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Corporate Compliance for Independent Contractors/Vendors

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  2. Class A Contractor Compliance Training Video and Acknowledgement Form

    All Class A Contractors (as is defined on Attachment 1 to the Corporate Compliance Plan) are required to receive training related to the County’s Compliance Program within 30 days of the execution of a contract. Questions may be directed to the County's Compliance Officer (315-366-2832). Submission of this form is your legally binding acknowledgement that you have viewed the training material.

    HTML Video embed

    Please view the Training Video, then complete the Acknowledgement Form below.  Note: For agencies, please attach a list that includes names of the employees, their title and the date they viewed the training video.


  4. Electronic Signature Agreement*

    By checking the "I agree" box below, I acknowledge that:

    1. I have viewed Madison County's Corporate Compliance training video on this date.

    2. I have been provided with the opportunity to ask any questions that I may have.

    3. I acknowledge that I have received and read a copy of the Corporate Compliance Plan, Compliance Code of Conduct and related policies.

    4. I understand that I must comply with the Compliance Plan, Compliance Code of Conduct, all laws, regulations, policies and procedures, and guidance provided.

    5. I understand that I must report any instances of possible violations of the Compliance Plan, Compliance Code of Conduct, laws, regulations, policies and procedures to the Corporate Compliance Officer.

    6. I understand that Madison County maintains a hotline (1-855-833-7283) for 24/7 confidential or anonymous reporting of possible violations of the Corporate Compliance Plan, Compliance Code of Conduct, laws, regulations, policies and procedures.

    7. I understand that my failure to comply with the Corporate Compliance Plan, the Compliance Code of Conduct, laws, regulations, policies and procedures or to report possible violations may result in termination of the contract.

  11. Note: For agencies, please attach a list that includes the names of employees, their title and the date they viewed the training video.

    12. Leave This Blank:

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