Jackson County, TX · Jackson County

No notary required

Conflict of Interest Questionnaire

Vendors doing business with the county use this questionnaire to disclose certain business, family, income, or gift connections involving a local government officer.

At a glance

Issued by
City of Jackson County · Jackson County, Jackson County, Texas
Notarization
Not required: file this form without a notary.
Official source
co.jackson.tx.us
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This questionnaire is for vendors with a business relationship with a local governmental entity who meet the filing requirements described on the form. It asks for vendor and officer names, details of relevant business or family relationships, and answers about taxable income and gifts. The form says to attach additional pages as necessary and file it with the appropriate records administrator.

Who needs it

A vendor with a business relationship with the county must file this questionnaire when the relationships or gifts described on the form apply.

How to submit it

File the completed questionnaire with the appropriate records administrator. The form states a seven-business-day filing requirement when applicable.

About notarization

This questionnaire is signed and dated without a notary; it mentions no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download the Questionnaire

    Download the Conflict of Interest Questionnaire PDF.

  2. 2

    Complete the Form

    Provide the vendor and officer information, describe applicable relationships, and answer the questions about income and gifts.

  3. 3

    Gather Additional Pages

    Attach additional pages as necessary, as directed by the form.

  4. 4

    File With the Records Administrator

    File the completed questionnaire with the appropriate records administrator; observe the filing timing stated on the form when applicable.

Frequently asked questions

Who files the Conflict of Interest Questionnaire?
A vendor with a business relationship with a local governmental entity files it when the relationships, gifts, or family connection described on the form apply.
Do I need a notary for the Conflict of Interest Questionnaire?
No. The questionnaire is signed and dated without a notary, and it mentions no notarized attachment or sworn step.
How do I submit the Conflict of Interest Questionnaire?
File the completed questionnaire with the appropriate records administrator. The form states a seven-business-day filing requirement when applicable.
What information does the questionnaire ask for?
It asks for vendor and local government officer names, details of certain business or family relationships, and answers about taxable income and gifts.

Need something notarized?

This Conflict of Interest Questionnaire doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.