Authentication Code Request Form

Authentication Code Request Form

The State Ethics Commission is transitioning to a new, web-based Financial Disclosure Statement filing system through SimpliGov. Filers who received notice prior to July 1, 2024 ,may use our prior PDF-based filing system utilizing Adobe software or the new SimpliGov system. (The PDF-based system will be discontinued on October 31, 2024.)

Please fill out the following information and hit the submit button.
Upon completing the Authentication Code Request Form, you will be required to enter a security code from a visual image. If you are visually impaired and require assistance, please contact the State Ethics Commission
by telephone at 609-292-1892.

First name:

Last name:

Department:

Type:

You will receive the authentication code at the email address that you provide in the field below. If you have a New Jersey State email address, please use it.

Email Address: