1-02 - Conflict of Interest Questionnaire.pdf

The document is a Conflict of Interest Questionnaire (Form CIQ) for vendors or individuals doing business with a local governmental entity, as mandated by H.B. 1491, 80th Legislature, Regular Session. The form is designed to disclose potential conflicts of interest according to Section 176 of the Local Government Code, requiring vendors to provide detailed information about their business relationships with local government officers.

The questionnaire requires the filer to provide information about any business relationships that might create a potential conflict of interest, including whether the local government officer named in the form is likely to receive taxable income from the filer, whether the filer is employed by a corporation with which the local government officer serves as an officer or director, and a description of any employment or business relationships. The form must be filed with the records administrator of the local governmental entity no later than the 7th business day after becoming aware of facts requiring the statement, and knowingly violating these requirements can result in a Class C misdemeanor.