This government document is issued by Somerset County for use in Maryland
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https://www.google.com/url?client=internal-element-cse&cx=e1d61c8eb0aa21666&q=https://www.somersetmd.us/document_center/Department/Commissioners/Ethics%2520Commission%2520-%2520complaint%2520form.pdf&sa=U&ved=2ahUKEwjj3qLUqeKGAxWu_7sIHcKZDF8QFnoECAUQAQ&usg=AOvVaw2NeCMA9Vo8XrWJwEIgVH_H&arm=e&fexp=72519171,72519168