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Click ‘Get Form’ to open the conflict of interest form 236 in the editor.
Begin by entering your name and address in the designated fields at the top of the form. This identifies you as the public servant submitting the statement.
Next, provide your title or position with the governmental entity. This information is crucial for context regarding your role.
Indicate the governmental entity and county where you serve. This helps clarify which organization is involved.
Select whether this disclosure is a 'single transaction' or 'annual' statement by checking the appropriate box.
List the names of contractors or vendors involved in your financial interests in section 5.
In section 6, describe the contracts or purchases, including effective dates and terms if known. If applicable, mention any dependents involved.
Detail your financial interest in section 7, explaining how you expect to benefit from these contracts or purchases.
If required, have an appointing officer complete section 8 for approval of your participation in these contracts.
Finally, sign and date the affirmation section to confirm that all statements are true and complete before submitting it to your governmental entity.
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Conflicts of interest are defined by remuneration in any amount from the commercial interest(s) in the form of grants; research support; consulting fees; salaryRead more
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