Everman, TX · Tarrant County
Conflict of Interest Questionnaire (Form CIQ)
Vendors and other people doing business with the local governmental entity use this questionnaire to disclose affiliations or relationships that may create a conflict of interest.
What this form is
This questionnaire is filed by a vendor or other person doing business with the local governmental entity to disclose affiliations or business relationships that may involve a local government officer or employee. It asks for the filer’s name, relevant relationships, officer details, answers about taxable income and business interests, any other potential conflict, and the filer’s signature and date; additional pages may be attached.
Who needs it
A vendor or other person doing business with the local governmental entity files this questionnaire when facts require a conflict-of-interest statement.
How to submit it
File the completed questionnaire with the records administrator of the local government, as stated on the form; it does not provide an address, email, or portal.
About notarization
This questionnaire is signed and dated without a notary; it allows additional pages if needed, but does not say they must be sworn or notarized.
How to submit this form
- 1
Download The Questionnaire
Download the Conflict of Interest Questionnaire PDF.
- 2
Complete The Form
Enter the requested filer and relationship information, answer the applicable questions, and sign and date the questionnaire.
- 3
Gather Additional Pages
Attach additional pages if needed to describe relationships for each officer or provide other requested details.
- 4
Submit To The Records Administrator
File the completed questionnaire with the records administrator of the local government.
Frequently asked questions
- What is the Everman Conflict of Interest Questionnaire for?
- Vendors and other people doing business with the local governmental entity use it to report affiliations or business relationships that may involve a local government officer or employee.
- Who completes Form CIQ?
- The form is for a vendor or other person doing business with the local governmental entity. It asks for the filer’s information and details about relevant relationships.
- Do I need a notary for the Conflict of Interest Questionnaire?
- No. The questionnaire calls for the filer’s signature and date, not notarization. It permits additional pages but does not say they must be sworn or notarized.
- How do I submit the Conflict of Interest Questionnaire?
- The form says to file the completed questionnaire with the local government’s records administrator. It does not provide an address, email, or online submission portal.