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General Instructions

Local and treasury accounts.
Agencies with balances at June 30 in the following general ledger (GL) codes are to complete the cash and investments disclosure forms as applicable:

• 1110  Cash in Bank
• 1120  Undeposited Local Cash
• 1130  Petty Cash
• 1140  Cash and Investments with Escrow Agents and Trustees
• 1150  Cash with Fiscal Agents
• 1205  Temporary and/or Pool Cash Investments
• 1209  Short-Term Portion of Long-Term Investments
• 1210  Investments
• 1215  Investments under Reverse Repurchase Agreements
• 1216  Collateral held under Securities Lending Agreements
• 1220  Unamortized Premiums on Investments
• 1230  Unamortized Discounts on Investments
• 1280  Valuation Allowance - Investments

Treasury and treasury trust accounts.
The Office of the State Treasurer (OST) will provide the information required to report the cash and investment activity for treasury and treasury trust accounts for cash balances and activity recorded in GL Code 4310 “Current Treasury Cash Activity (OST Only),” GL Code 4320 “Beginning Treasury Cash Balance (OFM Only),” and GL Code 4325 “Beginning Treasury Cash Balance - Agency Funds.”

Amounts covered by Federal Deposit Insurance Corporation (FDIC) are considered to be insured. In general, FDIC insurance separately covers demand deposits and interest bearing deposits up to $100,000 each ($250,000 until December 31, 2009), per taxpayer identification number (TIN), per bank. The Public Deposit Protection Commission (PDPC) provides for a collateral pool for protection of balances deposited with Washington public depositories. Uninsured/uncollateralized balances would include those deposited in out-of-state and alien banks.

There are three cash and investment disclosure forms:

Cash and Investments General Disclosure

This form contains general questions concerning an agency's cash and investment activity. Information provided should be on an agency-wide basis.

90.40.20.A - Cash and Investments General Disclosure

Cash on Hand and in Bank Disclosure

This form requests information concerning an agency's cash in bank by GL code as well as information on petty cash funds and undeposited receipts held in cash. Agencies are to report the following:

1. The June 30 total cash balance on hand and as stated by the bank categorized by:
• FDIC Insured
• PDPC Collateralized
• Uninsured/Uncollateralized
2. The June 30 book balance as reported in Agency Financial Reporting System (AFRS).

Book and bank balances will normally be different, except for accounts with very little activity due to outstanding warrants and/or deposits in transit.

90.40.20.B - Cash on Hand and in Bank Disclosure

This form is to be completed if an agency has non-negotiable certificates of deposit reported in GL codes:

• 1140 Cash and Investments with Escrow Agents and Trustees,
• 1150 Cash with Fiscal Agents,
• 1205 Temporary/Pooled Cash Investments,
• 1209 Short-Term Portion of Long-Term Investments, or
• 1210 Investments.

Certificates of Deposits (CDs) held by agencies (other than the State Investment Board) are generally non-negotiable. One of the features of non-negotiable certificates of deposit is a penalty when redeemed prior to maturity. Such certificates of deposits should be reported on this disclosure form.  FDIC insurance covers the first $100,000 per bank ($250,000 until December 31, 2009) per TIN. (Historically, only SIB has held negotiable CDs. Negotiable certificates of deposits should not be reported on this disclosure form).

90.40.20.C - Certificates of Deposit (Non-negotiable) Disclosure

General Instructions

All agencies with taxes receivable as of fiscal year-end are to complete the Taxes Receivable Disclosure form (90.40.30.A).

The balances in the following GL codes are to be presented by account and by type.

• 1311 - Taxes Receivable
• 1328 - Tax Liens Receivable
• 1611 - Long-Term Taxes Receivable

The type of taxes receivable include the following:

• Property
• Sales
• Business and Occupation
• Estate
• Fuel
• Other

The amounts for each related allowance GL code need only be reported by account.

• 1341 - Allowance for Uncollectible Taxes Receivable
• 1348 - Allowance for Uncollectible Tax Liens Receivable
• 1641 - Allowance for Uncollectible Long-Term Taxes Receivable

90.40.30.A - Taxes Receivable Disclosure

General Instructions

There are two types of inventories - consumable inventories (GL Code 1410 and 1415) and merchandise inventories (GL Codes 142X, 1430, 1440, and 1450). Consumable inventories are assets that are consumed in the course of an agency's business. Merchandise inventories, on the other hand, are assets held for resale.

