Complaint Form
Ethics Forms
-
Outside Activity Approval Form
Required of State officers and employees designated as policy-makers whose intended outside activity requires both their agency Ethics Officer and Commission on Ethics and Lobbying approval. Revised 6/30/2022
Download
-
Official Activity Expense Payment Approval Request Form and Instructions
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 the Commission regulations).
Updated 6/30/22
Download
-
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).
Download
Financial Disclosure Statements ("FDS")
-
2021 Annual Statement of Financial Disclosure Form
The Commission on Ethics and Lobbying in Government encourages all filers to submit a FDS through the FDS Online Filing System. However, individuals who submit a paper filing in lieu of an electronic filing may complete this writeable PDF form.
Effective July 8, 2022.
Revised 6/28/2022
Download
-
2021 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 the Commission on Ethics and Lobbying in Government may be able to submit the COIB filing to the Commission along with completing and submitting this supplemental form.
Revised July 5, 2022
Download
-
2020 Annual Statement of Financial Disclosure Form
The Commission encourages all filers to submit a FDS through the FDS Online Filing System. However, individuals who submit a paper filing in lieu of an electronic filing may complete this writeable PDF form.
Download
-
2020 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 the Commission on Ethics and Lobbying in Government may be able to submit the COIB filing to the Commission along with completing and submitting this supplemental form.
Download
FDS Amendments
-
2021 FDS Amendment Form - Questions 1-3
Questions 1 - 3: Name, position, family
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 4(a)
Question 4(a) (Individual): Positions of Authority (other than those with the State)
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 4(b)
Question 4(b) (Spouse and Unemancipated Child): Positions of Authority (other than those with the State)
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 5(a)
Question 5(a) (Individual): Other Occupation/Outside Employment
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 5(b)
Question 5(b) (Spouse and Unemancipated Child): Other Occupation/Outside Employment
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 6
Question 6: Interests and Contracts with a State or local government
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 7
Question 7: Political Party Positions and Activities
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 10
Question 10: Reimbursements by non-governmental sources related to Official State Duties
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 12(b)
Question 12(b): Employment Agreements - Prior Employment
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 15
Question 15: Assignment of income or transfer of assets
Revised July 5, 2022
Download
-
2021 FDS Amendment Form - Question 18
Question 18: Money due or Notes and Accounts Receivable
Revised July 5, 2022
Download
-
2020 FDS Amendment Form - Question 4(a)
Question 4(a) (Individual): Positions of Authority (other than those with the State)
Download
-
2020 FDS Amendment Form - Question 4(b)
Question 4(b) (Spouse and Unemancipated Child): Positions of Authority (other than those with the State)
Download
-
2020 FDS Amendment Form - Question 5(a)
Question 5(a) (Individual): Other Occupation/Outside Employment
Download
-
2020 FDS Amendment Form - Question 5(b)
Question 5(b) (Spouse and Unemancipated Child): Other Occupation/Outside Employment
Download
-
2020 FDS Amendment Form - Question 6
Question 6: Interests and Contracts with a State or local government
Download
-
2020 FDS Amendment Form - Question 10
Question 10: Reimbursements by non-governmental sources related to Official State Duties
Download
FDS Exemption and Extension Request Forms
-
FDS Exemption Request Form (Individual) [2021]
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.
Revised July 5, 2022
Download
-
FDS Agency/Union Exemption Request Form [2021]
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.
Revised July 5, 2022
Download
-
FDS Extension Request Form [2021]
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 or before the filing due date.
Revised July 5, 2022
Download
-
FDS Spousal Affidavit [2021]
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 the Commision on Ethics and Lobbying in Government.
Revised 7/5/2022
Download
-
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.
Revised July 5, 2022
Download
-
FDS Redaction Request Form
A filer may request redaction of specific information from the copy of his or her FDS that is made publicly available. Redactions may be requested through the FDS Online Filing System or by completing and submitting this writeable PDF form. The Commission on Ethics and Lobbying in Government, at its discretion, may grant the request if the information sought to be redacted has no material bearing on the discharge of the filer’s official duties. This form may also be used to request an exemption from disclosing certain information pertaining to a spouse and/or unemancipated children. Again, at its discretion, the Commission may grant the request if (1) the spouse, on his or her own behalf or on behalf of an unemancipated child, objects to the disclosure of such information, and (2) the information has no bearing on the discharge of the filer's official duties.
Revised July 5, 2022
Download
Lobbying Forms: 2021-2022 and 2019-2020 Filings
-
2021-2022 Lobbyist and Public Corporation Statement of Registration
Writable PDF for Paper Filers. Use this form to file and submit your 2021-2022 Lobbyist/Public Corporation Statement of Registration.
For the 2021-2022 Biennial
Revised 6/29/2022
Download
-
Business Relationship Form - Entity
Use this form to disclose a Reportable Business Relationship with an Entity.
Revised 7/13/2022
Download
-
Business Relationship Form - State Person
Use this form to disclose a Reportable Business Relationship with a State Person.
Revised 7/13/2022
Download
-
2021-2022 Lobbyist Bi-Monthly Report
Writable PDF for Paper Filers. Use this form to file and submit your 2021-2022 Lobbyist Bi-Monthly Report.
For the 2021-2022 Biennial revised 6/28/2022
Download
-
2021-2022 Public Corporation Bi-Monthly Report
Writable PDF for Paper Filers. Use this form to file and submit your 2021-2022 Public Corporation Bi-Monthly Report.
