Article 3. Form Of Nomination Documents of California Elections Code >> Division 8. >> Part 1. >> Chapter 1. >> Article 3.

(a) The declaration of candidacy by a candidate shall be substantially as follows:

DECLARATION OF CANDIDACY I hereby declare myself a candidate for nomination to the office of ________ District Number ________ to be voted for at the primary election to be held ________, 20__, and declare the following to be true: My name is ___________________________. I want my name and occupational designation to appear on the ballot as follows: ______________________________________. Addresses: Residence _____________________________ _______________________________________ Business _____________________________ _______________________________________ Mailing _____________________________ _______________________________________ Telephone numbers: Day _________ Evening _________ Web site: _______________________________________ I meet the statutory and constitutional qualifications for this office (including, but not limited to, citizenship, residency, and party preference, if required). I am at present an incumbent of the following public office (if any) __________. If nominated, I will accept the nomination and not withdraw. ____________________________________ Signature of candidate

A candidate for voter- nominated office shall also complete all of the following: (1) I hereby certify that: (a) At the time of presentation of this declaration, as shown by my current affidavit of registration, I have disclosed the following political party preference, if any: ____________________. (b) My complete voter registration and party affiliation/preference history, from (10 years prior to current year) through the date of signing this document, is as follows: Party County Timeframe Registration
  (by year) ____________ ______ _________ ____________ ______ _________ ____________ ______ _________ (2) Pursuant to Section 8002.5 of the Elections Code, select one of the following: ______ Party Preference: _____________________ (insert the name of the qualified political party as disclosed upon your affidavit of registration). ______ Party Preference: None (if you have declined to disclose a preference for a qualified political party upon your affidavit of registration). Dated this ___ day of _____, 20___. _________ Signature of candidate

State of California ) County of ______________ ) ss. )

Subscribed and sworn to before me this ___ day of ________, 20____. __ ______ Notary __________ Public (or _____ other __________ official) Examined and certified by me this ________ day of ________, 20____. ____ ______ County _________ Elections ___________ Official WARNING: Every person acting on behalf of a candidate is guilty of a misdemeanor who deliberately fails to file at the proper time and in the proper place any declaration of candidacy in his or her possession which is entitled to be filed under the provisions of the Elections Code Section 18202.

(b) At the discretion of the elections official,a candidate for a judicial office, or a candidate for any office whose voter registration information is confidential under Section 2166, 2166.5, or 2166.7, may withhold his or her residence address from the declaration of candidacy. If a candidate does not state his or her residence address on the declaration of candidacy, the elections official shall verify whether the candidate's address is within the appropriate political subdivision and add the notation "verified" where appropriate on the declaration.

(a) The nomination paper shall be in substantially the following form:

NOMINATION PAPER I, the undersigned signer for ______ for nomination to the office of ____, to be voted for at the primary election to be held on the ____ day of ____, 20__, hereby assert as follows: I am a resident of ____ County and registered to vote at the address shown on this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above-named office, or in case there are several places to be filled in the above- named office, I have not signed more nomination papers than there are places to be filled in the above-named office. My residence is correctly set forth after my signature hereto: Name ____________________ Residence _______________

(b) The affidavit of the circulator shall read as follows:

AFFIDAVIT OF THE CIRCULATOR I, ______, solemnly swear (or affirm) all of the following: 1. That I am 18 years of age or older. 2. That my residence address, including street and number, is ________________________. (If no street or number exists, a designation of my residence adequate to readily ascertain its location is _______________________.) 3. That the signatures on this section of the nomination paper were obtained between _____, 20__, and _____, 20__; that I circulated the petition and I witnessed the signatures on this section of the nomination paper being written; and that, to the best of my information and belief, each signature is the genuine signature of the person whose name it purports to be. Signed __________________ Subscribed and sworn to before me this ___________ day of _____________, 20__. (SEAL) _____________ Notary Public _____________________ (or other official) Examined and certified by me this ___________ day of _____________, 20__. _________________ Elections ___________ Official WARNING: Every person acting on behalf of a candidate is guilty of a misdemeanor who deliberately fails to file at the proper time and in the proper place any nomination paper in his or her possession which is entitled to be filed under Section 18202 of the Elections Code.

(c) If the nomination paper is for a partisan office, the nomination paper shall include a statement indicating the party preference of the signer of the nomination paper.