Register for Our Public Leadership Development Workshops 2026

1. Click 'Get Form' to open it in the editor.
2. Begin by entering your full name, mailing address, agency name, and position in the designated fields at the top of the form. Ensure all information is accurate as this will be publicly disclosed.
3. In Part A, report your net worth as of December 31, 2020, or a more current date. Clearly state the value and date used for this calculation.
4. For Part B, list your assets. You can aggregate household goods valued over $1,000 or detail individual assets exceeding that amount with specific descriptions and values.
5. In Part C, disclose any liabilities over $1,000. Include creditor names and amounts owed accurately.
6. Complete Part D by identifying sources of income exceeding $1,000 during the year. You may also attach your federal tax return instead.
7. Finally, review all sections for accuracy before submitting your completed form through our platform.

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