Merchandise and consumable inventories are mutually exclusive and are accounted for separately.

Refer also to Subsections 35.10.40 and 35.10.45.

Donated consumable inventories are recorded at fair market value. Other than as noted above, agencies are to select the applicable valuation method for inventories on hand.

A general description of these methods are:

• First-in, first-out (FIFO) - This method allocates costs on the assumption that goods are consumed/sold in the order in which they were acquired. In other words, the first goods purchased are assumed to be the first used or sold. Thus, inventory on-hand is assumed to represent the most recent acquisitions.
• Last-in, first-out (LIFO) - This method allocates costs on the assumption that the last units acquired are the first units consumed/sold. Thus, inventory on-hand is assumed to come from earlier acquisitions.
• Weighted average (W.A.) - In general, this method values ending inventory based on the average cost per unit for the period.
• Other - An agency may use an inventory valuation method other than those described above as defined in writing by the agency inventory officer. If an agency uses another method, describe the valuation method used.

All agencies with balances in Inventory GL codes are to complete the Inventory Disclosure form (90.40.35.A) for all accounts at fiscal year-end regardless of the value. Identify the method used to value each type of inventory.

90.40.35.A - Inventory Disclosure

General Instructions

All agencies with capital assets (GL Code series 2XXX) are to complete the Capital Assets - Summary of Activity Disclosure form (90.40.38.A).

The debit and credit amounts shown on the general ledger trial balance reports may not reflect true additions and/or deletions due to certain transactions and adjustments that inflate true activity. An example of inflated activity would be when an erroneous transaction is not backed out using a reverse code with the original transaction code. Agencies should adjust AFRS to reflect their true activity during the fiscal year, as reported in the disclosure form.

Additions to capital assets should be those purchases, transfers, or reclassifications that meet the state’s capitalization policy. Deletions should reflect the sale or disposal of an asset.  Refer to Sections 30.20 and 85.60.

Increases to accumulated depreciation should be the result of and equal to increases in depreciation expense. Reductions in accumulated depreciation should be related to the sale or disposal of an asset.

Agencies reporting activity in the General Capital Assets Subsidiary Account 997 should review their capital asset acquisitions coded to subobjects JC - JZ in their governmental fund type account(s) and compare them to the activity in Account 997.

Additionally, capital asset GL balances reported in AFRS are to be reconciled to the agency's subsidiary capital asset system (for example, Capital Asset Management System (CAMS)).

90.40.38.A - Capital Assets - Summary of Activity Disclosure

General Instructions

All agencies with long-term construction commitments are to complete the Long-Term Construction Commitments Disclosure form (90.40.40.A). The state is required to disclose significant long-term commitments not recognized in the financial statements. Construction commitments are the most common commitment of this type.

The form is designed to collect both the construction-in-progress project information for the fiscal year-end as recorded in AFRS as well as remaining commitment information. A commitment is viewed as the estimated dollars necessary to complete a project.

Agencies are to list each significant project on a separate line by the account where it is recorded or will be recorded. A project is considered significant if the amount of GL Code 2510 “Construction-in-Progress” at fiscal year-end exceeds $2 million or if the remaining commitment exceeds $10 million. All projects that do not meet the criteria for a significant project are to be aggregated and entered at the bottom as “Other Miscellaneous.”

The Department of Transportation should disclose commitments made for on-going infrastructure projects regardless of GL code used.

Note: Those amounts to be shown in the “Remaining Commitment” column are those remaining commitments not recorded in AFRS; i.e., not recorded as a disbursement or accrual in fiscal year-end agency financial activity. Occasionally, an agency may have a construction project that involves a significant commitment for the future, but no construction-in-progress has been recorded in AFRS. Such commitments should be disclosed by recording the information on a separate line with zero ($0) in the current “Fiscal Year-End Construction-in-Progress” column.

90.40.40.A - Long-Term Construction Commitments Disclosure

General Instructions

All agencies with operating and/or capital leases, and liability activity and/or balances in the GL codes listed below are to complete the Lease Disclosure form (90.40.45.A) and the Liabilities by Major Class - Summary of Activity Disclosure form (90.40.45.B). OST (Bond Retirement and Interest Agency) is to complete the Certificates of Participation (COPs) Disclosure form (90.40.45.C).

Lease Disclosure

This form collects information about operating and capital leases.

