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the municipal secretary desktop reference manual - Southwestern ...

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FORM TITLE: Report of Elected and Appointed Officials<br />

OFFICIAL NUMBER: DCED-CLGS-19-1/MS 915<br />

DUE DATE: January 31 of each year<br />

WHERE TO SEND COMPLETED FORM:<br />

Department of Community and Economic Development<br />

400 North Street<br />

Harrisburg PA 17120<br />

NUMBER OF COPIES REQUIRED: THREE (One original and two copies are acceptable)<br />

FOR ASSISTANCE: Governor’s Center for Local Government Services<br />

1-888-223-6837<br />

FAILURE TO SUBMIT FORM RESULTS IN: Possible withholdings of Liquid Fuels<br />

allocation<br />

PRIOR TO COMPLETING, ASSEMBLE THE FOLLOWING INFORMATION:<br />

Prior year’s form<br />

HELPFUL HINTS:<br />

Compare <strong>the</strong> form received with <strong>the</strong> corrections that were submitted on <strong>the</strong><br />

prior year’s form to verify <strong>the</strong>y were documented.<br />

File <strong>municipal</strong> copy with all of <strong>the</strong> forms required for Liquid Fuels allocation for<br />

future verification.<br />

Document when <strong>the</strong> form was actually mailed out (if filed on line, document date<br />

submitted).<br />

V-23<br />

Revised May 2006

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