8-Attachment 6 - Conflict of Interest Questionnaire.pdf

This document is a Conflict of Interest Questionnaire (Form CIQ) provided by the Texas Ethics Commission, designed for vendors conducting business with local governmental entities. The form is part of Chapter 176, Local Government Code, and requires vendors to disclose any potential conflicts of interest when engaging in business relationships with local government. The questionnaire must be filed with the records administrator of the local governmental entity no later than the 7th business day after becoming aware that a statement is to be filed.

The form requires vendors to provide detailed information about their business relationships, including any employment or business connections with local government officers or their family members. Key sections ask vendors to indicate if they or their family members are receiving taxable income from the government entity, if they have any ownership interests in corporations where local government officers serve, and if they have provided gifts to local government officers. Vendors must sign and date the form, and failure to properly complete and file the questionnaire could result in a misdemeanor offense under local government code.