Pharr, TX · Hidalgo County

Local Government Officer Conflicts Disclosure Statement

Form CIS notifies the appropriate local governmental entity when a local government officer must disclose certain vendor relationships, family relationships, or gifts accepted from a vendor.

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 statement identifies the officer and vendor, describes relevant employment, business, or family relationships, and lists gifts when their aggregate value exceeds the amount stated on the form. It is for a local government officer who becomes aware of facts requiring a filing under the form’s cited Local Government Code provisions. The form offers an affidavit option or an unsworn declaration.

Who needs it

A local government officer who becomes aware of facts requiring this disclosure files the statement with the appropriate local governmental entity identified on the form.

Why it needs a notary

The affidavit option contains a jurat stating the officer swore to and subscribed the statement before the oath administrator; the local government officer signs before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Local Government Officer Conflicts Disclosure Statement from the city.

  2. 2

    Complete the Disclosure

    Enter the officer, office, vendor, relationship, and applicable gift information. Choose the affidavit or unsworn declaration option.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary for the affidavit option.

  4. 4

    Sign on Video

    For the affidavit, sign and swear to the statement during the video session as directed by the notary.

  5. 5

    Submit to the City

    File the completed statement with 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.

Open in new tab
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 the affidavit option online?
Complete the disclosure, book a session with a commissioned online notary, and sign during the video session when instructed. The notary completes the oath section.
Do I need notarization for this statement?
The form provides an affidavit option with a sworn-and-subscribed jurat and a separate unsworn declaration option. Ask the city which option applies if you are unsure.
Can I use an online notary for the affidavit?
Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Confirm with the city if unsure whether it will accept your completed document.
What information does Form CIS ask me to disclose?
It asks for the officer’s name and office, the vendor’s name, relevant employment, business, or family relationships, and gifts accepted when their aggregate value exceeds the stated threshold.

Local Government Officer Conflicts Disclosure Statement in other Texas cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Local Government Officer Conflicts Disclosure Statement?

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