The statement for precinct committeeman or committeewoman shall be in the following form:
Precinct Committeeman or Committeewoman Statement
I, _______________________, of ______________ County, declare myself a candidate for the position of ________________ (insert party) Party Precinct ____________ (insert committeeman or committeewoman) for Precinct No. _________ . My mailing address is ________________, __________, SD ________ my residence address is ___________________, ___________, SD ________, my email address is __________, and my telephone number is _______________.
I understand that to be a Precinct Committeeman or Committeewoman, I am a resident of the precinct, I am a registered voter of the political party named above at the time I sign this statement, and if elected, will serve in the office.
I certify all of the above information to be true.
Print Name ______________________________
Date ____________
Signature _______________________________
Telephone Number __________________
S.D. Admin. R. 5:02:08:45
General Authority: SDCL 12-1-9(7).
Law Implemented: SDCL 12-5-4, 12-6-3.2, 12-5-4.