Inquiry Regarding Potential Conflict of Interest | Anne Arundel County Government

Please use this form to formally submit a concern about a potential conflict of interest involving a Board Member, as outlined in the Recusal Policy.

Indicates required field

Important

We strongly encourage submitting concerns at least five (5) business days prior to the scheduled hearing date to allow for timely review and action. Concerns not submitted in advance must be announced when the case is called during the public hearing.

Your Information

First name

Last name

Email address

Phone number

Case Information

Establishment trade name

Scheduled hearing date

Agenda item number, if applicable

Conflict of Interest

Name(s) of the board member(s) concerning the potential conflict

Type of conflict

Direct conflict of interest

Private interests could improperly influence official duties

Apparent conflict of interest

A reasonable person could conclude private interests could improperly influence duties

Description of the conflict

Upload any supporting documents relevant to your inquiry

Declaration

By submitting this form, I certify the accuracy of the information provided and confirm it is made in good faith. I acknowledge and understand that this concern will be addressed according to the Board's Recusal Policy

Typed signature