Financial Disclosure Forms for Boards, Authorities and Commissions

Members of certain boards, authorities, commissions, or committees ("BACs") must file financial disclosure statements upon appointment, and annually thereafter. New appointees must file a Statement of Economic Interest form with the Clerk's Office before voting as an official member.  Completed forms can be sent to the Clerk's Office by email  (scan and send to, fax (703-324-3926), or US mail (12000 Government Center Parkway, Suite 533, Fairfax, VA 22035).  See updated lists below of BACs required to file effective June 16, 2016.

In addition to the the financial disclosures, members of boards, authorities and commissions need to annually review Virginia Freedom of Information Act (VFOIA) documents.  There are two VFOIA documents.  Package A, applicable to appointees to those BACs that require filing of financial disclosure statements, references the VFOIA and Public Records Act and includes the Conflict of Interests Act.   Package B, applicable to all other appointees to BACs, only references the VFOIA and Public Records Acts.

All forms and material below are promulgated by the Commonwealth of Virginia; the forms are available in PDF.  For further information, visit the Virginia Conflict of Interest and Ethics Advisory Council at  

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Disclosure Forms

Statement Cover

Statement of Economic Interests (PDF 81 kb): [Long Form]

 Members of the following BACs must file this form:

  • Board of Zoning Appeals
  • Economic Development Authority
  • Employees' Retirement System Board of Trustees
  • Industrial Development Authority
  • Library Board
  • Mosaic District Community Development Authority
  • Park Authority
  • Planning Commission
  • Police Officers Retirement Board
  • Redevelopment & Housing Authority
  • Uniformed Retirement Board
  • Upper Occoquan Service Authority
  • Water Authority
  • Wetlands Board

(NOTE: Members of the Board of Supervisors also file this form.)


Real Estate Cover

Real Estate Holdings  (PDF 45 kb):

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

  • Board of Zoning Appeals
  • Planning Commission



The Virginia Freedom of Information Act (VFOIA) and the Virginia Public Records Act Documents

There are two packages of information below, one of which  should be read and reviewed annually by each BAC appointee. 
Members of BACs listed above should review Package A; all other BAC members should review Package B.   

  • Package A which includes the Virginia Conflict of Interests Act (108 pages - 8.4MB)
  • Package B only the VFOIA and Public Records Act (68 pages - 4.9MB)



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