Available Forms

If you would like copies of any of the forms listed below, you may fill out an order form

Lobbying forms can also be obtained by contacting the Clerk of the Legislature's Office @ (402) 471-2608

The following forms may now be downloaded and completed on your pc. These forms work with Microsoft Word.

Electronic Filing Application for PAC’s

Candidate and Ballot Question Committee Electronic Filing Application

Instructions for Successful Completion of Electronic Filing

Corporate Electronic Filing Application

Request for relief form

Statement of Organization of a Political Committee- NADC Form A-1

Statement of Dissolution of a Political Committee - NADC Form A-2

Candidate and Ballot Question Committees Campaign Statement - NADC Form B-1

Form B-1 Schedule A (ONLY) Form B-1 Schedule B (ONLY)

Political Party Committee Campaign Statement - NADC Form B-2

Report of Earmarked Contribution - NADC Form B-3

Independent Committees - NADC Form B-4

Form B-4 Schedule A (ONLY) Form B-4 Schedule B-Section 1 (ONLY)

Report of Late Contributions - NADC Form B-5. (The B-5 is required to be filed within 2 days)

Report of Independent Expenditure - NADC Form B-6

Report of Political Contribution of a Corporation, Union, or Other Association - NADC Form B-7

Out of State Contribution Report - NADC Form B-9

Agents Expenditure Report - NADC Form B-10

Report of Late Independent Expenditure - NADC Form B-11

Statement of Financial Interests - NADC Form C-1

Helpful Tips for Completing Your Statement of Financial Interest - NADC Form C-1

Potential Conflict of Interest Statement - NADC Form C-2

Potential Conflict of Interest Statement - NADC Form C-2A
(Village, City, School Officials Except Omaha and Lincoln Officials)

Contractual Interest Statement - NADC Form C-3

Employment of Immediate Family Member - NADC Form C-4

2012 CFLA Forms - Legislature:

Candidate's Affidavit to Abide by Spending Limits – CFLA-1
Candidate's Affidavit Not to Abide by Spending Limits – CFLA-2
Candidate's Exemption Statement - CFLA-3
Estimate of Expenditures for the Primary Election – CFLA-4
Estimate of Expenditures for the General Election – CFLA-5
Amended Estimate of Expenditures – CFLA-6
Candidate’s Forty Percent Affidavit – CFLA-7
Application for Public Funds – CFLA-8
CFLA-8 Schedule A
CFLA-8 Schedule B
CFLA-8 Schedule C
CFLA-9
CFLA-9 Schedule
Supplemental Schedule E - Unrestricted Expenditures
Special Pre-Election Report - B-1A

2012 CFLA Forms - Board of Regents:

Candidate's Affidavit to Abide by Spending Limits - CFLA-1
Candidate's Affidavit to Not Abide By Spending Limits - CFLA-2
Statement of Expemption - CFLA-3
Estimate of Expenditures for the Primary Election - CFLA-4
Amended Estimate of Expenditures – CFLA-6
Candidate’s Forty Percent Affidavit – CFLA-7
Application for Public Funds – CFLA-8
Supplemental Schedule E - Unrestricted Expenditures

2012 CFLA Forms - Public Service Commission and State Board of Education:

Candidate's Affidavit to Abide by Spending Limits - CFLA-1
Candidate's Affidavit to Not Abide By Spending Limits - CFLA-2
Statement of Expemption - CFLA-3
Estimate of Expenditures for the Primary Election - CFLA-4
Estimate of Expenditures for the General Election - CFLA-5
Amended Estimate of Expenditures – CFLA-6
Candidate’s Forty Percent Affidavit – CFLA-7
Application for Public Funds – CFLA-8
Supplemental Schedule E - Unrestricted Expenditures

Lobbying Forms

Lobbyist Registration Form A

Lobbyist Registration Renewal Form A-R

Lobbyist Quarterly Report Form B

Form B Instructions

Lobbyist Special Report Form B-B

Form B-B Instructions

Principal Quarterly Report Form C

Form C Instructions

Principal Special Report Form C-C

Form C-C Instructions

Lobbyist Statement of Activity NADC Form D

Lobbyist Exemption Statement NADC Form E

Lobbyist Termination Form NADC Form F

All forms, bulletins, and publications are available by writing or calling the Nebraska Accountability and Disclosure Commission.

11th FLOOR, STATE CAPITOL
POST OFFICE BOX 95086
LINCOLN, NEBRASKA 68509
(402) 471-2522