Forms
The following forms are now available in Adobe Acrobat format. Click on the form number to open it in Acrobat. You can print or save it from there.
Candidate Forms , Committee Forms , Recall/Other Persons Forms , Disclosure Forms , Miscellaneous Forms , Electronic Filing Affidavits
Candidate Forms 
Candidate Form 100   Designation of Principal/Subsidiary Campaign Committees
Candidate Form 101   Candidate's Affidavit in Lieu of Report Form
Candidate Form 102   Candidate's Report Form.
Candidate Form 102 Instructions   Candidate's Report Form Instructions. Updated February 2012.
Candidate Form 103   Candidate's Special Report Form
Candidate Form 104   Candidate's Election Day Expenditures Report Form
Candidate Form 105   Certification of required ethics training
Committee Forms 
Committee Form 200   Statement of Organization Form (Instructions Revised 01/13)
Committee Form 201   Committee's Affidavit in Lieu of Report Form
Committee Form 202   Committee's Report Form
Committee Form 203   Committee's Special Report (Updated March 31, 2009)
Committee Form 204   Committee's Election Day Expenditures Report Form
Committee Form 205   Statement of Dissolution Form
Committee Information on filing PAC Reports monthly   Information on the requirement for filing PAC Reports monthly.
Committee Notice of Monthly Filing (PAC)   Form for PAC chairman to fill out monthly for the reporting requirement.
Recall/Other Persons Forms 
Other Person Form 305  (Revised November 2012) Other Persons Report Form (Updated March 31, 2009)
Other Person Form 306  (Revised November 2012) Other Persons Form for Special Report
Other Person Form 307  (Revised November 2012) Other Persons Form for Election Day Expenditures
Recall Form 300   Report Form for Propositions/Recall Elections
Recall Form 301   Special Report Form for Propositions/Recall Elections
Disclosure Forms 
Disclosure Form 401   Gaming Control Board Disclosure Statement for members and supervisor (pursuant to LSA-R.S. 27:12B and 27:63A)
Disclosure Form 402   Bank/Local Depositing Authority Recusal Disclosure Statement (pursuant to LSA-R.S. 39:1233.1)
Disclosure Form 403   School Board Disclosure Statement (pursuant to LSA-R.S. 42:1119B(2)(a))
Disclosure Form 404   Hospital Service District Disclosure Statement (pursuant to LSA-R.S. 42:1119B(2)(b))
Disclosure Form 405   Public Servant (or immediate family member) Financial Disclosure Statement (pursuant to LSA-R.S. 42:1114)
Disclosure Form 406   Retirement System Financial Disclosure Statement (pursuant to LSA-R.S. 42:1114.2)
Disclosure Form 407   Notice of Fundraiser Disclosure Statement (pursuant to LSA-R.S. 24:50 et seq)
Disclosure Form 408   Gaming Division Disclosure Statement for employees and agents (pursuant to LSA-R.S. 27:63B and 27:226B)
Disclosure Form 409   Exemption Disclosure Statement (pursuant to LSA-R.S. 42:1123(34))
Disclosure Form 410   Disaster or Emergency Contract Disclosure Statement (pursuant to LSA-R.S. 42:1114.3)
Disclosure Form 411   Contract Disclosure Statement (pursuant to 42:1113D(4)). Revised January 2012.
Disclosure Form 412   Gubernatorial Transition/Inauguration Disclosure Statement (pursuant to La R.S. 42:1125)
Disclosure Form 413   Complimentary Admission, Lodging, and/or Transportation Disclosure Statement (pursuant to LSA-R.S. 42:1123(41))
Disclosure Form 414   Payment for Rendering Assistance Disclosure Statement (pursuant to LSA-R.S. 42:1111E(2)(a))
Disclosure Form 415a  (Revised December 2012) Tier 1 Financial Disclosure (Annual)
Personal Financial Disclosure form for Tier 1 officials filing their annual report. This form is a fillable pdf form. To open this file, you must have Acrobat reader 7 or above. If you are unable to view the fillable form, you can download a non-fillable form here.
Tier 1 FAQs
Disclosure Form 415b  (Revised January 2013) Tier 1 Financial Disclosure (Candidate)
Personal Financial Disclosure form for Tier 1 officials filing their election report. This form is a fillable pdf form. To open this file, you must have Acrobat reader 7 or above. If you are unable to view the fillable form, you can download a non-fillable form here.
Tier 1 FAQs
Disclosure Form 416a  (Revised December 2012) Tier 2 Financial Disclosure (Annual)
Personal Financial Disclosure form for Tier 2 officials filing their annual report. This form is a fillable pdf form. To open this file, you must have Acrobat reader 7 or above. If you are unable to view the fillable form, you can download a non-fillable form here.
Tier 2 FAQs
Disclosure Form 416b  (Revised January 2013) Tier 2 Financial Disclosure (Candidate)
Personal Financial Disclosure form for Tier 2 officials filing their candidate report. This form is a fillable pdf form. To open this file, you must have Acrobat reader 7 or above. If you are unable to view the fillable form, you can download a non-fillable form here.
Tier 2 FAQs
Disclosure Form 417   Tier 2.1 Financial Disclosure (Annual)
Personal Financial Disclosure form for Tier 2.1 officials. This form is a fillable pdf form. To open this file, you must have Acrobat reader 7 or above. If you are unable to view the fillable form, you can download a non-fillable form here.
Tier 2.1 FAQs
Disclosure Form 418a  (Revised December 2012) Tier 3 Financial Disclosure (Annual)
Personal Financial Disclosure form for Tier 3 officials. This form is a fillable pdf form. To open this file, you must have Acrobat reader 7 or above. If you are unable to view the fillable form, you can download a non-fillable form here.
Tier 3 FAQs
Disclosure Form 418b  (Revised January 2013) Tier 3 Financial Disclosure (Candidate)
Personal Financial Disclosure form for Tier 3 officials. This form is a fillable pdf form. To open this file, you must have Acrobat reader 7 or above. If you are unable to view the fillable form, you can download a non-fillable form here.
Tier 3 FAQs
Disclosure Form 419   Elected Public Official/Performing Professional Musician Disclosure Statement (pursuant to LSA-R.S. 27:96A)
Disclosure Form 420  (Revised September 2012) Legislator Receiving Food, Refreshment, Lodging, and/or Transportation Disclosure Statement (pursuant to LSA-R.S. 42:1123(16)
Miscellaneous Forms 
Affidavit of Notice of Fee Disposition   Affidavit filed pursuant to La. R.S. 38:2196.1
Electronic Filing Affidavits

