recall of congressional, county and state officials · 2019-02-13 · 9.10(2)(d), registration is...

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Wisconsin Elections Commission 212 East Washington Avenue, Third Floor P.O. Box 7984 Madison, WI 53707-7984 Phone: (608) 266-8005 FAX: (608) 267-0500 HTTP://elections.wi.gov RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS February 2018

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Page 1: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

Wisconsin Elections Commission 212 East Washington Avenue, Third Floor P.O. Box 7984 Madison, WI 53707-7984

Phone: (608) 266-8005 FAX: (608) 267-0500 HTTP://elections.wi.gov

RECALL OF CONGRESSIONAL, COUNTY AND STATE

OFFICIALS

February 2018

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Introduction

Recall gives voters the right to reconsider their choice of an elected official; however, it does

not automatically result in removal of an official from office. It provides an opportunity for

voters to require an elected official to run for office again before the expiration of his or her

term. The requirements for initiating recall efforts are very specific and must be carefully

followed.

The statutory provisions for recalling state, county, congressional, legislative, and judicial

elected officials are provided in Wis. Stat. § 9.10 and Wis. Adm. Code EL Ch. 2. These include

registering with the appropriate filing officer, and preparing, circulating, and filing a recall

petition.

A Glossary of Terms used in the discussion of recall procedures is found on pages 11-12.

Recall of Congressional, County and State Officials: Wis. Stat. § 9.10(1) and (3)

The qualified electors of any state, county, congressional, legislative, judicial, or of any

prosecutorial unit may petition for the recall of any incumbent elected official by filing a

petition with the same official or agency with whom nomination papers or declarations of

candidacy for the office are filed, demanding the recall of the officeholder. The right to recall

congressional, judicial, legislative, or county officials has been provided by the Wisconsin

Constitution since November, 1926. See Wisconsin Constitution, Article XIII, Section 12.

Recall of Local Elected Officials

The qualified electors of any city, village, town, town sanitary district, or school district may

also petition for the recall of any incumbent elected official. Please see the Wisconsin Elections

Commission Manual “Recall of Local Elected Officials” with information on this process.

Who Can be Recalled?

Any elected officeholder who has served a minimum of one year of the term for which he or she

was most recently elected, as of the date the recall petition is offered for filing, can be recalled.

Wis. Stat. § 9.10(2)(s).

After one recall petition and recall election, no further recall petition may be filed against the

same official during the term for which he or she was elected. Wis. Stat. § 9.10(6).

A recall election should not be held if the regular term of an elected officeholder’s position is

scheduled for re-election at a Spring Election or General Election to be held within six weeks of

the date the recall petition is certified as sufficient by the local filing officer.

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Who Can Petition for a Recall?

Any qualified elector of the election district from which the officeholder was elected may

initiate a recall. A qualified elector is a United States citizen, 18 years of age or older, who has

resided in the district or jurisdiction for at least 10 days.1 Disqualification of electors is

addressed in Wis. Stat. § 6.03. A disqualified elector under Wis. Stat. § 6.03, may not petition

for a recall. The person who files the recall petition is referred to as the petitioner.

Registration of a Recall Committee: Wis. Stat. §9.10(2)(d)

Before circulating a petition for recall the petitioner must register with the appropriate filing

officer (See “Glossary of Terms” for definition of filing officer). Pursuant to Wis. Stat. §

9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under

Wis. Stat. § 11.0902.

Pursuant to Wis. Stat. § 9.10(2)(d), a Statement of Intent to Circulate Recall Petition (EL-170i)

must be attached to the registration form indicating:

• Petitioner’s intent to circulate a recall petition.

• Name of the officeholder for whom recall is sought.

A sample Statement of Intent to Circulate Recall Petition is included with this manual.

After the petitioner has filed the required registration documents with the filing officer,

circulation of the petition may begin.

Circulating the Recall Petition: Wis. Stat. § 9.10(2)(d)

Circulation of the recall petition must be completed within 60 days after the petitioner files a

campaign registration statement and intent to circulate a recall petition with the filing officer.

