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Financial Disclosure Forms
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Members of certain boards, authorities, commissions, or committees ("BACs") must file financial disclosure statements upon appointment, and annually thereafter. Effective January 1, 2006, new appointees must file the form with this office before voting as an official member. See updated list below of BACs required to file effective January 1, 2006.

These forms are from the Commonwealth of Virginia and are available in PDF format. This format will provide you with an exact duplicate of the original form. Forms can be completed online, printed, signed, dated and mailed.

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Financial Disclosure Forms
 
Financial Disclosure Statement

Financial Disclosure Statement (PDF 81 kb):
[short form]

Members of the following BACs must file this form:

  • Animal Services Advisory Commission
  • Board of Building Code Appeals
  • Board of Equalization
  • Chesapeake Bay Preservation Ordinance Exception Review Committee
  • Civil Service Commission
  • Fairfax County Convention and Visitors Corporation Board of Trustees
  • Fairfax-FallsChurch Community Services Board
  • Geotechnical Review Board
  • History Commission
  • McLean Community Center
  • Reston Community Center
  • Tysons Corner Transportation and Urban Design Study Coordinating Committee
  • Upper Occoquan Sewage Authority
  • Wetlands Board
Statement of Economic Interests

Statement of Economic Interests (PDF 695 kb): [long form]

Members of the following BACs must file this form instead of the short form:

  • Board of Zoning Appeals
  • Economic Development Authority
  • Employees' Retirement System Board of Trustees
  • Industrial Development Authority
  • Library Board
  • Park Authority
  • Planning Commission
  • Police Officers Retirement Board
  • Redevelopment & Housing Authority
  • Uniformed Retirement Board
  • Water Authority

(NOTE: Members of the Board of Supervisors and certain County staff members also file this form.)

 

Real Estate Holdings Disclosure

Real Estate Holdings (PDF 45 kb):

In addition to filing the long form, members of the following BACs must file this form:

  • Board of Equalization
  • Board of Zoning Appeals
  • Planning Commission

(NOTE: Certain staff in the Department of Tax Administration also file this form.)

   

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