For the 2021-2022 Biennial revised 6/28/2022
Download
-
2021-2022 Lobbyist Disbursement of Public Monies Bi-Monthly Report
Writable PDF for Paper Filers. Use this form to file and submit your 2021-2022 Lobbyist Disbursement of Public Monies Report.
For the 2021-2022 Biennial revised 6/28/2022
Download
-
2021-2022 Client Semi-Annual Report
Writable PDF for Paper Filers. Use this form to file and submit your 2021-2022 Client Semi-Annual Report.
For the 2021-2022 Biennial revised 6/28/2022
Download
-
2019-2020 Lobbyist and Public Corporation Statement of Registration
Writable PDF. Only applicable for the 2019-2020 Biennial. DO NOT use for 2021-2022 Biennial.
Download
-
Lobbying Subjects for Registration, Bi-Monthly, and Client Semi-Annual Reports
This list provides options for Filers to report the subjects/issues they intend to be or are lobbying on at any given time. The list will be updated as new issues and topics arise.
Revised 7/8/2022
Download
-
Lobbying Agreement Form - Employed Lobbyists
This form may be submitted with a Statement of Registration in lieu of a copy of a lobbying agreement or contract.
NEW for the 2021-2022 Biennial
Revised 6/28/2022
Download
-
Lobbying Agreement Form - Retained Lobbyists
This form may be submitted with a Statement of Registration in lieu of a copy of a lobbying agreement or contract.
NEW for the 2021-2022 Biennial
Revised 6/28/2022
Download
-
Unexecuted Lobbying Agreement Form and Instructions
This form may be used by a Retained Lobbyist who is prepared to register with the Commission, but has not received the signed (executed) Lobbying Agreement back from your Client.
NEW for the 2021-2022 Biennial
Revised 6/28/2022
Download
-
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. Only applicable for the 2019-2020 Biennial.
Download
-
2019-20 Lobbyist Bi-Monthly Report
Writable PDF. Revised 7/24/2019.
Only applicable for the 2019-2020 biennial. Do NOT use for the 2021-2022 Bi-Monthly reports.
Download
-
2019-2020 Client Semi-Annual Report
The 2019-2020 Client Semi-Annual PDF form for paper Filers. Revised 7/6/2020
Download
-
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 in the online Lobbying Application. Completed PDF forms must be mailed to the Commission on Ethics and Lobbying. 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 Commission on Ethics and Lobbying in Government
540 Broadway
Albany, New York 12207
Revised 7/19/2022
Download
-
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 Commission staff 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 the Commission's online Lobbying Application (“LA”) to data-enter each Source individually; or complete and upload the pre-formatted Excel Spreadsheet provided by the Commission on Ethics and Lobbying.
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 automatically download and appear in your 'downloads' folder, or at the bottom of your screen.
Download
2021-2022 and 2019 - 2020 Lobbying Sample Letters
-
Designation Sample Letter
This sample letter allows a chief administrative officer of an organization to designate another individual to make and sign statement(s) and/or report(s). A "Designation Letter" is not necessary for filers utilizing the online filing system.
Please Note - The chief administrative officer may designate another to sign and file the reports, but this designation does not relieve the chief administrative officer of liability due to a failure to file, late filing or false filing of any report(s).
Download
-
Sample Written Authorization Letter - Employed Lobbyists (2019)
Use this letter as a sample for authorization letters related to 2019 and later year filings. Revised 3/13/2019
Download
-
Sample Written Authorization Letter - Retained Lobbyists (2019)
Use this letter as a sample for authorization letters related to 2019 and later year filings. Revised 3/13/2019
Download
-
Sample Letter: Explanation Lapse for 2019-2020 Filings
This sample letter can be used if (1) the Lobbying Agreement was not executed by a Client within 15 days of the date on which the Lobbyist agreed to – or was authorized to – begin Lobbying Activity (the start date); or (2) there is a ‘gap in time’ from the expiration (end date) of a Lobbying Agreement already on file with the Commission, and the start date of a ‘new’ extended agreement.
Only valid for Filings for the 2019-2020 Biennial Period.
Download
-
Sample Letter - Registration Termination
Use this letter as a sample letter for Registration Terminations related to 2019 and later year filings.
Download
-
Sample Letter - Termination of Individual Lobbyist from Profile
Sample letter to assist Filers in terminating an Individual Lobbyist from an Organization Profile related to 2019 and later year filings.
For Paper PDF Filers only. Filers that utilize the online Lobbying Application must terminate Individual Lobbyists online.
Download
-
Sample Letter - Client Termination
Use this letter as a sample letter for Client Terminations related to 2019 and later year filings.
Download
Lobbying Forms - 2018 and Prior Years
Use the below forms to prepare and submit Filings for 2018 and all prior years.
-
Lobbyist Statement of Registration Form (2018)
Use this writable PDF form for all 2018 and prior year filings.
Download
-
Lobbyist Bi-monthly Report Form (2018)
Use this writable PDF form for all 2018 and prior year filings.
Download
-
Lobbyist Business Relationship Form (2018)
Use this writable PDF form for all 2018 and prior year filings.
Download
-
Lobbyist Disbursement of Public Monies Bi-monthly Form (2018)
Use this writable PDF form for all 2018 and prior year filings.
Download
-
Source of Funding Pre-formatted Excel Spreadsheet
Use this form for all 2018 and prior year filings.
Download
-
Public Corporation Statement of Registration Form
Use this form for all 2018 and prior year filings.
Download