Legislative Ethics Commission
420 Stratton Building
Springfield, IL 62706
(217) 558-1561
A page for obtaining the Certificate of Completion of the Harassment and Discrimination Prevention Training will appear when the video completes.
Name:
Work Phone:
Note: Phone format needs to be xxx-xxx-xxxx.
Ethics Officer:
I am:
Clicking on 'Submit' will display the certificate to be printed. After submitting the information for your certificate, please print, sign,date, and give the certificate to your ethics officer as proof of completion.
Certificate of Completion
Harassment and Discrimination Prevention Training
Provided by the Legislative Ethics Commission
Thank you for completing the required Harassment and Discrimination Prevention Training.
Name:
Work Phone:
Ethics Officer:
I am district office staff and work for:
( ) Senator or ( ) Representative ____________________________________________________
I am not district office staff.
Pursuant to the State Officials and Employees Ethics Act (5 ILCS 430/5-10.5), I certify I have viewed, in its entirety, the Harassment and Discrimination Prevention Training presentation provided by the Legislative Ethics Commission for legislators and employees of the Legislative Branch. Please print and sign this page. Submit the signed form to your Ethics Officer or supervisor as you were instructed to do.
_____________________________________________________
(Signature)
(Date)