Agency Report of: Consultants

Form 805 Instructions

Part 1 of 4: Agency Information









Part 2 of 4: Firm Information







Part 3 of 4: Consultant Information

First Consultant



OR




Second Consultant



OR




Third Consultant



OR





Part 4 of 4: Verification

I have read and understand FPPC Regulations 18700.3 and 18734. I have verified that the disclosure assignment(s) set forth above, is in accordance with its provisions.




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End of Page, Form 805