What Is This Form For?
As a State Employee, Public Officer, or Appointed Official, you are required to review the Public Officers Law Sections 73, 73-a, 74, 75, 76, 77, 78 located on the New York State Commission on Ethics and Lobbying in Government website.
This form verifies that you've reviewed these sections of the Public Officers law and provides documentation that you've completed an Oath of Office.
Download the Forms:
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Oath of Office for State Employees and Public Officers (DOS-2187)
Use to document your Oath of Office which is required for all state employees and public officers.
Download
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Oath of Office for Appointed Officials (DOS-2188)
Use to document your Oath of Office, which is required for all appointed officials.
Revision January 2023
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Is This Form Mandatory?
Yes.
When to Submit
You must complete and submit this form within 3 days of your start date.
How to Complete This Form
This form is fillable.
- Fill in your agency and personal information.
- Print the form.
- Complete the signatures in both the State Employee and Officers sections.
- The "Oath of Office for State Employees and Officers" can be signed without a notary present.
- The "Oath of Office for Appointed Officials" must be signed in front of a notary.
- Mail the original, signed copy.
Where to Submit This Form
Email:
Fax:
518-457-1879
Mail:
BSC Benefits Administration
W. Averell Harriman State Office Campus
1220 Washington Avenue
Building 5, Floor 4
Albany, NY 12226-1900
Contact the BSC Benefits Team
Still have questions? Try the BSC Help Center where you can send a question to our support team or search a database of FAQs.
Contact us by phone:
Contact us by email:
Mailing Address:
Human Resources, BSC Records Management
Building 5, Floor 4
W. Averell Harriman State Office Campus
1220 Washington Ave
Albany, NY 12226-1900