Eden, TX · Concho County
Local Government Officer Conflicts Disclosure Statement
A local government officer uses this statement to disclose specified relationships or gifts involving a vendor to the local governmental entity.
What this form is
This form notifies the local governmental entity when an officer becomes aware of facts requiring a conflicts disclosure. It asks for the officer’s name and office, the vendor’s name, details about relevant business or family relationships, and qualifying gifts. The instructions say to file it with the entity’s records administrator by 5 p.m. on the seventh business day after the officer becomes aware of the facts.
Who needs it
A local government officer who becomes aware of facts requiring a vendor conflicts disclosure uses this form to notify the local governmental entity.
How to submit it
File the completed statement with the records administrator of the local governmental entity. The form does not provide an address, email, or online submission method.
About notarization
A notary is not required: the officer may sign the unsworn declaration instead of using the form’s optional notarized affidavit.
How to submit this form
- 1
Download The Form
Download the Local Government Officer Conflicts Disclosure Statement.
- 2
Complete The Statement
Enter the officer and vendor information, describe relevant relationships, and list qualifying gifts.
- 3
Choose A Signature Option
Sign using either the optional notarized affidavit or the unsworn declaration.
- 4
Submit To The Entity
File the completed statement with the local governmental entity’s records administrator.
Frequently asked questions
- What does the conflicts disclosure statement report?
- It records the officer’s name and office, the vendor, relevant business or family relationships, and qualifying gifts received by the officer or a family member.
- Who files this statement?
- A local government officer who becomes aware of facts requiring a vendor conflicts disclosure files the statement with the local governmental entity’s records administrator.
- Do I need a notary for the Local Government Officer Conflicts Disclosure Statement?
- No. The officer may complete the unsworn declaration instead of the optional notarized affidavit.
- How do I submit the conflicts disclosure statement?
- File it with the records administrator of the local governmental entity. The form does not give an address, email, or online submission method.