"This REFERENDUM PETITION is addressed to the Honorable ____, County Clerk/City Recorder/Town Clerk:
The citizens of Utah who sign this petition respectfully order that (description of local law or portion of local law being challenged), passed by the ____ be referred to the voters for their approval or rejection at the regular/municipal general election to be held on __________(month\day\year)."
"I have personally read the entirety of each statement presented on this device;
I am personally signing this referendum petition;
I am registered to vote in Utah; and
All information I enter on this device, including my residence and post office address, is accurate.
It is a class A misdemeanor for an individual to sign a referendum petition with a name other than the individual's own name, or to knowingly sign the individual's name more than once for the same referendum petition, or to sign a referendum petition when the individual knows that the individual is not a registered voter.
Do you wish to continue and sign this referendum petition?"
Utah Code § 20A-7-614