Cleburne, TX · Johnson County
Conflict of Interest Questionnaire
Vendors and others doing business with the local government use this questionnaire to disclose affiliations or business relationships that may involve a conflict of interest.
What this form is
A vendor or other person doing business with the local government files this questionnaire to disclose affiliations or business relationships involving local government officers, employees, or contractors. The form asks for the filer’s name, relationship details, answers to questions about taxable income and business affiliations, and a signature and date. It says to file when facts require a statement and to file an update if a previous questionnaire becomes incomplete or inaccurate.
Who needs it
A vendor or other person doing business with the local government files this questionnaire when facts require a conflict-of-interest statement.
How to submit it
File it with the local government’s records administrator, as the form directs; the document does not provide an address, email, portal, or fee.
About notarization
This document is signed without a notary; the signer just signs and dates it, and the form does not mention a notarized or sworn attachment.
How to submit this form
- 1
Download The Questionnaire
Download the Conflict of Interest Questionnaire PDF.
- 2
Complete The Form
Enter the requested information about the filer and relevant affiliations or business relationships, then sign and date the form.
- 3
Gather Additional Pages
Attach additional pages as necessary to describe relationships for each officer, as directed by the form.
- 4
Submit To The Records Administrator
File the completed questionnaire with the local government’s records administrator.
Frequently asked questions
- Who files the Conflict of Interest Questionnaire?
- A vendor or other person doing business with the local governmental entity files the questionnaire when facts require a statement. It asks about certain affiliations and business relationships.
- What information does the questionnaire request?
- It requests the filer’s name, details of specified affiliations or business relationships, answers to questions about taxable income and business affiliations, and the signer’s signature and date.
- Do I need a notary for the Conflict of Interest Questionnaire?
- No. This document is signed without a notary; the signer just signs and dates it. The form does not mention a notarized or sworn attachment.
- How do I submit the Conflict of Interest Questionnaire?
- File it with the local government’s records administrator, as the form directs. The document does not provide an address, email, portal, or fee.
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.