SFEC Form DCC – Department Contact Change Form

File SFEC Form DCC – Department Contact Change Form

Complete this form to notify the Ethics Commission of changes to your department’s Form 700 filing officer, department liaison, or department head. Forms submitted without department head authorization will not be accepted. (Please note: if adding a new contact, you may remove the person who previously served in the role in the same form submission; otherwise, submit a separate form for each contact).

Name and Email Address of Person Completing the Department Contact Change Form

Enter the name and email address of the administrative staff completing the form.

Name of Person Completing the Form

Email address

Name and Email Address of Department Head Signing the Form

Enter the name and email address of the department head required to sign the completed form.

Name of Department Head

Email address

Preview Form

Click the image below to preview a form illustrating the information required to be disclosed. (Please note that this form is for viewing purposes only and that the electronic link shown below must be used to file the required information.)

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QR Code to Access Page

Scan the QR code with a mobile device camera to access the latest version of this document online:
https://sfethics.org/compliance/city-officers/statement-of-economic-interests-city-officers/filing-officer-duties/sfec-form-dcc-department-contact-change-form