Pharr, TX · Hidalgo County
Local Government Officer Conflicts Disclosure Statement
This disclosure statement lets a local government officer report vendor relationships and qualifying gifts to the local governmental entity when filing is required.
- 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 position, the vendor’s name, relevant business or family relationships, and qualifying gifts accepted during the stated 12-month period. The instructions say to file it with the local governmental entity’s records administrator by 5 p.m. on the seventh business day after the officer becomes aware of facts requiring disclosure. The officer may complete the affidavit and notarize the signature, or use the form’s unsworn declaration option.
Who needs it
A local government officer who becomes aware of facts requiring a conflicts disclosure statement about a vendor uses this form to report the relevant relationship or gifts.
How to get this notarized
- 1
Download the Form
Get the Local Government Officer Conflicts Disclosure Statement and its instructions.
- 2
Complete the Disclosure
Enter the officer, vendor, relationship, and gift information that applies; choose the affidavit or unsworn declaration option.
- 3
Book an Online Notary
If using the affidavit option, schedule a session with a commissioned online notary.
- 4
- 5
Submit to the City
File the completed statement with the local governmental entity’s records administrator by the deadline stated in the instructions.
Preview the form
The blank PDF straight from Pharr. Look it over, then upload your filled copy to start the notary session.
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 form, then sign the affidavit signature line during a video session with a commissioned online notary. The notary completes the jurat; submit the finished disclosure to the city.
- Do I need a notary for this form?
- Only if you choose the affidavit option. The instructions also provide an unsworn declaration option, which does not use the notary block. Follow the form’s instructions for the option you complete.
- Can I sign the form electronically?
- The form instructions state that an electronic signature is not acceptable for either the affidavit signature or the unsworn declaration signature.
- Can I complete the affidavit with an online notary?
- Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. A commissioned online notary can notarize the affidavit option remotely; confirm with the city if unsure.
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Local Government Officer Conflicts Disclosure Statement
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Local Government Officer Conflicts Form (CIS)
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Local Government Officer Conflicts Disclosure Statement
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