign and date the verification, then return the form to the Borough by the listed address or email.
Frequently asked questions
- Who completes the Act 44 Pension Services Disclosure Form?
- A contractor providing professional services to Marietta’s pension system must complete it if the Borough has determined the contractor falls under the disclosure requirements.
- What information does the disclosure request?
- It asks about contractor personnel, intermediaries, political contributions, gifts, business relationships, and potential conflicts of interest, among other information.
- How do I submit the Act 44 disclosure?
- Return it to the Borough of Marietta, Attn: Sharon L. Bradnick (CAO), 111 East Market Street, or email [email protected].
- Do I need a notary for the Act 44 disclosure?
- No. The form is signed and dated without a notary. Its verification refers to unsworn falsification; it does not specify a notarized attachment.