Griffin, GA · Spalding County
Conflict of Interest Disclosure
This disclosure is for applicants filing with the city and reports qualifying campaign contributions to officials who may consider their application.
What this form is
This disclosure accompanies an application reviewed by city officials and asks whether the applicant made campaign contributions totaling $250 or more during the two years before filing. If the answer is yes, the applicant lists the official’s name and position and the dates and amounts of qualifying contributions. It includes signature and printed-name lines for the applicant and, if applicable, the applicant’s attorney or representative.
Who needs it
Applicants filing an application considered by city officials use this disclosure to report qualifying campaign contributions made during the preceding two years.
How to submit it
The form identifies the Department of Planning & Development Services at One Griffin Center, 100 S. Hill Street, P.O. Box T, Griffin, GA 30224. It lists a phone number and website but no filing method.
About notarization
This disclosure has no notary block; the applicant signs and dates it, and signs and dates the attorney or representative section if applicable.
How to submit this form
- 1
Download The Disclosure
Download the Conflict of Interest Disclosure PDF.
- 2
Answer The Contribution Question
Indicate whether you made campaign contributions totaling $250 or more to an official who may consider the application during the two years before filing.
- 3
Complete The Details
If you answer yes, provide the official’s name and position and list the dates and amounts of qualifying contributions.
- 4
Sign And Submit
Sign and date the applicable signature lines. The form identifies the Department of Planning & Development Services and its Griffin address.
Frequently asked questions
- Do I need a notary for the Conflict of Interest Disclosure?
- No. This disclosure has no notary block; the applicant signs and dates it, and signs and dates the attorney or representative section if applicable.
- How do I submit the Conflict of Interest Disclosure?
- The form names the Department of Planning & Development Services at One Griffin Center, 100 S. Hill Street, P.O. Box T, Griffin, GA 30224, but does not specify a filing method.
- What campaign contributions does the form ask about?
- It asks whether, during the two years immediately before filing the application, you made contributions totaling $250 or more to officials who may consider the application.
- What information do I provide if I answer yes?
- List the government official’s name and position, along with the dates and amounts of contributions that together total $250 or more.
Need something notarized?
This Conflict of Interest Disclosure doesn’t need a notary — but if you have another Griffin form that does, a commissioned online notary can help.