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APPENDIX 4REQUEST FOR BOARD ACTION BY A BOARD MEMBER Requester: ___Jessie Roberson___ August 27, 2019, Brief description of Requested Action: I request the Board approve the attached agenda for the

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Obtain a copy of the RFBA form from the appropriate department or online resource.

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Fill out the board member's personal information, including name, contact details, and position on the board.

03

Provide a detailed explanation of the financial interests or relationships that may create a conflict of interest.

04

Sign and date the form to acknowledge that the information provided is accurate and complete.

Who needs rfba by board member?

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Board members of organizations or companies who may have financial interests or relationships that could potentially create a conflict of interest.

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What is rfba by board member?

RFBA stands for Recusal, Fiduciary Duty, and Board Accountability, it is a form that board members must file to disclose any potential conflicts of interest.

Who is required to file rfba by board member?

All board members are required to file RFBA forms.

How to fill out rfba by board member?

Board members must disclose any potential conflicts of interest, financial interests, or other relevant information on the RFBA form.

What is the purpose of rfba by board member?

The purpose of the RFBA form is to ensure transparency, accountability, and ethical behavior among board members.

What information must be reported on rfba by board member?

Board members must report any potential conflicts of interest, financial interests, or other relevant information that may affect their decision-making.

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