Forms - House Committee on Ethics

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href="https://ethics.house.gov/highlights-of-the-ethics-rules/">Highlights of the Ethics Rules</a></li> <li class=" menu-item menu-item-type-post_type menu-item-object-page" ><a href="https://ethics.house.gov/regulations/">Regulations</a></li> </ul> </li> </ul> <div class="header__top-menu--mobile"> <ul id="menu-top-nav-1" class="topNav"><li class=" menu-item menu-item-type-custom menu-item-object-custom" ><a href="/newsletter-subscribe/">Subscribe</a></li> <li class=" menu-item menu-item-type-post_type menu-item-object-page" ><a href="https://ethics.house.gov/file-a-complaint/">File a Complaint</a></li> <li class=" menu-item menu-item-type-post_type menu-item-object-page" ><a href="https://ethics.house.gov/contact/">Contact</a></li> </ul> </div> </div> </div> </div> </header><main class="page__default"> <section class="hero-banner hero-banner--link" id="block-67f3f536bc0a5"> <div class="container"> <div class="hero-banner__wrapper"> <a class="hero-banner__section-title" href="https://ethics.house.gov/forms/" target="_self"> Forms </a> <h1 class="hero-banner__title"> Overview </h1> </div> </div> </section> <div class="main-content"> <div class="container"> <div class="main-content__grid"> <aside class="sidebar"> <div class="sidebar__wrap"> <div class="sidebar__dropdown"> <span class="sidebar__dropdown-current">Overview</span> <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </div> <span class="sidebar__overlay"></span> <ul id="menu-forms-sidebar-menu" class="sidebar__menu"><li id="menu-item-9028" class="menu-item menu-item-type-post_type menu-item-object-page current-menu-item page_item page-item-539 current_page_item menu-item-9028"><a href="https://ethics.house.gov/forms/" aria-current="page">Overview</a></li> <li id="menu-item-788" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-788"><a href="https://ethics.house.gov/financial-disclosure-forms-and-filing/">Financial Disclosure Forms</a></li> <li id="menu-item-791" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-791"><a href="https://ethics.house.gov/travel-forms/">Travel Forms</a></li> </ul> </div> </aside> <div class="body-content"> <div class="body-content__detail"> <section class="general-content" id="block-67f3f536bf1a2"> <div class="container"> <div class="general-content__detail entry-content"> <p>The ethics forms are provided to assist House Members and employees to obtain advance approval or complete required disclosures. Descriptions are provided to help identify when to use each form. For questions regarding the forms or when they are required, please contact the Committee’s Office of Advice and Education.</p> <h3>Financial Disclosure Forms</h3> </div> </div> <style> #block-67f3f536bf1a2{ margin-bottom:10px; } @media screen and (max-width: 767px) { #block-67f3f536bf1a2 { margin-bottom: 10px; } } </style> </section> <div class="pdf-accordion" id="block-67f3f536bf31b"> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Financial Disclosure Forms </h2> <div class="pdf-card__buttons"> <a href="https://ethics.house.gov/financial-disclosure-forms-and-filing/" class="button button--white">Learn More</a> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Financial Disclosure Forms">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Financial Disclosure forms for calendar year 2023 can be found below.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Final-Financial-Disclosure-Form-A-CY-2023.pdf" target="_blank">CY 2023 Financial Disclosure Form A</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Final-Financial-Disclosure-Form-B-CY-2023.pdf" target="_blank">CY 2023 Financial Disclosure Form B</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Final-Extension-forms-for-Candidates-2023.pdf" target="_blank">Financial Disclosure Extension Form for Candidates</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Final-Extension-forms-for-Members-Officers-and-Employees-2023.pdf" target="_blank">Financial Disclosure Extension Form for Members, Officers, and Employees</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/FD-waiver-form-2023-new-logo.pdf" target="_blank">Financial Disclosure Gift Reporting Waiver Request Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Late-Fee-Waiver-form-final.pdf" target="_blank">Late Fee Waiver Request Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2025/02/New-Employee-Exemption-Form.pdf" target="_blank">New Employee Reporting Exemption Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Final-PTR-Form-CY-2023.pdf" target="_blank">Periodic Transaction Report (PTR) Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Final-PA-Form-CY-2023.pdf" target="_blank">Principal Assistant Designation Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Term-Exemption-Form.pdf" target="_blank">Termination Exemption Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Final-5k-or-Less-Exemption-Form-Amend-2023.pdf" target="_blank">Withdraw/Under $5,000 Threshold Declaration Form</a> </li> </ul> </div> </div> </div> <section class="general-content" id="block-67f3f536c14dd"> <div class="container"> <div class="general-content__detail entry-content"> <h3>Travel Forms</h3> </div> </div> <style> #block-67f3f536c14dd{ margin-bottom:10px; } @media screen and (max-width: 767px) { #block-67f3f536c14dd { margin-bottom: 10px; } } </style> </section> <div class="pdf-accordion" id="block-67f3f536c162e"> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Travel Forms </h2> <div class="pdf-card__buttons"> <a href="https://ethics.house.gov/travel-forms/" class="button button--white">Learn More</a> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Travel Forms">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Travel requests for privately-sponsored, officially-connected trips must be submitted to the Committee by the traveler at least 30 days before the departure date.