The completed petition must be offered for filing (submitted to the filing officer), no later than

5:00 p.m. on the 60th day after the date of registration. Any signature on a recall petition that is

dated either before the date of registration or more than 60 days after the registration date is

invalid.2

If the deadline for submitting the petition falls on a weekend or holiday, the peti tion must be

filed by the next business day, but valid signatures may not be dated outside of the 60-day

circulation window.

1 The 28-day residency requirement in Wis. Stat. § 6.02(1) is currently stayed pursuant to a federal court order in One

Wisconsin Institute, Inc., et al. v. Thomsen, et al. The length of the residency requirement for future recall petitions

may be affected by the final outcome of the One Wisconsin Institute litigation. 2 Measuring 60 days from the date of registration results in 61 actual days during which petition signatures are valid.

2

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Number of Signatures Required: Wis. Stat. § 9.10(1)(b)

The petition must contain the signatures of qualified electors equal to at least 25% of the vote

cast for the office of Governor at the last General Election held within the same district or

jurisdiction as that of the officeholder. The filing officer is required to determine, and inform

any interested person upon request, the number of signatures required to recall an officeholder

of that district or jurisdiction. To calculate the required number of signatures, refer to the

election results page of the agency website: http://elections.wi.gov/elections-voting/results.

Petition Format Requirements: Wis. Stat. § 9.10(2)

The format of a recall petition must meet certain statutory requirements found in Wis. Stat.

§ 9.10(2). In addition, other requirements as to preparation and form of the petition are

governed by Wis. Stat. § 8.40 and Wis. Adm. Code EL Ch. 2. A sample Recall Petition (EL-

170) is included with this manual.

Recall petition requirements:

• Every recall petition must have on its face, at the top of each petition page, in bold print,

the words “RECALL PETITION.”

• The recall petition must identify the name of the officeholder. Only one officeholder can

be named on a recall petition. If more than one officeholder is to be recalled, a separate

petition must be circulated and filed for each.

Each petition must provide a space for electors to:

• Sign their name.

• Print their name.

• List their municipality of residence, along with the post office address, including street

and number, if any, or rural route (the address must be complete and clearly show that

the signer resides in the district or jurisdiction represented by the officeholder).

• List the date of signing.

• Each separate sheet of a recall petition must contain a completed Certification of

Circulator.

Individual Signature Requirements

The specific requirements that apply to each signature on a recall petition are listed here and can

also be found in Wis. Stat. § 8.40, 9.10(2) and Wis. Adm. Code EL § 2.09, which incorporates

by reference the requirements of Wis. Adm. Code EL § 2.05.

• The signature listed must be that of a qualified elector of the jurisdiction or district

represented by the officeholder.

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• The legible, printed name of the signer.

• The full address, including municipality of residence, of each signer must be listed on

the petition and must be within the election district or jurisdiction of the officeholder.

• Each signature must be dated when it is affixed to the petition.

• The date of the signature must be within 60 days from the date the recall petitioner

registered with the filing officer. The date of the signature may not be before the date

the recall petitioner registered with the filing officer.

• The date of the signature must not be later than the date of the circulator’s signature in

the Certification of Circulator.

Certification of Circulator: Wis. Stat. §§ 9.10(2)(a) and 8.40(2)

Each page of a recall petition must contain the Certification of Circulator. The language of the

certification must comply with the requirements of Wis. Stat. § 8.40(2). The certification must

be completed by the circulator, after the signatures are obtained.

Specific requirements of the circulator are:

• The circulator must list his or her full address, including municipality of residence, and

street and number, if any, or rural route. Other information, such as state of residence

and zip code, is not required.

• The circulator must sign and date the certification after he or she has obtained the

signatures.

• The person signing as circulator must have personally circulated the petition and

personally obtained each of the signatures on the paper.

• The certification must state that the circulator is aware that falsifying the certification is

punishable under Wis. Stat. § 12.13(3)(a).

