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 (Form 100 must be accompanied by Form 200)
Candidate Form 102   Candidate's Report Form.
Candidate Form 102 Instructions   Candidate's Report Form Instructions.
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. 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.
  Tier 1 Annual Financial Disclosure
Personal Financial Disclosure form for Tier 1 officials filing their annual report.
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 415a
Tier 1 FAQs
  Tier 1 Candidate Financial Disclosure
Personal Financial Disclosure form for Tier 1 officials filing their election report.
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 415b
Tier 1 FAQs
  Tier 2 Annual Financial Disclosure
Personal Financial Disclosure form for Tier 2 officials filing their annual report.
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 416a

Tier 2 FAQs
  Tier 2 Candidate Financial Disclosure
Personal Financial Disclosure form for Tier 2 officials filing their candidate report.
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 416b
Tier 2 FAQs
  Tier 2 Tax Extension Notification
If you have problems viewing or using the fillable version, try downloading the non-fillable Disclosure Form 416c
  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
  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
  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 Receiving Food, Refreshment, Lodging, and/or Transportation Disclosure Statement (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 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.
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.