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Fairfax County, Virginia
Fairfax County Virginia
Fairfax County Virginia

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Clerk to the Board of Supervisors

  1. Home
  2. Clerk to the Board
  3. Financial Disclosure Forms for Boards, Authorities and Commissions

Clerk to the Board of Supervisors Alert:

CONTACT INFORMATION: Our office is open 8AM-4:30PM M-F
703-324-3151 TTY 711
ClerktotheBOS@fairfaxcounty.gov
12000 Government Center Parkway, Suite 552
Fairfax, VA 22035
Jill G. Cooper
Clerk to the Board

Department Resources

  • Department Homepage
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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 clerktotheBOS@fairfaxcounty.gov), fax (703-324-3926), or US mail (12000 Government Center Parkway, Suite 552, 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. Copies of the appropriate package are provided at the time of appointment.

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 http://ethics.dls.virginia.gov.  

To view the document, you will need to have a PDF Reader. 

Statement of Economic Interests

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.)

Statement of Economic Interests Form

Real Estate Holdings

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

  • Board of Zoning Appeals
  • Planning Commission
Real Estate Holding Form

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 includes the Virginia Conflict of Interests Act 
  • Package B only references the VFOIA and Public Records Act 

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