Form Ec-1a - Declaration Of Candidacy

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DECLARATION of CANDIDACY
For ___________________________________________________________
(Please print name exactly as you wish it to appear on the ballot.)
FOR THE OFFICE OF _______________________________________________________
Seat or Position (if applicable) _______________________________________________________
I, the undersigned, being a resident of ______________________________________________ District,
State of Idaho, do hereby declare myself to be a candidate for the office of _____________________________,
for a term of _______ years, to be voted for at the __________________ Election to be held on the _______
day of __________________, _________ and that my residence address is _____________________________
_________________________________________________________________________________________.
I further certify that I possess the legal qualifications to hold said office.
Date: __________________, _______
Signed ____________________________________
Subscribed and sworn to before me this _______ day of __________________, _________.
(Notary Seal)
Signed ____________________________________
Notary Public
Residing at _________________________________
Commission Expires _________________________
INSTRUCTIONS
CANDIDATE:
This Declaration of Candidacy must be accompanied by the Petition of Candidacy signed by
not less than 5 electors of your specific district or zone. It must also be submitted to the Clerk of the District no
later than the last day of candidate filing.
CLERK OF THE DISTRICT:
Upon receipt of this Declaration of Candidacy:
1. Verify that the Petition of Candidacy is signed by not less than 5 electors.
2. If the Petition of Candidacy was not verified by the County Clerk prior to submission to your office,
contact the County Clerk’s Election Office to verify that the 5 electors are properly registered
electors.
a. If the electors are required to be residents of the candidate’s zone, verify that the electors are
in the correct zone.
3. Stamp or write the date and time of receipt on the front of this document.
4. Complete the statement below and transmit a copy of this Declaration of Candidacy to the County
Clerk for ballot preparation.
I, __________________________________, certify that the qualifications of the candidate have been verified,
including the validity of the electors signing the Petition of Candidacy, and that the individual meets the
requirements to run for the office indicated on the Declaration of Candidacy.
______________________________________________________________________________
Signature of the Clerk of the District
Date
COUNTY CLERK:
Upon receipt of this Declaration of Candidacy, stamp the date and time of receipt on
the front of this document. This document is to be used for ballot preparation.
EC-1A, Approved Secretary of State, January 2011

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