An operating lease is rental of an asset with a term of more than one year, where the payments are chargeable as rental or lease expenditures. Most operating leases contain clauses indicating that continuation of the lease is subject to funding by the Legislature. Historically, these leases have been renewed in the normal course of business. Therefore, they are treated as noncancelable for financial reporting purposes.

A capital lease is a lease that transfers substantially all the benefits and risks inherent in the ownership of property to the state. If at its inception, a lease meets one or more of the four criteria in Subsection 30.20.30, the lease is classified as a capital lease. Otherwise, it is classified as an operating lease. Refer to Subsection 30.20.40 for further information pertaining to capital leases.

Agencies are to report the following:

1. Operating leases (state agency is lessee)

Agencies disclose the total operating lease payments for rental expense/expenditures paid to external entities (not state agencies) that were charged to sub-objects ED (Rentals and Leases - Land and Buildings) and EH (Rentals and Leases - Furnishings and Equipment) for the fiscal year ended June 30. Do not include payments to the Department of General Administration for state-owned property, or payments to other state agencies for operating leases between state agencies.

Definition of a contingent lease: With a contingent lease the changes in lease payments are based on changes in specific economic factors, for example, future inflation.


2. Total future minimum operating and capital lease payments (state agency is lessee)

Agencies disclose, by account, total future minimum lease payments for all operating leases paid to external entities (not state agencies) having initial or remaining noncancelable lease terms in excess of one year, and for all capital leases, as of June 30 for each of the five succeeding fiscal years and in five year increments thereafter.

Executory and interest costs are not included in the net present value of minimum lease payments. Executory costs for capital leases pertain to insurance, maintenance, and taxes, whether paid by the lessor or lessee. Interest costs refer to “imputed” interest costs, which reduce the net minimum future lease payments to present value. The interest rate to be used in determining the present value of the minimum lease payments is the interest rate the State of Washington would pay on its major bond issues at the inception of the lease. Refer to Subsection 85.85.40.a.(1).

The net present value of future minimum lease payments for Capital Leases is compared to the AFRS balances in GL Codes 5172 and 5272. Any difference must be explained.

3. Capital leases (state agency is lessee)

Agencies disclose the gross amount of assets recorded under capital leases less accumulated depreciation as of June 30. Balances are reported by account by major class of asset.

Generally, the net value of assets recorded under capital leases should approximate the net present value of future minimum lease payments recorded in (2) above.

4. Future operating and capital lease receipts (state agency is lessor)

   If leasing to external entities is a significant part of your agency’s business activity in terms of revenues or assets, disclose by account, the total future minimum lease payments that you expect to receive as of June 30 for each of the five succeeding fiscal years and in five year increments thereafter.

90.40.45.A - Lease Disclosure

This form summarizes liability activity by major class.  For purposes of this disclosure, major class is defined as follows:

• All agencies with liability balances (beginning or ending) and/or activity during the fiscal year in any of the GL codes noted above are required to complete this disclosure form by account. 
• Beginning and ending balance columns are automatically filled with data from AFRS.  The ending balance will agree with the total column on a Trial Balance report.
• For this form, reclassifications between long-term and short-term GL codes are to be disregarded, and should not be included in the increases in liabilities or decreases in liabilities columns.

• For certificates of participation (GL Codes 5173/5273) recorded in the General Long-Term Obligations Subsidiary Account (Account 999), new issues (increases) are to agree to amounts reported in governmental fund type accounts in Revenue Source Code 0807 “Certificates of Participation.”

• For capital leases (GL Codes 5172/5272) recorded in the General Long-Term Obligations Subsidiary Account (Account 999), new issues (increases) are to agree to amounts reported in governmental fund-type accounts in Revenue Source Code 0809 “Capital Lease Acquisitions.”
• For GL Code 1911 Unamortized Discounts on COPs and GL Code 1921 Unamortized COP Issue Costs, the balance is normally a debit amount, increases are normally debits, and decreases are normally credits. Enter increases in the Increase column, as positive amounts.  Enter decreases in the Decrease column, as negative amounts.

90.40.45.B - Liabilities by Major Class - Summary of Activity Disclosure

Certificates of Participation (COPs) Disclosure

This form is completed by OST. OST reports debt service requirements to maturity for Certificates of Participation (COPs) as well as related arbitrage rebate requirements, if any.

