Get (2/93) Form 236 Uniform Conflict Of ... - State Of Indiana - State In

Filling out the (2/93) Form 236 is essential for public servants in Indiana to disclose any potential conflicts of interest. This guide will provide clear and detailed instructions on how to complete the form online effectively and accurately.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by entering your name and address in the first field provided. This information identifies you as the public servant submitting the statement.
3. In the next field, provide your title or position with the governmental entity. Make sure this accurately reflects your position.
4. Fill out the governmental entity's name and the county where you serve. Ensure these details correspond with your official records.
5. Indicate whether the disclosure is a 'single transaction' or an 'annual' statement by checking the appropriate box. This choice affects the information required in subsequent fields.
6. List the names of any contractors or vendors involved with whom you have a financial interest.
7. In this section, provide a detailed description of the contract or purchase. Include specifics such as the type of contract, effective date, and term of the purchase.
8. Describe your financial interest in the aforementioned contract or purchase. Be transparent about how you or your dependent would benefit financially.
9. If you were appointed by an elected official, complete the approval section, including the title of the officer and the name of the governing body. Ensure it is signed appropriately.
10. Record the effective dates for the submission and action on the contract or purchase, as required by the form.
11. Affirm your submission by signing and dating the form at the bottom, confirming the truthfulness of your disclosure.
12. After completing the form, you may choose to save your changes, download, print, or share the form as necessary.

Complete your disclosure forms online to ensure compliance and transparency in your governmental role.