Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Distribution of Corporate Compliance Plan and Policies

  1. Acknowledgement of Receipt of Corporate Compliance Plan and Policies*

    Click here to review Plan:

    Click here to review Policies:

    I, the undersigned, by checking the "I agree" box below, acknowledge that I have received copies of the Corporate Compliance Plan and related policies. I further acknowledge that I have reviewed and understand the Corporate Compliance Plan that was provided to me by Madison County. I understand it is my responsibility to comply with the plan, policies, code of conduct and all applicable federal and state laws. I also understand that I must promptly report any issues concerns or possible violations of our compliance plan, policies, or code of conduct to my supervisor or the Corporate Compliance Officer.

  2. Leave This Blank:

  3. This field is not part of the form submission.