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Ethics Forms

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    Official Activity Expense Payment Approval Request

    State officers and employees, and statewide elected officials, are required to request and receive approval from their Approving Authority before accepting an official activity expense payment or service payment (as those terms are defined in 19 NYCRR Part 931 of JCOPE regulations).

     

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    Honorarium Approval Request

    State officers and employees, and statewide elected officials, are required to request and receive approval from their Approving Authority before accepting an honorarium (when allowed by statute and as that term is defined in 19 NYCRR Part 930 of JCOPE regulations).

     

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Financial Disclosure Statements ("FDS")

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    2018 FDS Supplemental Form for COIB Filers

    A filer required to file both an annual disclosure report with the New York City Conflict of Interests Board (COIB) and a FDS with JCOPE may be able to submit the COIB filing to JCOPE along with completing and submitting this supplemental form.

     

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    2017 FDS Supplemental Form for COIB Filers

    A filer required to file both an annual disclosure report with the New York City Conflict of Interests Board (COIB) and a FDS with JCOPE may be able to submit the COIB filing to JCOPE along with completing and submitting this supplemental form.

     

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    2016 FDS Supplemental Form for COIB Filers

    A filer required to file both an annual disclosure report with the New York City Conflict of Interests Board (COIB) and a FDS with JCOPE may be able to submit the COIB filing to JCOPE along with completing and submitting this supplemental form.

     

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    2015 COIB Supplemental Form for FDS Filers

    A filer required to file both an annual disclosure report with the New York City Conflict of Interests Board (COIB) and a 2015 FDS with JCOPE may be able to submit the COIB filing to JCOPE along with completing and submitting this supplemental form.

     

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FDS Amendments

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    2016 FDS Amendment Form - Question 8

    Question 8(a): Licensed Professions

    Question 8 (b): Business Relationships and Client Disclosure

    Question 8(b-2)(i)

    Question 8(b-2)(ii)

    Question 8(c)

    Question 8(d): Business Investments​​​​​​​​​​​​​​

     

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FDS Exemption and Extension Request Forms

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    FDS Exemption Request Form (Individual)

    A filer who is not designated as a policy maker and whose annual salary exceeds the SG-24 filing rate may request an exemption from filing a FDS. Such exemptions may be requested through the FDS Online Filing System or by completing and submitting this writeable PDF form, which must be received or postmarked on or before the filing due date.

     

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    FDS Agency/Union Exemption Request Form

    State agencies and labor unions may request an exemption from filing a FDS on behalf of individuals in the same title or job classification who are not designated as policy makers and whose annual salary exceeds the SG-24 filing rate. Such exemptions may be requested through the FDS Online Filing System or by completing and submitting this writeable PDF form, which must be received or postmarked on or before the filing due date.

     

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    FDS Extension Request form

    A filer may request a 45-day extension of time to file the FDS based on justifiable cause or undue hardship. Extensions may be requested through the FDS Online Filing System or by completing and submitting this writeable PDF form, which must be received or postmarked on our before the filing due date.

     

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    FDS Spousal Affidavit

    State officers and employees required to file a FDS may also be required to provide information regarding their spouses.  Filers with extenuating circumstances that prevent them from obtaining information regarding a spouse may utilize this form and submit to JCOPE.  

     

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    FDS Release

    This form is available for State officers and employees who have left State service and would like to request a copy of previously filed FDS.  Please note: this form must be notarized. 

     

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Lobbying Forms - 2019 Filings

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    Parties Lobbied for 2019_2020 Filings

    This list provides information for Filers to about specific parties they are lobbying or intend to lobby with regard to the subjects/issues they intend to be or are lobbying on at any given time. The list provides information for both the State and local/municipal level.  Revised 3/8/2019

     

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    Coalition Questionnaire

    This is for use by Coalitions to determine if any members of the Coalition exceed the $5,000 Compensation and Expenses threshold and would need to be listed as Beneficial Clients. 

     

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    2019 Source of Funding Summary Statement Form

    This form may be used by Beneficial Clients that are Paper (PDF) Filers. All Beneficial Clients are required to complete this PDF form or submit this statement online in the JCOPE Lobbying Application.  Completed PDF forms must be mailed to JCOPE.  Beneficial Clients required to disclose information on Sources must complete and mail this form AND e-mail the pre-formatted Excel Spreadsheet to [email protected]

    Mail completed forms to:

    NYS Joint Commission on Public Ethics

    540 Broadway

    Albany, New York 12207

     

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    BLANK Pre-formatted Excel Spreadsheet for Source of Funding Disclosure

    Please use this pre-formatted Excel Spreadsheet to disclose information on Sources for Source of Funding.  PAPER Filers who meet the Expenditure Threshold and are required to disclose Source of Funding information MUST utilize the pre-formatted Excel Spreadsheet.  The completed, original spreadsheet must be emailed to JCOPE at [email protected]; and should include your contact information and the name of the Beneficial Client to avoid filing delays.

    ONLINE FILERS who meet the Expenditure Threshold and are required to disclose Source of Funding (“SoF”) information must either: utilize JCOPE’s online Lobbying Application (“LA”) to data-enter each Source individually; or complete and upload the pre-formatted Excel Spreadsheet provided by JCOPE. 

    Refer to the 'Instructions for Completing the Pre-formatted Excel Spreadsheet to Disclose Source of Funding Information' prior to completing the blank spreadsheet.

    Please note - this spreadsheet will not immediately appear on your screen; it will be uploaded automatically and appear in your downloads folder or at the bottom of your screen. 

     

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Lobbying Forms - 2018 and Prior Years

Use the below forms to prepare and submit Filings for 2018 and all prior years.    

Other Online Forms