Tisbury Massachusetts
51 Spring Street, P.O. Box 1239, Vineyard Haven, MA 02568
ph: (508) 696-4200
Receipt of Conflict of Interest law and Summary for Municipal Employees

ACKNOWLEDGMENT OF RECEIPT OF CONFLICT OF INTEREST LAW AND SUMMARY OF CONFLICT OF INTEREST LAW
I, __________________________________________________________ ,
(first and last name)
an employee at ______________________________________________,
(name of municipal dept.)
hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised December 23, 2011, on __________________________________.
(date)
Municipal employees should complete the acknowledgment of receipt and return it to the town clerk. Alternatively, municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it (mmudge@tisbryma.gov).