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This form allows House members, officers, or employees to request an extension for filing a Financial Disclosure Statement under the Ethics in Government Act.
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How to fill out financial disclosure extension request

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How to fill out Financial Disclosure Extension Request Form

01
Obtain the Financial Disclosure Extension Request Form from the relevant authority or website.
02
Carefully read the instructions provided on the form.
03
Fill in your personal details, including your name, address, and contact information.
04
Indicate the reason for requesting an extension in the specified section.
05
Provide any necessary documentation to support your extension request, if required.
06
Double-check all the information for accuracy and completeness.
07
Sign and date the form.
08
Submit the form by the required deadline, either electronically or by mail.

Who needs Financial Disclosure Extension Request Form?

01
Individuals who are required to file a financial disclosure or statement but need additional time to complete it.
02
Those who may have extenuating circumstances preventing timely submission, such as illness or complex financial situations.
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Generally, senior or high-level federal employes like political appointees, members of the Senior Executive Service or GS-15 or above employees must file public financial disclosure reports.
Account balance information, payment history, overdraft history, and credit or debit card purchase information. The fact that an individual is or has been a consumer of a financial institution or has obtained a financial product or service from a financial institution.
The purpose of the FDS is to provide transparency about the private interests and activities of public officials and their relatives which could, among other things, help identify potential conflicts of interest.
A financial statement is one specific kind of financial disclosure. There are three common types: an income statement, a balance sheet, and a statement of cash flows.
The purpose of this report is to assist employees and their agencies in avoiding conflicts between official duties and private financial interests or affiliations. The information you provide will only be used for legitimate purposes, and will not be disclosed to any requesting person unless authorized by law.
The purpose of this report is to assist employees and their agencies in avoiding conflicts between official duties and private financial interests or affiliations. The information you provide will only be used for legitimate purposes, and will not be disclosed to any requesting person unless authorized by law.

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The Financial Disclosure Extension Request Form is a document filed by individuals who are required to disclose their financial interests and seek an extension of the deadline to do so.
Individuals in positions of public trust, including federal employees and certain officials, are required to file the Financial Disclosure Extension Request Form if they cannot meet the original deadline for submitting their financial disclosures.
To fill out the Financial Disclosure Extension Request Form, individuals must provide their personal information, specify the reason for the extension request, and sign the form certifying that the information provided is accurate.
The purpose of the Financial Disclosure Extension Request Form is to formally request additional time to submit required financial disclosures while ensuring transparency and compliance with ethical standards.
On the Financial Disclosure Extension Request Form, individuals must report their name, position, the reason for the extension request, and any relevant dates associated with their financial disclosure obligations.
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