Financial Disclosure Report Form

Please read the instructions and sample report before attempting to complete the report. Once the report is loaded, click on the first blank and then tab to proceed to the next section. You will be able to type in the blanks provided, and many have multi-line capabilities. Remember to use the tab key to move to the next field and the enter key to enter multiple lines.

You need Adobe Acrobat Reader 5.0 or greater to view and print these documents. The software is available without charge at www.adobe.com.

• Filing Instructions for Judicial Financial Disclosure Report
• Sample Judicial Financial Disclosure Report
• Q and A
• Judicial Financial Disclosure Report

Return completed report to:
Commission on Judicial Qualifications
Attn: Financial Disclosure Reporting
Kansas Judicial Center
301 SW 10th Avenue, Room 374
Topeka, Kansas 66612
While completed reports cannot be directly submitted electronically, a signed form may be scanned and submitted by e-mail.