Pursuant to Executive Order 04.01.21.57 and Department of Human Services (DHS) Policy 1201, all DHS employees are expected to maintain and exercise at all times the highest moral and ethical standards in carrying out their responsibilities and functions. On and off duty, DHS employees are expected to adhere to the provisions of DHS Policies #115 and #504. This form should be used to submit additional information for a previously submitted notification documenting your disclosure of non-compliance of DHS Policies #115 and/or #504. 

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