A smaller text A normal text A larger text

Forms and Templates

For the health and safety of staff and visitors during the COVID-19 outbreak, the Campaign Finance Board's office remains closed to the public and staff is providing all services remotely. The Candidate Services Unit is available via email at CandidateServices@nyccfb.info or audio calls via Microsoft Teams by appointment during normal business hours (9 AM – 5 PM). 
 
While the office is closed, all forms and documents will be accepted electronically. Please fill out the applicable form completely, sign, and submit it as a single PDF to documents@nyccfb.info. The notarized, hard copy with original signatures for Certifications and Filer Registrations must be submitted by campaigns once the office reopens.
Campaigns have reported that emails sent from CFB addresses are delivered to their Spam folder. Anyone in contact with the CFB should monitor their Spam folder for CFB communications.
FORMS
TEMPLATES

Registration & Certification

Certification
Submit a Certification by the legal deadline to join the Campaign Finance Program. Upon submitting a Certification, you must choose between Option A or Option B (see Join the Matching Funds Program for more information).

Filer Registration (FR)
Submit a Filer Registration to register your campaign with the CFB if you do not anticipate being a participant in the Campaign Finance Program.

Political Committee Registration
Political Committees that want to contribute to participating candidates running for a CFB-covered office must submit a Political Committee Registration form to the CFB. Political Committees must re-register every election cycle.
Note: Registered CFB candidates within the current four-year election cycle are not required to submit this form, as the FR or Certification form automatically registers your candidate committee.

Small Campaign Registration
A candidate may register as a small campaign if he/she does not plan to raise or spend more than $1,000. Once registered as a Small Campaign, the candidate is not required to submit disclosure statements to the CFB as long as he/she does not raise or spend more than $1,000. If the campaign ever raises or spends more than $1,000, the candidate must submit a complete Filer Registration or Certification to the CFB, and file itemized disclosure statements covering all financial activity.

Statement of Eligibility for Childcare Expenditures
Candidates who wish to make expenditures for childcare services under Local Law 196/2018 must complete and submit this form to the CFB prior to making any campaign-related childcare expenditures. See the Childcare Expenditures Guide for more information.

Transition and Inauguration Entities (TIE)
Newly elected officials who wish to raise or spend funds related to the transition and/or inauguration into office must open a Transition and Inauguration Entity (TIE) bank account and register the TIE with the CFB.

Update Your Campaign Information

Certified Statement of Need
Submit a Statement of Need with supporting documentation under the following conditions: (1) To receive any pre-ballot public funds unless you are running for an open seat (no incumbent is running for re-election) or an opponent has already received public funds; (2) To lift the 25% cap on post-ballot primary payments unless you are running for an open seat or your primary opponent has already received public funds; or (3) To lift the 25% cap on general election payments even for open seats unless an opponent has already received public funds for the general election.

Change of Bank Account
Submit the Change of Bank Account form If you are amending your committee bank account or adding any new accounts.

Change of Contact Information
Submit the Change of Contact Information form if there is any change to the candidate, committee, treasurer, or campaign liaison’s address, phone number, and/or email address. This form can also be used to add a new or additional campaign manager, consultant, or liaison in lieu of resubmitted the FR.

Rescission of Certification
Submit the Rescission of Certification if you wish to rescind your Certification, and no longer be a program participant in the matching funds program.

Verification of Terminated Candidacy
Submit the Verification of Terminated Candidacy form if you wish to end your campaign with the CFB.

Contribution Cards

For monetary contributions, have the contributor fill out and sign a contribution card. The CFB-provided template includes all of the contributor’s information and verification statements required by the Act & Rules.

Contribution Cards

Cash/Check/Money Order — English | Bengali | Chinese | Korean | Spanish
Credit Card — English | Bengali | Chinese | Korean | Spanish

Special Election Contribution Cards

Cash/Check/Money Order — English | Bengali | Chinese | Korean | Spanish
Credit Card — English | Bengali | Chinese | Korean | Spanish

Contribution Card for Segregated Bank Account
Use this contribution card if you are soliciting contributions to pay debts from previous election cycles, or for use other than by your committee for the current election cycle. You must disclose your Segregated Bank Account with the CFB prior to accepting any contributions of this type.

In-Kind Contribution Card
Use the in-kind contribution card to collect information on goods or services donated to your campaign free of charge or at a discount that is not available to the general public. You may get a letter or other form of documentation detailing the same information from the contributor in lieu of using this card.
Note: You must also attach documentation substantiating the fair market value of the in-kind contribution.

Documentation for Your Records

At any point, the CFB may request copies of these documents.

Advance Repayment Voucher
Use the Advance Repayment Voucher if you need to repay an advance (e.g., to reimburse a campaign staffer for a campaign expense paid out of pocket).

Automobile Travel Expenses Log
Use the Automobile Travel Expenses Log to document and provide reimbursement for campaign-related personal vehicle use.

Campaign Documentation Labels
Organize your campaign’s documentation with these labels that were specifically designed in accordance with CFB best practices. You can print them on Avery 5163 Template Labels or use them as guidance for your e-files.

C-SMART Transaction IDs are required on any documentation that is submitted to the CFB related to that transaction. Affix these labels on your documentation in order to label them with the transaction ID. If you require more labels, you may print more using Avery Template 5167.

Intermediary Statement
Submit an Intermediary Statement for each individual/entity who solicits contributions for your campaign. A form should also be submitted for anyone who delivers (or directs someone to deliver) contributions to your campaign or fundraising agent.
Note: You must also obtain documentation for each contribution an intermediary solicits or delivers.

Loan Agreement
If your campaign chooses to take out a loan to cover expenses, the lender and the campaign must complete a loan agreement.

Subcontractor Disclosure
Vendors must fill out a Subcontractor Disclosure form to disclose any individual or entity they have hired to perform work contracted between them and your campaign.

Time Sheet – Daily
Use the Daily Time Sheet to document hours, duties, and wages of single-day or part-time campaign employees.

Time Sheet – Weekly
Use the Weekly Time Sheet to document hours, duties, and wages of part-time and full-time campaign employees.

Transfer Authorization Card
If your campaign intends to transfer funds, first obtain a list of all contributions received by the transferor committee to determine which contributions can be transferred. Then have the contributor complete a Transfer Authorization Card. The contribution must be from their personal funds and cannot be reimbursed in any manner.

Invalid Matching Claims Letters

A statement review is issued to each campaign after the CFB reviews a disclosure statement. If your campaign is seeking public matching funds, the statement review provides a list of matching claims found to be invalid and the reason. The following template letters assist campaigns in obtaining the necessary contributor information to address some invalid matching claims. For more information, refer to the Invalid Matching Claims (IMC) Codes guidance document.

Address Verification
SRC-9; SRC-11

Contribution Affirmation
DOC-5; DOC-6; DOC-7; DOC-8; DOC-9; DOC-10; DOC-11; DOC-12; DOC-16

Contribution Affirmation—Notarization Required — Only if specifically requested by the CFB.

Contribution Drawn on Business Account
SRC-2

Contributor is Not an Individual
SRC-7

Contributor Under Eighteen Years of Age
SRC-6

Missing/Incomplete Employment Information
RPT-2

Missing/Incomplete Residential Information
RPT-4; SRC-10

Reported Contributor Does Not Match Backup
RPT-6