Code of Conduct Code of Conduct for Custodians of People with Special Needs Please Read Before Submitting Form : Code of Conduct CODE OF CONDUCT ACKNOWLEDGMENT FOR CUSTODIANS OF PEOPLE WITH SPECIAL NEEDS I pledge to prevent abuse, neglect, or harm toward any person with special needs, consistent with agency policy. In addition, to the extent I am required to report abuse, neglect, or harm of any person with special needs by law, rule, or regulation, I agree to abide by the law, rule, or regulation. If I learn of or witness any incident of abuse, neglect, or harm toward any person with special needs, I will offer immediate assistance, notify emergency personnel, including 9-1- 1, and inform the management of this organization consistent with agency policy. I acknowledge that I have read and that I understand the Code of Conduct. Full Name Signature (Re-type name, this will count as your signature) Your Email Date (DD/MM/YYYY) Program Department Facility/Provider 0rganization