2-02 - Conflict of Interest Questionnaire.pdf

This document is a Conflict of Interest Questionnaire (Form CIQ) for vendors or persons doing business with a local governmental entity, as mandated by H.B. 1491, 80th Leg., Regular Session. The form is designed to disclose any changes in business relationships between a person and a local governmental entity, in accordance with Chapter 176 of the Local Government Code. The questionnaire requires detailed information about potential conflicts of interest, including whether the filer has a business relationship with a local government officer and specifics about any employment or financial connections.

The form requires the filer to provide information about any taxable income received from or related to the local government entity, employment status with corporations or businesses connected to the local government officer, and a description of any employment or business relationships. Failure to properly complete and file the questionnaire within the specified timeframe (no later than the 7th business day after the date the questionnaire becomes incomplete or inaccurate) could result in a Class C misdemeanor. The form was adopted on 06/29/2007 and includes sections for the filer to check if they are updating a previously filed questionnaire and to detail their relationships with local government officers.