The Utah County Officers and Employee Disclosure Act set forth at Utah Code Ann. § 17-16A, et seq., as amended, requires officers and employees of the County to disclose certain actual or potential conflicts of interest that exist or may arise between an officer or employee’s public duties and personal interests. Additionally, Duchesne County Personnel Policy, requires all employees to adhere to legal, moral and professional standards of conduct in the fulfillment of their duties with the County and demonstrate the highest ideals of honor and integrity in all public and personal relationships to merit the respect, trust and confidence of the public. This Disclosure Statement is required to be filed with the County Clerk prior to taking office or commencing employment with the County. An updated form should be filed annually thereafter on or before January 31 of each year. An updated Disclosure Statement should also be filed when any personal, financial, or employment interests change, potential conflicts arise, or as otherwise required by law. If you have any questions regarding this form or potential conflicts of interest, you are encouraged to contact the Duchesne County Clerk at (435) 738-1103. This Disclosure Statement is a public document for purposes of the Government Records Act.

Please disclose any position held as an officer, director, agent, or employee of a business entity (other than Duchesne County) which may be subject to the regulation of the Duchesne County, which does or anticipates doing business with the Duchesne County, or any business entity or person from which you may receive or agree to receive compensation for assisting in a transaction involving the Duchesne County. As used herein, "business entity" means any sole proprietorship, partnership, association, joint