In accordance with Section 1801 B of the Rules of the Louisiana Board of Ethics, Electronic Filing Affidavits should be received by our office at least five business days before a filing deadline.

If the affidavit is received at least 5 days ahead of the deadline, the password and ID will be issued in order to file that report electronically.

Affidavits received less than 5 days ahead of a deadline will be processed as quickly as possible.

Candidate Electronic Filing Affidavit   Electronic filing affidavit for those using the LEADERS software (Candidates). Candidate Committees should also use this form. Mail your notarized affidavit to the Louisiana Board of Ethics. Include a note with the name and phone number of the person who will be filing the reports electronically and a member of the Technical Support Staff will contact them with their password. You may also contact us to request that the affidavits be mailed to you. If you would also like a users guide, please indicate Candidate.
Other Persons Electronic Filing Affidavit   Electronic filing affidavit for "Other Person" filers. Mail your notarized affidavit to the Louisiana Board of Ethics. Include a note with the name and phone number of the person who will be filing the reports electronically and a member of the Technical Support Staff will contact them with their password. You may also contact us to request that the affidavits be mailed to you.
PAC Electronic Filing Affidavit   Electronic filing affidavit for Political Committees (such as PACs) filers. Mail your notarized affidavit to the Louisiana Board of Ethics. Include a note with the name and phone number of the person who will be filing the reports electronically and a member of the Technical Support Staff will contact them with their password. You may also contact us to request that the affidavits be mailed to you. If you would also like a users guide, please indicate PAC.