CASA KANE COUNTY

CONFLICT OF INTEREST STATEMENT AND DISCLOSURE AGREEMENT

Please download this editable PDF document. Fill out the necessary information and email a copy of your completed document to Lindsey Herdrich at LindseyH@casakanecounty.org

Click here to download the Conflict of Interest Statement PDF

SIGNATURE: By clicking “COMPLETE”,  you are digitally signing.

By digitally signing, you are acknowledging that you have completed the necessary action items for our Conflict of Interest Statement and Disclosure Agreement.