Cal. Elec. Code § 10511
The declaration of candidacy shall be in substantially the following form:
I, _________________, do hereby declare myself as a candidate for election to the office of ___________________. (__ Initial here if the office for which you are running is for the balance of an unexpired term.) I am a registered voter. If elected, I will qualify and accept the office of __________________ and serve to the best of my ability. I request my name be placed on the official ballot of the district for the election to be held on the ___ day of _______, 20__, and that my name appear on the ballot as follows: _____ (Print name above) _____ My current residence address is and my telephone number is. | |
I desire the following occupational designation to appear on the ballot under my name: _____ (Print desired designation, if any, above) _____ | |
This occupational designation is true and in conformance with Section 13107 of the Elections Code. | |
I am aware that any person who files or submits for filing a declaration of candidacy knowing that it or any part of it has been made falsely is punishable by a fine or imprisonment, or both, as set forth in Section 18203 of the Elections Code. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. | |
Executed on, 20__, at (Place) | |
_____ (Signature of Candidate) _____ |
Ca. Elec. Code § 10511