Form CFFM043 "Appeal Request Form" - Delaware

Form CFFM043 or the "Appeal Request Form" is a form issued by the Delaware Department of Elections.

Download a PDF version of the Form CFFM043 down below or find it on the Delaware Department of Elections Forms website.

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Download Form CFFM043 "Appeal Request Form" - Delaware

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Campaign Finance Section
Appeal Request Form
Delaware Code Title 15 § 8044. Tardy and Incomplete reports.
Upon receipt of such notice, the reporting party shall have 30 days to appeal such fine in writing to the Reports Appeals
Subcommittee. In the event of an appeal, the reporting party shall have the opportunity to show the Reports Appeals
Subcommittee that such tardiness is due to reasonable cause and not willful neglect. If the Reports Appeals
Subcommittee determines that such tardiness is not due to reasonable cause, or the reporting party fails to timely file an
appeal, such fine shall constitute a debt due and owing the State, assessable by the Commissioner and recoverable
against the reporting party. If the reporting party has any additional documentation for consideration by the Reports
Appeals Subcommittee, then please add those pages as needed and send directly to the attention of the Reports Appeals
Subcommittee. Furthermore, please be advised that the Reports Appeals Subcommittee may request additional
information to assist in the decision making process.
CFRS Account Number
Committee Name
Mailing Address
STREET
CITY
STATE
ZIP
Report Type
Original Due Date
 YES
 NO
Date report was filed
Do you request an appeal?
Brief summary of the reasons, circumstances, or other reasonable cause:
SIGNATURE
DATE
PRINT NAME
CONTACT PHONE NUMBER
Page 1 of 1
CFFM043 v2.1 2018/01/29
Campaign Finance Section
Appeal Request Form
Delaware Code Title 15 § 8044. Tardy and Incomplete reports.
Upon receipt of such notice, the reporting party shall have 30 days to appeal such fine in writing to the Reports Appeals
Subcommittee. In the event of an appeal, the reporting party shall have the opportunity to show the Reports Appeals
Subcommittee that such tardiness is due to reasonable cause and not willful neglect. If the Reports Appeals
Subcommittee determines that such tardiness is not due to reasonable cause, or the reporting party fails to timely file an
appeal, such fine shall constitute a debt due and owing the State, assessable by the Commissioner and recoverable
against the reporting party. If the reporting party has any additional documentation for consideration by the Reports
Appeals Subcommittee, then please add those pages as needed and send directly to the attention of the Reports Appeals
Subcommittee. Furthermore, please be advised that the Reports Appeals Subcommittee may request additional
information to assist in the decision making process.
CFRS Account Number
Committee Name
Mailing Address
STREET
CITY
STATE
ZIP
Report Type
Original Due Date
 YES
 NO
Date report was filed
Do you request an appeal?
Brief summary of the reasons, circumstances, or other reasonable cause:
SIGNATURE
DATE
PRINT NAME
CONTACT PHONE NUMBER
Page 1 of 1
CFFM043 v2.1 2018/01/29
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