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CALIFORNIA FORM 700-A FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. STATEMENT OF ECONOMIC INTERESTS Date Received Official Use Only FOR AUDITORS AND CLAIMS MANAGERS/ADJUSTERS* A
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How to fill out statement of economic interests:

01
Start by obtaining the necessary form. The form for filing a statement of economic interests can usually be obtained from your local government or ethics commission. It may also be available online for download.
02
Carefully read through the instructions provided on the form. Make sure that you understand the requirements and any specific guidelines provided for filling out the statement accurately.
03
Begin by providing your personal information. This may include your name, contact information, job title or position, and any other relevant details requested on the form.
04
Disclose your sources of income. Provide a comprehensive list of all income sources including your salary, investments, property rental, dividends, or any other financial interests.
05
Declare any assets and investments. This may involve listing any real estate properties you own, stocks, bonds, mutual funds, or any other investment holdings.
06
Specify any business relationships or affiliations. If you hold any positions in companies or organizations, or if you have any business relationships that may potentially create a conflict of interest, you should disclose this information.
07
Declare any gifts or benefits received. If you have received gifts or benefits of a significant value, ensure you accurately report them on the form. This may include items such as trips, vehicles, or any other valuable items.
08
Review your completed form for accuracy and completeness. Double-check that you have provided all the necessary information and that there are no errors or omissions.
09
Sign and date the statement of economic interests form.
10
Submit the form to the appropriate authority or office as instructed. Make sure to follow any specific submission guidelines or deadlines mentioned on the form or provided by the governing body.

Who needs a statement of economic interests?

A statement of economic interests is typically required for individuals who hold or are seeking public office, government positions, or certain roles in organizations that have a significant influence on decision-making processes. This can include elected officials, government employees, board members, or individuals involved in contract negotiations. The purpose of the statement is to ensure transparency and avoid conflicts of interest by disclosing any financial interests, sources of income, or assets that may potentially compromise impartial decision-making. The specific individuals or positions that require a statement of economic interests may vary depending on local laws and regulations. It is recommended to consult the relevant governing body or ethics commission for specific guidance in your jurisdiction.
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The statement of economic interests is a required form that discloses an individual's financial holdings and interests to prevent conflicts of interest.
Public officials and certain government employees are typically required to file a statement of economic interests.
The form usually requires individuals to list their sources of income, investments, real estate holdings, and other financial interests.
The purpose of the statement of economic interests is to promote transparency and avoid potential conflicts of interest.
Individuals must report information such as income sources, investments, property holdings, gifts received, and other financial interests.
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