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Departmental Ethics Office

Sample Documents

Justice Management Division
Serving Justice - Securing Results

The following forms are provided as samples. These documents are printable and some forms (i.e., the financial disclosure forms) are fillable on-line. For additional information, please contact the Deputy Designated Agency Ethics Official for your component.

Confidential Financial Disclosure Report (OGE-450) Form

Confidential Conflict Certification

Public Financial Disclosure Report (SF 278) Form

Sample Request for a Certificate of Divestiture

Sample Waiver for Late Filing fee

Gift Donation Form

Gift Acceptance Form

Sample Widely Attended Gathering Determination

Travel Reimbursement Form

Request for Approval of Outside Practice of Law

Request to Engage in Outside Employment

Request for Approval (Waiver) to Engage in the Outside Practice of Law for Compensation

Request to Engage in Pro Bono Work

Request for GENERAL APPROVAL to Engage in Pro Bono Work for a Clinic or Legal Services Provider

Sample Disclaimer for Outside Writing

Sample 18 U.S.C. 208 Waivers and 5 C.F.R. 2635.502 Determinations
         18 U.S.C. 208 Waivers
         5 C.F.R. 2635.502 Determinations



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