Form B-2 - Self- Nomination And Acceptance - Colorado Department Of Local Affairs printable pdf download

Form B-2 - Self- Nomination And Acceptance - Colorado Department Of Local Affairs

SELF- NOMINATION AND ACCEPTANCE

32-1-804.3, C.R.S.

(Full name of the candidate as the name will appear on the ballot)

who reside at:

(residence street name and number)

(mailing address if different from residence address)

(city or town, zip code)

(county)

hereby nominate myself and accept such nomination for the office of Director for a

(

) year term

on the Board of Directors of

District at

the

election and will serve if elected.

(Date of election)

I affirm that I am an eligible elector of

District and

am an eligible elector at the date of signing this Self-Nomination and Acceptance form.

Phone Number of Candidate

Printed Name of Candidate

Signature of Candidate

Date

Information provided by the witness who is a registered elector:

(residence street name and number)

(mailing address if different from residence address)

(city or town, zip code)

(county)

Phone Number of Witness

Printed Name of Witness

Signature of Witness

Date

Form must be filed with the Designated Election Official of the District not less than 67 days prior to the

regular election (

Received at _________________________, Colorado, this _____ day of ____________________,

By: ______________________________, Designated Election Official

______________________________ District, _____________________ County, Colorado

B-2

Colorado Department of Local Affairs

Form B-2 - Self- Nomination And Acceptance - Colorado Department Of Local Affairs