Nassau County, NY

Nassau County Board of Ethics

One West Street
2nd Floor
Mineola, NY 11501
(516) 571-3056
boardofethics@nassaucountyny.gov

ETHICS COMPLAINT

Complainants shall be afforded such whistleblower protections as may be provided by law,
including but not limited to the protections set forth in Section 75-b of the New York Civil Service Law,
Section 740 of the New York Labor Law and Section 22-4.4 of the Nassau County Administrative Code, to the extent applicable.

All fields marked with a red asterisk (*) are required.

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Department:

Nature of your complaint (check one or more): *

Use of public office for private gain

Interest in County contract

Doing business with the County

Personal use of County resources

Gifts to induce or reward official acts

Outside employment in conflict with duties

Personal use or disclosure of confidential info

Representing others before the County

Hiring or supervision of relatives

Post-employment activities

Other

Description of your complaint: *