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Travel-Traveler-Form-2023-new-logo_2.pdf" target="_blank">Traveler Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Travel-Primary-Trip-Sponsor-Form-2023-new-logo.pdf" target="_blank">Primary Trip Sponsor Form</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2024/11/Travel-Additional-Sponsor-Form-2023-new-logo.pdf" target="_blank">Additional Trip Sponsor Form</a> </li> </ul> </div> </div> </div> <section class="general-content" id="block-67f3f536c4674"> <div class="container"> <div class="general-content__detail entry-content"> <h3>Solicitation Waivers</h3> </div> </div> <style> #block-67f3f536c4674{ margin-bottom:10px; } @media screen and (max-width: 767px) { #block-67f3f536c4674 { margin-bottom: 10px; } } </style> </section> <div class="pdf-accordion" id="block-67f3f536c4872"> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Art Competition Form </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Art Competition Form">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Complete the following form to solicit private contributions for the Congressional Art Competition. A signed approval from the Committee allows your office to solicit donations (including in-kind) on behalf of the Competition, provided any such solicitations adhere to specific guidelines and restrictions. Members only need to receive approval from the Committee once during their uninterrupted tenure. If a Member leaves and returns, the Member must receive new approval.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Art-comp-solicitation-form-2023-new-logo.pdf" target="_blank">Art Competition Form</a> </li> </ul> </div> </div> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> APP Challenge Form </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for APP Challenge Form">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Complete the following form to solicit private contributions for the named officially-sanctioned competition. A signed approval from the Committee allows your office to solicit donations (including in-kind) on behalf of the named officially-sanctioned competition, provided any such solicitations adhere to specific guidelines and restrictions. Members only need to receive approval from the Committee once during their uninterrupted tenure. If a Member leaves and returns, the Member must receive new approval.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/App-Challenge-solicitation-form-2023-new-logo.pdf" target="_blank">APP Challenge Form</a> </li> </ul> </div> </div> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Solicitation Waiver </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Solicitation Waiver">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>This form should be submitted by Members, officers, and employees seeking permission to fundraise on behalf of organizations or individuals not qualified under section 170(c) of the Internal Revenue Code (IRC), such as an IRC § 501(c)(3) organization, or organizations that are founded or controlled by current Members, officers, or employees. Please complete this form and submit it along with additional supporting documents to the Committee at 1015 Longworth House Office Building, or by email to ethicscommittee@mail.house.gov.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Solicitation-Waiver-2023-new-logo.pdf" target="_blank">Solicitation Waiver</a> </li> </ul> </div> </div> </div> <section class="general-content" id="block-67f3f536c6716"> <div class="container"> <div class="general-content__detail entry-content"> <h3>Gift Waivers</h3> </div> </div> <style> #block-67f3f536c6716{ margin-bottom:10px; } @media screen and (max-width: 767px) { #block-67f3f536c6716 { margin-bottom: 10px; } } </style> </section> <div class="pdf-accordion" id="block-67f3f536c68fa"> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Special Occasion Gift Waivers </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Special Occasion Gift Waivers">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Use the Special Occasion Gift Waiver form to request a gift waiver for gifts received in connection with a special or unusual occasion, such as a wedding or engagement, the birth or adoption of a child, an unexpected illness or medical procedure, or a death in the family. Use the Financial Disclosure Gift Waiver form if you are seeking a waiver of the requirement to report such gifts on your annual Financial Disclosure Statements. Although the Special Occasion Gift Waiver is not made public, the Financial Disclosure Gift Waiver is.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Special-Occasion-Gift-Waiver-2023-new-logo-and-examples_0.pdf" target="_blank">Special Occasion Gift Waiver</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/FD-waiver-form-2023-new-logo_1.pdf" target="_blank">Gift Disclosure Waiver FD</a> </li> </ul> </div> </div> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Personal Friendship Gift Waiver </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Personal Friendship Gift Waiver">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Use this form to request a gift waiver to accept gifts given on the basis of personal friendship, valued at more than $250.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Personal-Friendship-Gift-Waiver-Form-2023-new-logo.pdf" target="_blank">Personal Friendship Gift Waiver</a> </li> </ul> </div> </div> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Form for Gifts from Foreign Governments </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Form for Gifts from Foreign Governments">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Use this form to disclose tangible gifts you received above “minimal value” from a foreign government under the Foreign Gifts & Decorations Act (FGDA). You must also use this form to report in-country travel expenses paid by a foreign country while on FGDA travel.