HomeMy WebLinkAboutPetition Form Fillable (04-18-23)
NOTE: Any petition that does not substantially comply with the forgoing requirements may be
rejected. In addition, the Board may, for good cause, reject any petition. Hawai‘i County Code
Section 2-86.
BOARD OF ETHICS, County of Hawai‘i
101 Aupuni Street, Suite 325, Hilo, Hawai‘i 96720
Tel. No. (808) 961-8251 / e-mail: boardofethics@hawaiicounty.gov
PETITION
Your name: Date:
Mailing address: Phone:
Email address:
_____________________________________________________________________________________
(attach additional pages if necessary)
1. State the nature of your interest, including reason(s) for the submission of this Petition:
2. Provide the specific section(s) of the Code of ethics in question (the Code of Ethics is
Chapter 2, Article 15, of the Hawai‘i County Code):
3. Provide a complete statement of the facts:
4. Provide a statement of your position or contention
5. If this petition is regarding yourself, as a county officer or employee, please indicate
whether you are requesting an:
(Check one)
____ open hearing ____ closed hearing
______________________________
Your Signature
SUBMITTAL: Please submit one (1) hard copy of the completed petition and any relevant documents to
the Board of Ethics at the address stated above or via e-mail at boardofethics@hawaiicounty.gov.
Petition No.________