While OST completes this form, agencies are required to reconcile COP fiscal year activity and year-end balances to OST’s records.  The OST COP fiscal year activity and year-end balances information will be provided to agencies during Phase 1 and all balances must be reconciled by the close of Phase 2.

90.40.45.C - Certificates of Participation (COPs) Disclosure - OST

General Instructions

All agencies with balances in GL Codes 5192 and 5292 “Deferred Revenues” and GL Code 5195 “Deferred Expenditure Recoveries - Short Term” as of fiscal year-end must complete the Deferred Revenues Disclosure form (90.40.50.A).

Balances are to be categorized by account and type of revenue deferred:

• Property taxes
• Other taxes
• Timber sales
• Charges for services
• Donable goods
• Loan program
• Grant or donation (federal/private/local)
• Miscellaneous/Other

For amounts over $200,000 complete the deferred revenue recognition criteria section.

In governmental fund type accounts, deferred revenue is recorded when one of two criteria is met: 1) revenues not yet earned, and/or 2) cash is not available. In proprietary fund type accounts, deferred revenue is recognized only for revenues not yet earned. Refer to Subsection 85.70.40.

Report deferred revenue recognition criteria in the following categories:

1. Revenue not yet earned:
• Prepaid revenue (tuition, rent, tolls, etc)
• Advance payments or prepayments
• Other revenue not yet earned
  
  
2. Cash not available (governmental fund type accounts only):
   • Long-term loan receivables that won’t be collected in the next 12 months
   • Other long-term receivables that won’t be collected in the next 12 months
   • Other cash not available

90.40.50.A - Deferred Revenues Disclosure

General Instructions

The state is required to disclose certain information about bond debt activity, debt service requirements, and refunding activity. Agencies that issue bonds and/or pay bond debt service are required to complete these disclosure forms.

The state issues four types of bonds: General Obligation Bonds, Revenue Bonds, Zero Coupon General Obligation Bonds, and Refunding Bonds. Refer to Subsection 85.72.20.

Bonds Payable General Disclosure

This form contains general questions concerning arbitrage rebate requirements, variable interest rate debt, and debt issues subsequent to June 30.

90.40.55.A - Bonds Payable General Disclosure

Bond Debt by Major Class - Summary of Activity Disclosure

This form summarizes current year activity of bond debt by debt class.

Table 1 - Bond Debt GL Codes Reconciliation to AFRS

For purposes of this disclosure form, debt class is defined as follows:

• Beginning and ending balance columns are automatically filled with data from AFRS.  The ending balance will agree with the total column on a Trial Balance report.
• Normally, bond debt liabilities will have credit balances.
• Normally, retirements are payments of bond debt principal and will be debit amounts and should be entered as positive numbers.
• Normally, new issues in bond debt liabilities will be credit amounts and should be entered as negative numbers.
• For this table, reclassifications between long-term and short-term GL codes are to be disregarded, and should not be included in the “New Issues” (increases in bond debt liability) or “Retirements” (decreases of bond debt liability) columns.
• For bonds recorded in the General Long-Term Obligations Subsidiary Account (Account 999):  new issues (increases in bond debt) are to equal amounts reported in governmental fund-type accounts in Revenue Source Codes 0860 (Bonds Issued), 0864 (Taxable Bonds Issued), and 0865 (Note Proceeds), and retirements (decreases in bond debt) are to equal amounts reported in governmental fund-type accounts in Sub-object PA (Principal).

Table 2 - Debt Service Requirements

Table 3 – Reconciliations

1. Compares the total ending principal in Table 1 to the principal total in table 2.

2. Compares the short term GL codes to the Fiscal Year 2010 principal reported in Table 2. 

Table 4 - Bonds Outstanding – Type and Interest Rate

Table 5 - Bonds Authorized but Unissued

Table 6 - Other Bond Related GL Codes Reconciliation to AFRS

Complete the table to disclose activity related to bond premiums and discounts, issue costs, accreted interest payable, and gain/loss on refundings (GL codes 1910, 5212, 5268, 5910) as of June 30.

90.40.55.B - Bond Debt by Major Class - Summary of Activity Disclosure

Bond Debt Refunding Activity Disclosure

This form collects required disclosure information on bond debt refunding activities.  The state is required to disclose bond debt-refunding activity for bond debt refunded in the current year and for bond debt refunded in prior years that remains outstanding. 

