How do I notarize the affidavit option?

Complete the disclosure, then sign and swear to it before a commissioned online notary during a video session. Submit the notarized affidavit to the appropriate local governmental entity.

Do I need a notary for this form?

Only if you choose the affidavit option, which includes a jurat. The form also offers an unsworn declaration option; confirm with the city if unsure which option to use.

Can I use an online notary for the affidavit?

Texas has authorized remote online notarization since 2018. A commissioned online notary can administer the oath and complete the affidavit’s jurat by video.

What information does the disclosure request?

It asks for the officer’s name and office, the vendor’s name, relationship details, and qualifying gifts accepted by the officer or a family member.

Pharr, TX · Hidalgo County

Local Government Officer Conflicts Disclosure Statement

This Texas Ethics Commission questionnaire notifies the appropriate local government entity when a local government officer must disclose business, family, or gift relationships with 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

Form previewView full PDF →

What this form is

A local government officer uses this statement to report specified relationships with a vendor, including employment, business, family, and gifts exceeding the stated aggregate value. The form says it notifies the appropriate local governmental entity when the officer becomes aware of facts requiring a filing under Chapter 176 of the Local Government Code. The officer completes the relevant disclosures and chooses either the affidavit or unsworn declaration option.

Who needs it

A local government officer who becomes aware of facts requiring a Chapter 176 disclosure uses this form to report relationships or gifts involving a vendor.

Why it needs a notary

The affidavit option contains a jurat; the local government officer signs and swears to the statement before the notary, while the alternate unsworn declaration is not notarized.

How to get this notarized

1
Download the Form
Get the Local Government Officer Conflicts Disclosure Statement and review its affidavit and unsworn declaration options.
2
Fill In the Disclosure
Complete the applicable sections with officer, vendor, relationship, and gift information.
3
Book an Online Notary
If using the affidavit option, book a commissioned online notary for a video session.
4
Sign on Video
Sign and swear to the affidavit before the notary, who completes the jurat.
5
Submit to the Entity
Send the completed form 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.

Open in new tab

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 notarize the affidavit option?: Complete the disclosure, then sign and swear to it before a commissioned online notary during a video session. Submit the notarized affidavit to the appropriate local governmental entity.
Do I need a notary for this form?: Only if you choose the affidavit option, which includes a jurat. The form also offers an unsworn declaration option; confirm with the city if unsure which option to use.
Can I use an online notary for the affidavit?: Texas has authorized remote online notarization since 2018. A commissioned online notary can administer the oath and complete the affidavit’s jurat by video.
What information does the disclosure request?: It asks for the officer’s name and office, the vendor’s name, relationship details, and qualifying gifts accepted by the officer or a family member.

Other forms in Pharr

Contractor Authorization Form

Pharr