2023 Nomination Paper
Name of Political Body
*
No more than three words
Creator's Name:
*
Creator's Address :
*
Enter the House no.
Apt, Unit :
Enter the Street or Road
Zip Code:
*
Phone Number
Please enter a valid phone number.
City:
*
Creator’s Email Address
example@example.com
Candidate Information:
*
OFFICE TITLE
DISTRICT
NAME OF CANDIDATE
HOUSE NO.
STREET OR ROAD
OCCUPATION
1st Candidate Info.
MAYOR
CITY COMMISSIONER
CITY CONTROLLER
REGISTER OF WILLS
SHERIFF
CITY COUNCIL AT-LARGE
DISTRICT COUNCIL
1
2
3
4
5
6
7
8
9
10
2nd Candidate Info.
MAYOR
CITY COMMISSIONER
CITY CONTROLLER
REGISTER OF WILLS
SHERIFF
CITY COUNCIL AT-LARGE
DISTRICT COUNCIL
1
2
3
4
5
6
7
8
9
10
3rd Candidate Info.
MAYOR
CITY COMMISSIONER
CITY CONTROLLER
REGISTER OF WILLS
SHERIFF
CITY COUNCIL AT-LARGE
DISTRICT COUNCIL
1
2
3
4
5
6
7
8
9
10
4th Candidate Info.
MAYOR
CITY COMMISSIONER
CITY CONTROLLER
REGISTER OF WILLS
SHERIFF
CITY COUNCIL AT-LARGE
DISTRICT COUNCIL
1
2
3
4
5
6
7
8
9
10
Committee Member Information:
*
Name of Committee Member
House No.
Street or Road
City, Boro or Twp.
Committee Member 1
Committee Member 2
Committee Member 3
Committee Member 4
Committee Member 5
All checkboxes are required to submit
*
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
Instructions
Submit
Should be Empty: