CY 2021 Annual Statement of Financial Disclosure Fillable Form

CY 2021 Annual Statement of Financial Disclosure Fillable Form (1.01 MB)

Please DOWNLOAD and SAVE the fillable form to your desktop before inputting information. We also recommend saving your work periodically while inputting information so your responses are not inadvertently lost. 

Please note you must respond to all questions. If you have nothing to report, please answer N/A or none. Be sure to review your form completely before submitting.  

You must submit a hardcopy form to the Legislative Ethics Commission, with an original signature.

NYS Legislative Ethics Commission

Alfred E. Smith Building, Suite 1431
Albany, New York
(518) 432-7837

Mailing Address

Legislative Office Building
Box 75
Albany, NY 12247

New York State Assembly
www.nyassembly.gov

New York State Senate
www.nysenate.gov