Statement of Financial Interests

Faculty and staff members of the State System of Higher Education are considered to be public employees under the Pennsylvania Public Official and Employee Ethics Act, Chapter 11, 65 Pa.C.S. § 1101 et seq.

The “Ethics Act” prohibits public officials and public employees from engaging in activities that involve the use by a public official or public employee of his/her office or employment or any confidential information received through his/her holding public office or employment for the private pecuniary benefit of him/herself, a member of his/her immediate family, or a business with which he/she or a member of his/her family is associated. 

Current Employees

Statement of Financial Form Interests for Current Employees

Statement of Financial Interests Appeal Form for Current Employees

Former Employees

Statement of Financial Interests Form for Former Employees

How to submit completed forms to Human Resources:

(For electronic submission, see option 1 to 3)

Option 1: You have Adobe and you are able to use its electronic signature function
Sign your SFI as a PDF with an electronic signature. Email the signed form to human resources at

Option 2: You have a scanner and printer at home
Print out the SFI form, sign it, scan it and email the scan to

Option 3: You have access to email but not Adobe digital signature
Complete your SFI form, attach it to an email and email it from your university email address to with the following statement copied into the body of the email:

“I affirm that the attached information is true and correct to the best of my knowledge, information, and belief. Said affirmation being made subject to the penalties prescribed by 18 Pa.C.S. § 4904 (unsworn falsification to authorities) and the Public Official and Employee Ethics Act, 65 Pa.C.S. § 1109(b).”

When we are permitted to return to campus again, you will need to provide your signed SFI to my office within 14 days of the date you return to work.

Option 4: Return by mail (USPS) - Mail completed form in a confidential envelope to:
Kutztown University
Attn: Human Resources
PO Box 730
Kutztown PA 19530-0730

Option 5:  You are physically on campus
Send completed form to: Human Resources/Kemp Building

Option 6:  You have access to a fax machine
Fax completed form to: 610-683-4881

Ethics Resources

Commonwealth Management Directive 205.10:  Financial Disclosures Required by the Public Official and Employee Ethics Act, 65 Pa. C.S. §§ 1101-1113

Commonwealth Management Directive 205.12:  Financial Disclosures Required of Former Public Employees and Former Public Officials by the Public Official and Employee Ethics Act, 65 Pa. C.S. §§ 1101-1113

State System of Higher Education Board of Governors Policy 2012-01:  Conflict of Interest

Pennsylvania State Ethics Commission

Frequently Asked Questions about the Statement of Financial Interests