Pharr, TX · Hidalgo County

Local Government Officer CIS Conflicts Disclosure Statement

This sworn CIS disclosure statement notifies the appropriate local governmental entity when a local government officer becomes aware of facts requiring disclosure about a vendor relationship or qualifying gifts.

At a glance

Issued by
City of Pharr · Pharr, Hidalgo County, Texas
Notarization
Required: sign this form in front of a notary before filing it.
Official source
pharr-tx.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index
Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The form records the officer’s name and office, the vendor, any employment, business, or family relationship, and qualifying gifts accepted by the officer or a family member. The officer swears that the statement is true and correct and acknowledges the covered family members and 12-month period. The form text identifies it as notice to the appropriate local governmental entity and provides space for the officer’s signature and oath.

Who needs it

A local government officer who becomes aware of facts requiring disclosure about a vendor relationship or qualifying gifts uses this form to notify the appropriate local governmental entity.

Why it needs a notary

The form carries a sworn-to-and-subscribed jurat; the local government officer named in the statement signs and swears to its truth before the administering officer.

How to get this notarized

  1. 1

    Download the Form

    Download the CIS Conflicts Disclosure Statement.

  2. 2

    Fill In the Disclosure

    Complete the officer, office, vendor, relationship, and gift sections that apply.

  3. 3

    Book an Online Notary

    Schedule a session with a commissioned online notary.

  4. 4

    Sign on Video

    Sign and swear to the statement during the online notary session.

  5. 5

    Submit to the Entity

    Send the notarized statement to the appropriate local governmental entity.

Preview the form

The blank PDF straight from Pharr. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete and notarize this CIS disclosure statement?
Fill in the officer, vendor, relationship, and gift information that applies. Sign and swear to the statement before a commissioned online notary, then submit it to the appropriate local governmental entity.
Do I need to sign this form in front of a notary?
Yes. The form includes an affidavit and a sworn-to-and-subscribed jurat, so the officer must sign and swear to the statement before the administering officer.
Can I use an online notary for this form in Texas?
Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Check that the appropriate local governmental entity accepts an online-notarized form; confirm with the city if unsure.
What should I do after notarizing the statement?
Submit the completed and notarized statement to the appropriate local governmental entity. The form text does not specify a submission method.

Ready to notarize your Local Government Officer CIS Conflicts Disclosure Statement?

Drop your email below, we’ll hand you straight to a licensed notary in the next session.