Ethics Forms

Some of the following forms are available on this website in Adobe Acrobat's PDF file format. To view and print the files requires the use of Adobe's Acrobat viewing software. This software may be obtained free from Adobe's Web site. Instructions and technical support for using this software is provided by Adobe.

Please note: Ethics forms require original signatures. Digital signatures are not yet accepted at this time. If you experience any problems while opening up or filling out the forms, please e-mail us at Science-Ethics@dm.usda.gov

Please submit the form to your appropriate Agency ethics advisor.

FORM # FORM TITLE AVAILABLE FORMATS
OE-101 (Formerly SEB-101) Request for Approval of Outside Activity   Adobe PDF
SEB-102 Conflict of Interest Certification MS Word Adobe PDF
SEB-103 Request for Approval to Accept an Award from a Non-Federal Source MS Word Adobe PDF
SEB-104 Acceptance of Free Attendance at Widely-Attended Gatherings MS Word Adobe PDF
OE-109 (Formerly SEB-105) CFC Event Registration   Adobe PDF
SEB-106 Request for Approval of Official Duty Activity   Adobe PDF

 

FINANCIAL DISCLOSURE FORMS
OGE-450 Confidential Financial Disclosure Report
USDA now requires all financial disclosure filers to submit their forms electronically. Paper versions of the forms will no longer be accepted. Please contact the Science Ethics Branch at Science-Ethics@dm.usda.gov for log on information to file your financial disclosure report.
 
OGE-450A Confidential Certificate of No New Interests
USDA now requires all financial disclosure filers to submit their forms electronically. Paper versions of the forms will no longer be accepted. Please contact the Science Ethics Branch at Science-Ethics@dm.usda.gov for log on information to file your financial disclosure report.
OGE-278 Public Financial Disclosure Report
This form is to be used only by employees in the following pay plans: SES, SL, and ST; or by employees paid 120% of the GS-15 level. USDA now requires all financial disclosure filers to submit their forms electronically. Paper versions of the forms will no longer be accepted. Please contact the USDA Office of Ethics at daeo.ethics@usda.gov for log on information to file your financial disclosure report.
 

 

OTHER FORMS
AD-1101-SEB Acceptance of Travel Funds from a Non-Federal Source MS Word Adobe PDF
OGE-1353 Semiannual Report of Payments Accepted from a Non-Federal Source Excel  
  Certification of U.S. Government Material as Public Domain Content MS Word Adobe PDF
  Disqualification Memorandum MS Word Adobe PDF
  Federal Liaison Memorandum Template   Adobe PDF
  Request for Review/Approval of Honorary Degrees   Adobe PDF