Blank Form

The preferred filing method is online. However, if you are unable to access the online form, you may print and complete a blank form.

 

Click here to print and complete a blank form.

 

If you print a form from the above link, please be sure to document the following information in the blank space at the top of the page:

  • Name: First and Last
  • Home Mailing Address: This information will be used by the Office of the Secretary of State to mail you a confirmation of receipt.

 

Don't forget to sign and date your form and keep a photocopy for yourself!

 

All paper filings must be mailed to the Office of the Secretary of State at the address provided on the bottom of the form:

Office of the Secretary of State

Ethics Section, Index Department

111 East Monroe

Springfield, IL 62756

 

Paper filings must be post-marked no later than May 1st to avoid late filing penalties. Employees who submit a paper form will receive written confirmation via US Mail to the address listed on their form.

 

For information specific to the Supplemental Statement form, please visit the Supplemental Statement of Economic Interest Form page of our website.