Fillable Ethics Complaint Form (St Regis Mohawk Tribe)

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Ethics Complaint Form (St Regis Mohawk Tribe)

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Ethics Complaint Form
This form is to be used when filing an ethics complaint pursuant to the St. Regis Mohawk
Tribe Ethics Ordinance, TCR 2007-61, concerning the actions of a member of the St. Regis
Mohawk Tribal Council. This includes the three Tribal Chiefs, Tribal Sub-Chiefs and the
Tribal Clerk.
This form must be completed for each elected official in full and all complaints must be
signed and notarized. Anonymous complaints will not be considered, but an individual’s
identity may be protected during the initial phase of an investigation.
COMPLAINT:
I wish to file a complaint alleging a violation of the St. Regis Mohawk Tribal Ethics
Ordinance. This complaint concerns the actions of:
Position/Name: _________________________________________________________
List the section(s) from the Ethics ordinance which pertains to your complaint.
________________________________________________________________________
Nature of Complaint: (Please include as much detail as possible; names, dates, etc.)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(Please attach additional sheets, if needed, for both the description and items.)
2/7/2011 Attachment for Ethics Ordinance enacted by TCR 2007-61
2/7/2011 Attachment for Ethics Ordinance enacted by TCR 2007-61
ITEMS INCLUDED WITH COMPLAINT Initial
Complainant Ethics Officer
Upon receipt
List of Supporting Documents (Receipts, letters, police reports, etc.)
Item A. ________________________ ______ ______
Item B._________________________ ______ ______
Item C._________________________ ______ ______
Item D._________________________ ______ ______
Item E. _________________________ ______ ______
Item F. _________________________ ______ ______
Certification
I affirm that the facts stated in this complaint are true to the best of my knowledge.
____________________________________________________
Signature of Complainant
COMPLAINANT INFORMATION (Please Print)
NAME: ______________________________________________________________
ADDRESS: ___________________________________________________________
PHONE: ____________________
Signed before me on this _________day of _____________________, 20____.
__________________________________________________________________
Notary Public
For Office Use Only
DATE RECEIVED: __________________________
ACTION TAKEN: __________________________ CASE NUMBER: ____________
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Ethics Complaint Form (St Regis Mohawk Tribe)

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Completed 20 July 2020

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