Nomination & Disclosure Form 
Thank you for your interest in serving on a board or commission. In the interest of good government, and in compliance with state and local laws, all mayoral appointees are required to complete this public disclosure form. It is kept on file in the Register's Office. Candidates must be current in the payment of all taxes. Qualifying information on this form is public, however, your birth date is removed from any request for information.
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Please indicate the Board(s) or Commission(s) of Interest:  *
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