Review of Petition by Filing Officer: Wis. Stat. § 9.10(3)(b)

The filing officer should notify the official subject to the recall that a petition has been offered

for filing against him or her. This is not required by law, but is a recommended practice.

Within 31 days after the petition is offered for filing, the filing officer is required to determine

the sufficiency of the petition. Wis. Stat. § 9.10(3)(b). (See also Wis. Adm. Code EL §§ 2.05

and 2.09, regarding the treatment and sufficiency of petitions.) A careful review of the petition

must be done by the filing officer to verify that:

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• The format of the petition follows the requirements of Wis. Stat. § 8.40.

• The petition contains all the information required under Wis. Stat. § 9.10, and clearly

informs the electorate of the intentions of the petitioner.

• Each signer is a qualified elector of the district represented by the officeholder.

• The address listed by each signer is within the district represented by the officeholder.

• The date of signing for each elector is within the 60-day circulation period, and not later

than the date the certification was signed by the circulator.

• The circulator has properly completed the Certification of Circulator (See previous

section for requirements of circulator.)

The information on the petition is presumed to be valid. The filing officer is not required to

consult extrinsic resources in reviewing the petitions, but may do so if time permits.

Certificate of Sufficiency/Insufficiency: Wis. Stat. §9.10(3)(b)

The filing officer’s findings must be stated in a certificate attached to the petition within 31 days

after the petition is offered for filing. The certificate must state the number of petition sheets

filed with the filing officer and the number of valid signatures. If the petition is found to be

sufficient, the filing officer shall file the petition and transmit the certificate and petition to the

appropriate governing body, subject to the special note in the next paragraph. The WEC or

county clerk shall then promptly call a recall election. If the petition is found to be insufficient,

the certificate shall state the specific items creating the insufficiency.

Special Note: The filing officer should allow at least 10 days after the petition has been offered

for filing to issue a certificate of sufficiency to allow time for a challenge to the petition.

Correcting an Insufficient Petition: Wis. Stat. § 9.10(3)(b)

If a recall petition is found to be insufficient the certificate shall state the particulars creat ing the

insufficiency and a petitioner may amend the petition by filing affidavits or other proof

correcting certain insufficiencies within 5 days following the attachment of the original

certificate by the filing officer. Wis. Stat. § 9.10(3)(b).

Correctable insufficiencies as prescribed by Wis. Stat. § 9.10(2)(e) and (r), include, but are not

limited to:

• The failure of the circulator to sign the certification or to include all required

information.

• The person signing the petition omitted the date or wrote the incorrect date.

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• The failure of the circulator to write his or her complete address on the certification.

Within 5 days after the amended petition is offered for filing, the filing officer shall again

carefully examine the face of the petition to determine its sufficiency and attach an amended

certificate stating the findings. Wis. Stat. § 9.10(3)(b).

If the filing officer makes a finding that the petition is sufficient, he or she shall immediately

attach a certificate of sufficiency, file the petition, and call a recall election. For County-level

offices, the county clerk is required to call the election, while the WEC would call any potential

recall elections for state and federal offices.

Challenges to a Recall Petition: Wis. Stat. § 9.10(3)(b)

Within 10 days after a recall petition is offered for filing with the appropriate filing officer, the

officeholder can challenge the sufficiency of the recall petition. The challenge must be made in

the form of a written, sworn complaint and filed with the filing officer who received the recall

petition. Wis. Stat. § 9.10(3)(b). and Wis Adm. Code EL Ch. 2.

The challenge must specify any alleged insufficiency in the petition. Wis. Stat. § 9.10(3)(b),

and Wis. Adm. Code EL Ch. 2. Any challenge to the validity of signatures on a recall petition

must demonstrate by affidavits or other supporting evidence a failure to comply with statutory

requirements. The burden of proof is on the challenger. The information on a recall petition is

presumed to be valid unless proven otherwise. Wis. Adm. Code EL Ch. 2.05(4).

