Forms

For filers using electronic signatures, please see the relevant agency policy.

Per Act 398, the Supervisory Committee on Campaign Finance Disclosure shall prepare updated forms and instructions and explanations for the completion of such forms in compliance with this Act as provided in R.S. 18:1511.3 no later than January 15, 2026. All committees, candidates, and other persons required to file reports with the supervisory committee pursuant to the provisions of this Act may file reports containing the information required by this Act using the forms offered by the supervisory committee on the effective date of this Act until such forms have been updated as provided in this Section. Until such forms have been updated, the supervisory committee shall not find a candidate, committee, or other person required to file reports pursuant to this Act in violation of the Campaign Finance Disclosure Act for failure to file any information required by this Act but not provided for on the forms offered by the supervisory committee on the effective date of this Act.

Candidate forms

• Candidate Form 100—Designation of Principal/Subsidiary Campaign Committees ** (Form 100 must be accompanied by Form 200) **
• Candidate Form 102—Candidate's Report Form.
• Candidate Form 102 Instructions—Candidate's Report Form Instructions.
  • Information Sheet on Reporting Contributions Received and Refunded
  • Information Sheet on Reattributing an Excess Contribution Received for One Contributor to Another Contributor
  • Information Sheet on Redesignating an Excess Contribution Received for an Election to another Election
  • What to Do if You Receive a Contribution that Exceeds Your Campaign Limits
  • Form for Redesignation - Form for candidates to keep with their campaign finance records to show that a contributor has agreed to the redesignation of their contribution to a different election.
  • Form for Reattribution - Form for candidates to keep with their campaign finance records to show that both the original contributor and the newly attributed contributor agree that a portion of the original contribution should be attributed to the new contributor, who has legal claim to the funds being reattributed.
• Candidate Form 103—Candidate's Special 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 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—Other Persons Report Form
• Other Person Form 306—Other Persons Form for Special Report
• Proposition/Recall Form 300—Report Form for Propositions/Recall Elections
• Proposition/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))
  If you have problems viewing or using the fillable version, try downloading the non-fillable Form 411.
• Disclosure Form 412—Gubernatorial Transition/Inauguration Disclosure Statement (pursuant to La R.S. 18:1501.3, formerly La R.S. 42:1125)
• Disclosure Form 413—Complimentary Admission, Lodging, and/or Transportation Disclosure Statement (pursuant to LSA-R.S. 42:1115.2)
  If you have problems viewing or using the fillable version, try downloading the non-fillable Form 413.
  Form 413 FAQs
• Disclosure Form 414—Payment for Rendering Assistance Disclosure Statement (pursuant to LSA-R.S. 42:1111E(2)(a)) (Form Revised January 2019)
  If you have problems viewing or using the fillable version, try downloading the non-fillable Form 414.
• Disclosure Form 415a—Tier 1 Annual Financial Disclosure
  Personal Financial Disclosure form for Tier 1 officials filing their annual report.
  This form must be filed electronically using the PFD E-file system.
  Tier 1 FAQs
• Disclosure Form 415b—Tier 1 Candidate Financial Disclosure
  Personal Financial Disclosure form for Tier 1 officials filing their election report.
  This form must be filed electronically using the PFD E-file system.
  Tier 1 FAQs
• Disclosure Form 416a—Tier 2 Annual Financial Disclosure
  Personal Financial Disclosure form for Tier 2 officials filing their annual report.
  This form must be filed electronically using the PFD E-file system.
  Tier 2 FAQs
• Disclosure Form 416b—Tier 2 Candidate Financial Disclosure
  Personal Financial Disclosure form for Tier 2 officials filing their candidate report.
  This form must be filed electronically using the PFD E-file system.
  Tier 2 FAQs
• Disclosure Form 416c—Tier 2 Tax Extension Notification
  This disclosure form must be filed electronically using the PFD E-file system.
• Disclosure Form 417—Tier 2.1 Annual Financial Disclosure
  Personal Financial Disclosure form for Tier 2.1 officials.
  To utilize the full functionality of the fillable forms, you must use Adobe PDF Reader.
  If you have problems viewing or using the fillable version, try downloading the non-fillable Disclosure Form 417
  Tier 2.1 FAQs
• Disclosure Form 418a—Tier 3 Annual Financial Disclosure
  Personal Financial Disclosure form for Tier 3 officials.
  To utilize the full functionality of the fillable forms, you must use Adobe PDF Reader.
  If you have problems viewing or using the fillable version, try downloading the non-fillable Disclosure Form 418a
  Tier 3 FAQs
• Disclosure Form 418b—Tier 3 Candidate Financial Disclosure
  Personal Financial Disclosure form for Tier 3 officials
  To utilize the full functionality of the fillable forms, you must use Adobe PDF Reader.
  If you have problems viewing or using the fillable version, try downloading the non-fillable Disclosure Form 418b
  Tier 3 FAQs
• Disclosure Form 419—Elected Public Official/Performing Professional Musician Disclosure Statement (pursuant to LSA-R.S. 27:96A)
• Disclosure Form 420—Legislator's Disclosure in Connection with a Public Speech Outside the State of Louisiana (pursuant to LSA-R.S. 42:1123(16)
• Disclosure Form 421—Gubernatorially Declared Disasters and Emergencies Charitable Giving to Public Servants (pursuant to LA. R.S. 42:1111.1) - Statements are to be filed on or before February 15
• Disclosure Form 422—Charter School Banking Disclosure Statement (pursuant to La. R.S. 17:3991(A)(1)(b)(ii))
• Disclosure Form 423—Spousal Prohibited Income Disclosure Statement (pursuant to LSA-R.S. 42:1111C(5))
• Disclosures Electronic Filing Affidavit—Electronic filing affidavit for using the PFD E-Filing system. Mail your notarized affidavit to the Louisiana Board of Ethics.
  If you already have a username and password for electronically filing campaign finance reports through Leaders Online, the same username and password can be used to log in and access the personal financial disclosure forms on the PFD E-file system.

Miscellaneous forms

• Ethics Agent Form—Form to become an Ethics Agent pursuant to La. R.S. 42:1170C(4). Please click here to register and create your Ethics Education Liaison profile if you have not already done so. After you create your profile and are logged in, please select “Create a New Training Report/Registration” and complete the LiaisonReg form, which must be signed by the head of your agency.

Electronic filing affidavits

In accordance with §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.
• Disclosures Electronic Filing Affidavit—Electronic filing affidavit for using the PFD E-Filing system. Mail your notarized affidavit to the Louisiana Board of Ethics.
  If you already have a username and password for electronically filing campaign finance reports through Leaders Online, the same username and password can be used to log in and access the personal financial disclosure forms on the PFD E-file system.
• 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.