State of West Virginia, County of................... , ss:
This certifies that the holder of this credential is hereby authorized to solicit and canvass duly registered voters residing in.................... (here place the county, district or other political division represented by the office sought) to sign a certificate purporting to nominate ............................ (here place name of candidate heading list on certificate) for the office of ............................. and others, at the general election to be held on......................... , 20......
Given under my hand and the seal of my office this................. day of........................ , 20......
.................................................
Clerk, county commission of................... County.
The clerk of each county commission, upon proper application made as herein provided, shall issue such credentials and shall keep a record thereof.
The Secretary of State shall prescribe the form and content of the nomination certificates to be used for soliciting signatures.
Offices to be filled by the voters of more than one county shall use separate petition forms for the signatures of qualified voters for each county.
Notwithstanding any other provision of this code to the contrary, a duly registered voter may sign the certificate provided in this section and may vote for candidates of his or her choosing in the corresponding primary election.
W. Va. Code § 3-5-23