• For all agencies other than OST, this disclosure form is required to be completed only if your agency had a bond debt refunding that was not part of a refunding done by OST, or if your agency had bond debt refunded in prior years that remains outstanding and that was not part of a refunding done by the OST.   
• OST Bond Retirement and Interest Agency (Agency #0100) is required to complete this disclosure form for General Obligation Bond debt refundings. 

In addition to a general description of the bond refunding, two additional items are required to be disclosed:

• The difference between the cash flows required to service the old bond debt and the cash flows required to service the new bond debt and complete the refunding.  When measuring the difference between the two cash flows, additional cash used to complete the refunding paid from resources other than proceeds of the new bond debt (for example, for issuance costs or payments to the escrow agent) should be added to the new bond debt cash flows.  Accrued interest received at the bond issuance date should be excluded from the new bond debt cash flows.  If the new bond debt is issued in an amount greater than that required for the refunding, only that portion of bond debt service applicable to the refunding should be considered. 
• The economic gain or loss resulting from the transaction.  Economic gain or loss is the difference between the present value of the old bond debt service requirements and the present value of the new bond debt service requirements, discounted at the effective interest rate and adjusted for additional cash paid, as noted above. 

The effective interest rate is the rate that, when used to discount the debt service requirements on the new debt, produces a present value equal to the proceeds of the debt (including accrued interest) net of any premiums or discounts and any underwriting spread and issuance costs that are not recoverable through escrow account earnings.  Issuance costs include all costs incurred to issue the bonds, including but not limited to insurance costs (net of rebates from the old debt, if any), financing costs (such as rating agency fees), and other related costs (such as printing, legal, administrative, and trustee expenses).

90.40.55.C - Bond Debt Refunding Activity Disclosure

General Instructions

GAAP requires the state to disclose in the notes to the financial statements certain details about interfund transfers including:

• Amounts transferred between accounts, and
• A general description of the principal purposes of the transfers.

Transfers to be reported on the disclosure form:

• Include Revenue Source Codes 0613 - 0699 and 0484,
• Exclude Revenue Source Codes 0623, 0677, 0683, and 0690.
• Include GL Code 65XX Object M.

For transfers over $20 million, please provide a general description of the purpose of the transfer.

Below is an example of entries included in a completed Transfers Disclosure form (90.40.60.A).

Example of Completed Transfers Disclosure

90.40.60.A - Transfers Disclosure

General Instructions

All agencies with pension administration responsibilities as listed below need to complete the pension disclosure form.  Additionally, four-year higher education institutions that are issuing stand-alone financial statements need to complete the other post employment benefits (OPEB) portion of the disclosure form. 

There are a number of accounting standards that address the reporting of pension and OPEB including GASB Statements 25, 27, 43, 45 and 50. The pension and OPEB disclosure forms are used to accumulate the information required to prepare note disclosures and required supplementary information for the state’s CAFR. The information provided in the CAFR is intended to aid the reader of the financial statements in assessing:

• The stewardship of pension plan resources and the ongoing ability of the plan to pay pension benefits when due,

• The effect of pension plan operations and benefit commitments on the need for contributions by plan members, employers and other contributors,

• The impact on the state’s financial statement of the state’s participation in the Public Employees’ Benefit Board’s (PEBB) other post employment benefits plan measured in accordance with generally accepted accounting principles (GAAP). While the state’s participation in the PEBB plan is not formalized in a contract or plan document, the state is required to make certain disclosures based on the current understanding of plan terms by the state and its employees and retirees.  By reporting the state’s OPEB plan in accordance with GAAP, the state’s financial statements are presented consistently with other governments offering their employees other post employment benefits, and

• Compliance with finance-related statutory, regulatory and contractual requirements.

Pension disclosure information is required from the following agencies:

• Department of Retirement Systems
• Administrative Office of the Courts
• Washington State Convention and Trade Center
• All four-year higher education institutions and the State Board for Community and Technical Colleges (SBCTC)

Additionally, certain OPEB information is required from all four-year higher education institutions.

Pension Disclosure - Department of Retirement Systems

This form is to be submitted by the Department of Retirement Systems (Agency 124) and is to include information pertaining to:

• Public Employees' Retirement System (PERS) Plans 1 Defined Benefit (DB), 2/3 (DB), and 3 Defined Contribution (DC);
• Teachers' Retirement System (TRS) Plans 1 (DB), 2/3 (DB), and 3 (DC);
• School Employees' Retirement System (SERS) 2/3 (DB), and 3 (DC);
• Law Enforcement Officers' and Fire Fighters' Retirement System (LEOFF) Plans 1 and 2 (DB);
• Washington State Patrol Retirement System (WSP) Plans 1 and 2 (DB);
• Judicial Retirement System (JRS) (DB);
• Judges' Retirement Fund (Judges) (DB);
• Public Safety Employees' Retirement Account (PSERS) Plan 2 (DB); and
• Judicial Retirement Account (JRA)(DC).

