Legislative Agent Form

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NEW CASTLE COUNTY COUNCIL

LEGISLATIVE AGENT REGISTRATION FORM

Pursuant to Chapter 2, Division 2.02.300

New Castle County Code

Date of request

Agent's Name

Firm

Address

Telephone No.

Agent's Email

Employer Information

Employer's Name

Employer's Email

Date Of Employment

Period Of Employment

Employer's Address

Subject(s) of Representation

The above information is correct to the best of my knowledge and pursuant to New Castle County Code Section 2.02.300. Any change to the above information will be reported to the Clerk’s Office within ten (10) business days. My employer’s authorization is herewith.

Signature of Agent

Date

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