1-Form 1295.pdf

This is a Certificate of Interested Parties form (Form 1295) provided by the Texas Ethics Commission, which is required documentation for state and local government contracts in Texas. The form must be completed online with items 1, 2, 3, 5, and 6 filled out, requires a signature from an authorized agent of the contracting business entity, but does not need to be notarized. The form captures essential information including the name and location of the business entity filing the form, the governmental entity or state agency that is party to the contract, and the identification number and description of services or goods being provided under the contract.

The form includes a section for identifying interested parties with controlling or intermediary interests in the contracting business, along with their locations and nature of interest. There is an option to check if no interested parties exist, and the form requires an unsworn declaration section with the declarant's personal information, address, and signature. The document includes space for additional pages if necessary and was last revised on December 22, 2017, serving as a transparency measure to identify parties with financial interests in government contracts.