The total covered payroll, employer contributions, member contributions, and Washington State contributions are required to be presented by employer type for each retirement plan. The payroll and contribution amounts should be reported by Washington State employers and all other employers.

Total employer contributions should agree to the amounts reported in AFRS Revenue Source Code 0802 for each retirement plan and/or system. Total member contributions should agree to the amounts reported in AFRS Revenue Source Code 0803 for each retirement plan and/or system. Total State contributions should agree to the amounts reported in AFRS Revenue Source Code 0804 for each retirement plan and/or system.

90.40.70.A - Pension Disclosure - DRS

Pension Disclosure – Administrative Office of the Courts

Covered payroll is to be completed by the Administrative Office of the Courts (Agency 055) and is to include information pertaining to:

• Judicial Retirement Account (JRA) (DC).

The total covered payroll is required to be presented by employer type. The payroll should be reported by Washington State employers and all other employers.

90.40.70.B - Pension Disclosure - Courts

Pension Disclosure – Washington State Convention and Trade Center

This form is to be completed by the Washington State Convention and Trade Center (Agency 550). The information required pertains to total covered payroll (payroll for employees covered under the 401 (K) pension plan), the total pension contributions made by the state as employer, and the total pension contributions made by the members.

90.40.70.C - Pension Disclosure - WSCTC

Pension and OPEB Disclosure – Higher Education Institutions and SBCTC

This form is to be completed by all four-year higher education institutions and SBCTC. The information required pertains to Higher Education Retirement Plan participants and the Higher Education Supplemental Plan.

1. Higher Education Retirement Plan: The total covered payroll is to reflect amounts for Higher Education Retirement Plan participants only. This amount should not include those on “waiting” status. “Waiting” status employees are those who are eligible, but have not yet elected to join the Higher Education Retirement Plan. The member and employer contributions are to reflect amounts contributed by each into the Higher Education Retirement Plan.
2. Higher Education Supplemental Retirement Plan: Information for the Higher Education Supplemental Retirement Plan should be obtained from your actuarial valuations and payroll records. The Net Pension Obligation (NPO) is recorded in AFRS in Account 999 GL 5281 "Unfunded Pension Obligations." Refer to the example of a completed form at Subsection 90.40.70.D.
3. OPEB Liability: Four-year higher education institutions are to provide the following GASB Statement 45 OPEB data that their institution is reporting or disclosing in their separately issued financial statements this fiscal year:
• Actuarial Accrued Liability (AAL)
• Annual Required Contribution (ARC)
• Annual OPEB Cost
• Net OPEB Obligation (NOO)

Example of Completed Pension Disclosure - Higher Education Institutions

90.40.70.D - Pension Disclosure - Higher Education Institutions

General Instructions

All agencies are required to complete the Miscellaneous Disclosure form (90.40.75.A).

Certain information is required related to:

• Grants and contributions restricted for capital purposes,
• Art collections, library reserve collections and/or museum or historical collections,
• Donor restricted assets,
• Component units, segments, joint ventures, or related organizations,
• Impaired and idle capital assets, and
• Pollution remediation.

90.40.75.A - Miscellaneous Disclosure

General Instructions

All agencies are required to complete the Financial Disclosure Certification (90.40.95.A).

As required by audit standards, OFM provides, on behalf of the state, a letter of representation to the State Auditor's Office certifying certain financial, compliance, and internal control information. To enable OFM to make the representations required in that letter, each Agency Head and Chief Financial Officer must certify, to the best of their knowledge, that the statements listed in the Financial Disclosure Certification form are true for their agency.

Any exceptions to the certifications are to be attached with a narrative detailing the variance(s) and any proposed or completed corrective actions.

The original signed Financial Disclosure Certification form including attachments, as necessary, is to be mailed to the following address by September 18, 2009:

Office of Financial Management
Accounting Division
P.O. Box 43113
Olympia, Washington 98504-3113

90.40.95.A - Financial Disclosure Certification