Fort Worth, TX · Tarrant County
Vendor Conflict of Interest Questionnaire (Form CIQ)
Vendors with qualifying business relationships with the City of Fort Worth use this questionnaire to disclose relationships or gifts involving local government officers.
What this form is
The Vendor Conflict of Interest Questionnaire is for vendors who have a business relationship with a local governmental entity and meet the filing requirements stated on the form. It asks for vendor and officer names, details about business or family relationships and gifts, and the signatory’s name, signature, and date. The form also includes a checkbox for updates and space to attach additional pages.
Who needs it
A vendor with a qualifying business or family relationship, or gifts involving a local government officer, may need to file this questionnaire.
How to submit it
File the completed questionnaire with the local governmental entity’s records administrator. The form says filing is required by the seventh business day after the applicable event or awareness described in the form.
About notarization
This document is signed and dated without a notary; the form calls for the signatory’s name and signature but does not identify a notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Vendor Conflict of Interest Questionnaire (Form CIQ).
- 2
Complete The Questionnaire
Enter the vendor and officer information and describe the relationships or gifts requested by the form.
- 3
Attach Additional Pages
Attach additional pages if needed to describe each employment or business relationship.
- 4
Sign And Date
Provide the signatory’s name, signature, and date.
- 5
File With The Records Administrator
File the completed questionnaire with the local governmental entity’s records administrator within the applicable timing stated on the form.
Frequently asked questions
- Who files the Vendor Conflict of Interest Questionnaire?
- A vendor with a business relationship with a local governmental entity must file when the circumstances described on the form apply, including certain officer relationships, gifts, or family relationships.
- What information does Form CIQ request?
- It asks for the vendor’s name, the officer’s name, details of specified business or family relationships and gifts, and the signatory’s name, signature, and date.
- Do I need a notary for the Vendor Conflict of Interest Questionnaire?
- No. The form provides for a signature and date, with no notary block or notarized attachment identified.
- How do I submit the Vendor Conflict of Interest Questionnaire?
- File the completed questionnaire with the local governmental entity’s records administrator. The form states the applicable filing timing; it does not provide a specific address or submission portal.
Need something notarized?
This Vendor Conflict of Interest Questionnaire (Form CIQ) doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.