Some of the grounds for challenge and the resulting effect are:

• Grounds: An elector has signed the recall petition more than once.

Resulting Effect: The second and subsequent signatures are not counted.

• Grounds: A person signed the name of another elector.

Resulting Effect: The signature may not be counted, unless the elector was unable to sign

due to physical disability and authorized the individual to sign on his or her behalf. In

this case, a notation clarifying the situation should be made on the petition by the signer.

• Grounds: An individual is ineligible to sign the petition because he or she is not a

qualified elector of the district or jurisdiction.

Resulting Effect: The signature may not be counted.

• Grounds: A challenger establishes that the purpose of the petition was misrepresented by

the circulator and the signer was not aware of the purpose of the petition.

Resulting Effect: The signature may not be counted.

• Grounds: A signature is obtained before the first day for circulation, after the last day for

circulation, or after the date of certification contained in the certificate of circulator.

Resulting Effect: The signature may not be counted.

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When a challenge is made, the filing officer must review the challenge, all rebuttals, and replies,

and make a determination of sufficiency within 14 days after the expiration of time allowed for

such challenges, rebuttals, and replies as set forth below. Wis. Stat. § 9.10(3)(b).

Rebuttals and Replies: Wis. Stat. § 9.10(3)(b)

The filing officer is required to determine the sufficiency of the petition within 31 days after the

petition is offered for filing. Wis. Stat. § 9.10(3)(b). If a challenge is filed within 10 days after

the petition is offered for filing, the following schedule for a rebuttal, reply, and final

sufficiency determination totals the maximum 31 days for determining sufficiency of the

petition.

Within 5 days after a challenge is filed, the petitioner may file, with the filing officer, a written

rebuttal to the challenge.

Within 2 days after the filing of a rebuttal, the officeholder may file a reply to any new matter

raised in the rebuttal.

Within 14 days after the expiration of time allowed for the officeholder to file a reply to the

rebuttal, the filing officer shall file the certificate of sufficiency/insufficiency.

Appeal of Determination of Sufficiency: Wis. Stat. § 9.10(3)(bm)

Within 7 days after an official makes a final determination of sufficiency or insufficiency of a

recall petition, the petitioner or the officer against whom the recall petition is filed may file a

petition for a writ of mandamus or prohibition with the circuit court for the county where the

recall petition is offered for filing. Upon filing of such a petition, the only matter before the

court shall be whether the recall petition is sufficient. The court may stay the effect of the filing

officer’s order while the petition is under advisement and may order the filing officer to revise

the election schedule contained in the order, if a revised schedule is necessitated by judicial

review. Whenever the recall petitioner files a petition, the officer against whom the recall

petition is filed shall be a party to the proceeding. The court shall give the matter precedence

over other matters not accorded similar precedence by law.

Date of Recall Election: Wis. Stat. § 9.10(3)(b)

The filing officer shall call a recall election promptly after a certificate of sufficiency is filed.

The recall election shall be held on the Tuesday of the 6th week commencing after the date on

which the certificate of sufficiency is filed. If the 6 th Tuesday is a legal holiday, the recall

election shall be held on the first day after Tuesday which is not a legal holiday.

Recall Primary: Wis. Stat. § 9.10(3)(d-f)

If more than two persons compete for the office, a recall primary will be held on the date

originally set for the recall election. The recall election will then be held on the Tuesday of the

fourth week after the recall primary. If that day is a legal holiday, the recall election will be

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held on the first day after Tuesday which is not a legal holiday. Wis. Stat. § 9.10(3)(f).

The two candidates receiving the highest number of votes in the recall primary will be certified

to appear on the ballot in the recall election.

Non-Partisan Office

If in a recall primary for a non-partisan office, the incumbent officeholder or any other

candidate at the recall primary receives the majority of the total number of votes cast in the

recall primary, that person shall be elected to serve for the remainder of the unexpired term of

the incumbent and the recall election will not be held. Wis. Stat. § 9.10(3)(d).

