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Office:
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Please Select
District Attorney
City Controller
Party:
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Please Select
Democratic
Republican
Candidate's Name:
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Candidate's Occupation:
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Candidate's Address:
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Apt, Unit:
City:
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State:
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Zip Code:
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Please enter a valid zip code.
MAILING ADDRESS OF CANDIDATE
Is the mailing address the same as the candidate's address?
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Yes
No
Mailing Address 1:
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Mailing Address 2:
City:
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State:
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Mailing Zip Code:
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Please enter a valid zip code.
Ward:
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Please enter the two-digit ward.
Division:
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Please enter the two-digit division.
Phone Number:
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Please enter a valid phone number.
This is exactly how I wish my name to appear on the ballot.
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FIRST NAME
MIDDLE NAME OR INITIAL
LAST NAME
Please review your information below and make sure your name appears exactly as you wish it to be on the ballot. Only alphabetical characters and spaces are allowed currently.
All checkboxes are required to submit
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Petition must be printed double-sided or it will not be accepted.
Candidate is NOT a city employee or candidate is a city employee and is aware of the political activity and resign to run provisions in Article 10 of the City Charter.
I have read and understand the instructions
Article 10/Artículo 10
Instructions/Instrucciones
Submit
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