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Department of the Interior Ethics Office
Forms

Certificate of Divestiture Request Form
This form is to be used by DOI Ethics officials to request that OGE issue a Certificate of Divestiture. Once the form is filled out it needs to be routed through the Departmental Ethics Office for transmittal to OGE.

OGE Form 278 Public Financial Disclosure Report Form
This file will allow the user to view and print a hard copy of OGE Form 278 as a reference in filing your public financial disclosure report online.

DOI Outside Work Form
This file will allow the user to complete, view and print the DOI Outside Work Form. This form is not an official ethics form that has undergone screening by OGE and should only be used as a tool to help screen outside work opportunities for conflicts of interest with Federal employment. For more details about when this form should be used and the rules surrounding outside work opportunities please contact your ethics counselor.

OGE Form 450 Confidential Disclosure Report form
This file will allow the user to view and print a blank copy of the OGE Form 450 Confidential Financial Disclosure Report form. 

OGE Form 450A Confidential Certificate form. This program will allow the user to print a blank hard copy of the OGE Confidential Certificate of No New Interests.

Form DI-1993. This file will allow the user to view and print a blank copy of the Form DI-1993 (PDF format). The DI-1993 is a supplement to the OGE Form 450. Employees who work for the National Park Service, U.S. Fish and Wildlife Service, Bureau of Reclamation and the Bureau of Indian Affairs do not have to complete this form.  

Form DI-1958.This file will allow the user view and print a blank copy of the Form DI-1958. This form is used when seeking supervisory approval to accept free attendance at widely-attended events.

Form DI-2000. This file will allow the user to view and print a blank copy of the Form DI-2000. This form must be used by an employee who plans to go on official travel at the expense of a non-Federal source. The applicable statutory authority is 31 U.S.C. 1353.  A two page ethics bulletin is attached to the Form.  This bulletin explains how to complete Form DI-2000.

OGE Form 201 Request to inspect or receive a copy of an employee's completed SF-278 Report form. This file will allow the user to view and print a blank copy of the OGE Form 201 which allows an individual to request and/or inspect an employee's filed completed SF-278 Public Financial Disclosure Report.

Sample Recusal Statement. This file contains the format and language for preparing a recusal statement as a result of negotiating for outside employment. 

Sample Recusal Statement. This file contains the format and language for preparing a recusal statement as a result of a questionable financial interest. 

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