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Affected Individual Attestation

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Subject: Corporate Compliance
Please read the following statements carefully and check the box if the statement applies to you.
I attest that I have read and understand The Arc Jefferson – St. Lawrence’s Compliance Standards of Conduct and the Compliance Plan Program Purpose and Overview. The following Compliance Policies and Procedures are available for my review: 502A Standards of Conduct; 502F Compliance Risk Assessment; 502G Reporting Compliance Concerns; 502H Whistleblower/Anti-Retaliation/Non-Intimidation; 502I False Claims; 504 Due Care in Assignment of Responsibilities; 504B Policy Regarding Conflicts of Interest; 505A Education and Training of Employees and Others; 506A Methods of Contact; 507A Discipline and Incentive Program; 508A Detecting and Responding to Violations, Voluntary Disclosures. The Arc Jefferson – St. Lawrence comprehensive Standards of Conduct are also available for my review.
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Corporate Compliance Code of Conduct Corporate Compliance Risk Assessments Corporate Compliance Plan Reporting Compliance Concerns Corporate Compliance Plan Whistleblower/Anti-Retaliation/Non-Intimidation Corporate Compliance Plan False Claims Corporate Compliance Plan Due Care in Assignment of Responsibilities Corporate Compliance Plan Policy Regarding Conflicts of Interest Corporate Compliance Plan Education and Training of Employees and Others Corporate Compliance Plan Methods of Contact Corporate Compliance Plan Discipline and Incentive Program Corporate Compliance Plan Detecting and Responding to Violations, Voluntary Disclosures Standards of Conduct Mandatory-Compliance and Standards Information for Vendors, Contractors