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/FGDA-form-2023-new-logo_0.pdf" target="_blank">FGDA Disclosure Form</a> </li> </ul> </div> </div> </div> <section class="general-content" id="block-67f3f536c8d04"> <div class="container"> <div class="general-content__detail entry-content"> <h3>Outside Employment Forms</h3> </div> </div> <style> #block-67f3f536c8d04{ margin-bottom:10px; } @media screen and (max-width: 767px) { #block-67f3f536c8d04 { margin-bottom: 10px; } } </style> </section> <div class="pdf-accordion" id="block-67f3f536c8f32"> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Future Employment Forms </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Future Employment Forms">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Members, officers, and employees seeking future employment must avoid not only an actual conflict of interest but also the appearance of a conflict between their duties to the House and the interests of the prospective employers with whom they are negotiating. A negotiation is “a communication between two parties with a view toward reaching an agreement.” Thus, merely sending a copy of one’s resume to a private entity is not considered “negotiating” for future employment. An employment arrangement begins when an offer has been made and accepted.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Notice-of-Negotiations-2023-new-logo.pdf" target="_blank">Notification of Negotiations or Agreement for Future Employment</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Statement-of-Recusal-2023-new-logo_0.pdf" target="_blank">Statement of Recusal</a> </li> </ul> </div> </div> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Forms for Members Practicing Medicine </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Forms for Members Practicing Medicine">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Any Member who receives compensation under the limited exception for Members who practice medicine pursuant to House Rule 25, clause 2, and the Committee on Standards Advisory Memorandum of February 23, 1998, will need to file the form for Disclosing Fees and Expenses for Members Who are Practicing Medicine.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Form-for-Members-Practing-Medicine-new-logo.pdf" target="_blank">Form for Members Practicing Medicine</a> </li> </ul> </div> </div> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Teaching Forms </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Teaching Forms">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Members and staff paid at or above $147,649 (2024) must receive Committee approval prior to receiving compensation for teaching. Approval is required for each semester of teaching. Teaching income is subject to the outside earned income limit ($31,815 for CY 2024). A Member, officer, or senior staff who is requesting to teach for compensation must use the forms below to make that request. The Member, officer, or employee requesting Committee approval must complete the “Request to Teach for Compensation” form, and an individual affiliated with the institution offering compensation must complete the “Institution Confirmation Form.”</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/Teaching-Form-2023-v2-new-logo_1.pdf" target="_blank">Request for Teaching for Compensation</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/INSTITUTION-CONFIRMATION-FORM-2023-new-logo.pdf" target="_blank">Institution Confirmation Form</a> </li> </ul> </div> </div> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> Outside Positions Forms </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for Outside Positions Forms">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>Any Member seeking a waiver or a temporary suspension of Section IX of the Committee’s Outside Position Regulations (OPR) should complete the appropriate form. Please submit completed forms and additional supporting documents and/or information to the Committee at 1015 Longworth House Office Building, or by email to ethicscommittee@mail.house.gov.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/OPR-Waiver-Form-2023.pdf" target="_blank">Outside Position Waiver Request</a> </li> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2023/12/OPR-Suspension-Form-2023.pdf" target="_blank">Outside Position Suspension Request</a> </li> </ul> </div> </div> </div> <section class="general-content" id="block-67f3f536cb4dd"> <div class="container"> <div class="general-content__detail entry-content"> <h3>Legal Expense Fund Forms</h3> </div> </div> <style> #block-67f3f536cb4dd{ margin-bottom:10px; } @media screen and (max-width: 767px) { #block-67f3f536cb4dd { margin-bottom: 10px; } } </style> </section> <div class="pdf-accordion" id="block-67f3f536cb62e"> <div class="pdf-card pdf-card--alt"> <div class="pdf-card__header"> <h2 class="pdf-card__title"> LEF "No Activity" Quarterly Report </h2> <div class="pdf-card__buttons"> <button type="button" class="button button--white button--pdf-toggle" aria-label="View Forms for LEF "No Activity" Quarterly Report">View Forms <svg class="icon icon-angle-down"> <use xlink:href="#icon-angle-down"></use> </svg> </button> </div> </div> <div class="pdf-card__body"> <div class="pdf-card__content entry-content"> <p>This form should be submitted by Members with an approved LEF for quarters when an LEF neither received contributions nor made expenditures.</p> </div> <ul class="pdf-card__list"> <li> <svg class="icon icon-pdf"> <use xlink:href="#icon-pdf"></use> </svg> <a href="https://ethics.house.gov/wp-content/uploads/2025/03/LEF-No-Activity-Report.pdf" target="_blank">LEF No Activity Report</a> </li> </ul> 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