Pharr, TX · Hidalgo County
Local Government Officer Conflicts Disclosure Statement
This statement notifies the appropriate local government entity when a local government officer becomes aware of facts requiring disclosure about a vendor relationship or gifts.
- 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
A local government officer uses this statement to report a vendor and describe relevant employment, business, or family relationships, as well as certain gifts accepted by the officer or a family member. The form says it is filed under Chapter 176 of the Local Government Code and includes a signature section with a notarized oath option or an alternative unsworn declaration. Complete the applicable option and file the statement with the appropriate local governmental entity.
Who needs it
A local government officer who becomes aware of facts requiring a vendor-related disclosure under Chapter 176 uses this statement to notify the appropriate local governmental entity.
Why it needs a notary
The form includes an oath block stating the statement was subscribed before an officer administering oaths; the local government officer signs before the notary if choosing that option.
How to get this notarized
- 1
Download The Form
Get the Local Government Officer Conflicts Disclosure Statement from the City of Pharr.
- 2
Complete The Disclosure
Enter the officer, office, vendor, relationship, and applicable gift information; choose the oath or unsworn declaration option.
- 3
Book An Online Notary
If using the oath option, schedule a remote appointment with a commissioned online notary.
- 4
Sign On Video
For the notarized option, sign the statement during the video session as directed by the notary.
- 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.
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 notarized option?
- Fill in the disclosure and sign the oath option in front of a commissioned online notary during your video appointment. The form also offers an unsworn declaration option.
- Do I need to have this form notarized?
- The form provides two choices: an oath administered by an officer with a notary block, or an unsworn declaration. Check the instructions or ask the receiving entity which option applies.
- Can I use a remote online notary for this form?
- Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Texas also recognizes acknowledgments taken by notaries of other states under CPRC §121.001; confirm with the city if unsure.
- What information does the statement request?
- It asks for the officer’s name and office, the vendor’s name, relationship details, and information about gifts accepted when the form’s stated reporting conditions apply.
Other forms in Pharr
Contractor Authorization Form
Pharr
Local Government Officer Conflicts Disclosure Statement
Pharr
Local Government Officer Conflicts Disclosure Statement
Pharr
Local Government Officer Conflicts Form (CIS)
Pharr
Local Government Officer Conflicts Disclosure Statement
Pharr
Local Government Officer Conflicts Disclosure Statement
Pharr