Inline block: Submission #26
Submission information
Submission Number: 26
Submission ID: 2041
Submission UUID: 0edb5dc2-c2ab-4d4b-99fb-c420d57ae2df
Submission URI: /Travel-Disclosure
Created: Tue, 07/14/2026 - 12:57
Completed: Tue, 07/14/2026 - 12:57
Changed: Wed, 07/15/2026 - 09:47
Remote IP address: 2604:a900:ef31:0:6931:2245:d65b:bf8d
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Travel
Submitted to: Inline block
Approved
Donlyn Erickson
North Dakota Board of Chiropractic Examiners
Ground Transportation
I certify the information provided in this travel disclosure form is true, correct, complete, and of my own personal knowledge. I further certify I am the public official named or the public official’s authorized representative and will fully cooperate in the process regarding the filing of this travel disclosure form.
D.J. Erickson D.C.
2026-07-14
{Empty}