Eldred, PA · McKean County
Act 44 Disclosure Form for Professional Services Contractors
This disclosure form is completed by contractors providing professional services to Eldred Borough’s pension system and receiving payment from its pension fund.
What this form is
The form collects information about contractors, their personnel and affiliates, and their connections to municipal officials, contributions, gifts, and potential conflicts of interest. The document says contractors identified as subject to the disclosure requirements must complete and submit it, and asks them to identify the pension plan and respond to disclosure questions. Additional answers may be provided on a separate sheet.
Who needs it
Contractors providing professional services to Eldred Borough’s pension system and receiving payment from its pension fund are expected to complete this disclosure.
How to submit it
Return the completed form to Eldred Borough, Shelley Batt, 3 Bennett Street, Eldred, PA 16731. The form also lists 814-225-4777 and [email protected].
About notarization
This document is signed and dated without a notary; the verification asks the authorized contractor representative to sign and date it.
How to submit this form
- 1
Download the Form
Download the Act 44 disclosure form PDF.
- 2
Complete the Disclosure
Identify the applicable pension plan and answer the disclosure questions for the contractor.
- 3
Gather Any Attachments
Attach separate sheets for answers that need more space and include any required municipal acknowledgment letter described in the form.
- 4
Sign and Return
Have an authorized contractor representative sign and date the verification, then return the form to Eldred Borough at the listed address.
Frequently asked questions
- Who completes the Act 44 disclosure form?
- The form is for contractors providing professional services to Eldred Borough’s pension system who receive payment from the pension fund and are identified as subject to the disclosure requirements.
- What information does the form request?
- It asks about the contractor’s personnel and affiliates, municipal relationships, lobbying, contributions, gifts, and potential conflicts of interest, among other disclosures.
- How do I submit the Act 44 disclosure form?
- Return it to Eldred Borough, Shelley Batt, 3 Bennett Street, Eldred, PA 16731. The form also lists a phone number and email address.
- Do I need a notary for the Act 44 disclosure form?
- No. The form has no notary block; the authorized contractor representative signs and dates the verification.