Candidate Financial Disclosure

How to Complete the Disclosure
You may submit your disclosure using one of two methods:
- Online Submission: Complete this Jotform & Submit
- Paper Form: You may email us at elections@cachecounty.gov for a printable form and return it via email or in person to the Elections Division by the specified deadline.
Further details regarding interim and summary financial reporting requirements can be found in Cache County Municipal Code § 2.21.050 (County Office Candidate and Office Holder; Financial Reporting Requirements; Interim Report)
Name of Candidate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Choose the applicable report
Other Report Type (Ex:Type "3 Days prior to Party Nominating Convention" or "Annual Disclosure")
Report Type if other than those listed
Is this report an amendment?
Date of Original Report

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Balance at Beginning of Reporting Period
Please List all Contributions Received
Date - Name of Contributor - Address - Amount
Please put each contribution on a separate line.
Total amount of contributions received This Period
Total amount of contributions received year to date
Please List all Expenditures Made
Date - Provider/Vendor - Purpose - Amount
Please put each expenditure on a separate line.
Total amount of Expenditures made this period
Total amount of Expenditures made this year to date
I, Candidate Name* affirm that this Report of Contributions and Expenditure is true, accurate, and correct to the best of my knowledge.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
F: Balance + Contributions
Balance: F - Expenditures
Should be Empty:

Please List all Contributions Received

Please List all Expenditures Made