The information submitted on this City Business Disclosure Form is a public record. It may be used to check for any ethical conflicts of interest or potential violations of CMC Chapter 119. The City of Cincinnati Law Department, Ethics & Good Government Division, may reach out to verify the accuracy and completeness of this information.

If the applicant for city business is an individual, a "financially interested person" means the applicant AND the applicant’s spouse and dependent children.

If the applicant for city business is an entity, such as a limited liability company, corporation, partnership, trust, or unincorporated association, a "financially interested person" means (1) the entity itself; (2) the owners, members, or partners of such entity and their spouses and dependent children, provided that such owner, member, or partner owns or controls twenty percent or more of the entity; and (3) the directors and principal officers of such entity and their spouses.

Please contact the City of Cincinnati Office of Ethics & Good Government (513-352-4707 or Ethics@cincinnati-oh.gov) with any questions or to augment or edit a previous disclosure form.

Applicant Name
Applicant Phone
Applicant Email
Date Initiated with City of Cincinnati
Brief Description of City Business
Application # or Document # (If Known)
Submitted to

I. Disclosed Entity (Including Limited Liability Company, Corporation, Partnership, Trust, or Unincorporated Association)

II. Disclosed Individual (Including Owners, Members, or Partners if they Own or Control Twenty Percent or More, their Spouses and their Dependent Children; Directors, Principal Officers, and their Spouses).

I hereby certify the information contained in this disclosure is accurate, truthful, and complete to the best of my knowledge.
Electronic Signature