Partisan Office

For any partisan office, a recall primary shall be held for each political party which is entitled to

a separate ballot under Wis. Stat. § 5.62 (1) (b) or (2), and from which more than one candidate

competes for the party's nomination in the recall election. The primary ballot shall be prepared

in accordance with Wis. Stat. § 5.62, insofar as applicable. The person receiving the highest

number of votes in the recall primary for each political party shall be that party’s candidate in

the recall election. Independent candidates shall be shown on the ballot for the recall election

only. Wis. Stat. § 9.10(3)(e).

Candidates at the Recall Election: Wis. Stat. § 9.10(3)(c)

The officeholder against whom the recall petition is filed shall automatically appear on the

ballot as a candidate at the recall election, or at the primary if a primary is required, unless the

officeholder resigns within 10 days after the date the certificate of sufficiency is issued.

All other candidates must file a registration statement,circulate and file nomination papers (EL-

168 or 169), and file a declaration of candidacy (EL-162) with the appropriate filing officer. A

Statement of Economic Interest (SEI) may be required for certain offices. For more information

regarding whether an SEI form must be filed, please contact the Wisconsin Ethics Commission

at (608) 266-8123

1) Campaign Registration Statement

Candidates at the recall election must register with the appropriate filing officer by filing a

Campaign Registration Statement,as soon as they form the intent to be a candidate and before

receiving contributions or making disbursements. The deadline for registration is 5:00 p.m.

on the 4th Tuesday before the date of the recall election or recall primary.

2) Declaration of Candidacy (EL-162)

A Declaration of Candidacy (EL-162) must also be filed by candidates at the recall election no

later than the deadline for filing nomination papers, which is 5:00 p.m. on the 4th Tuesday

before the date of the recall election or recall primary. The candidates must designate on this

form the same office title as appears on the nomination papers.

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3) Nomination Papers for Nonpartisan Office or Partisan Office

A. Nomination Papers for Nonpartisan Office (EL-169)

Candidates at the recall election for a nonpartisan office must circulate and file

nomination papers. Wis. Stat. § 9.10(3)(c). The proper form is Nomination Paper for

Nonpartisan Office (EL-169). The nomination papers must contain at least the required

minimum number of valid signatures of qualified electors and must be filed no later than

5:00 p.m. on the 4th Tuesday before the date of the recall election or recall primary.

Candidates for the recall election must designate, on their nomination papers, which

position they are seeking. Candidates in the recall election may begin circulating

nomination papers after the filing officer has scheduled the election. For the number of

signatures required, check with the filing officer, or refer to Wis. Stat . § 8.10(3).

B. Nomination Papers for Partisan Office (EL-168)

Candidates at the recall election for a partisan office must circulate and file nomination

papers. Wis. Stat. § 9.10(3)(c). The proper form is Nomination Paper for Partisan Office

(EL-168). The nomination papers must contain at least the required minimum number of

valid signatures of qualified electors and must be filed no later than 5:00 p.m. on the 4 th

Tuesday before the date of the recall election or recall primary (For the number of

signatures required, check with the filing officer, or refer to Wis. Stat. § 8.10(3).)

Candidates for the recall election must designate, on their nomination papers, which

position they are seeking. Candidates in the recall election may begin circulating

nomination papers after the filing officer has scheduled the election. For the number of

signatures required, check with the filing officer, or refer to Wis. Stat . § 8.10(3).

4) Statement of Economic Interests (SEI)

A Statement of Economic Interest (SEI) may be required for certain offices. For more

information, please contact the Wisconsin Ethics Commission at (608) 266-8123 or

[email protected].

Interim Position of Incumbent

If the officeholder resigns after the completion of the petitioner’s registration, but before the

filing of the petition, or before the primary or election, the recall proceeds unaffected. However,

the time of resignation may affect whether the resigned officeholder appears on the ballot. If the

officeholder resigns more than 10 days after the date of certification of the recall petition, the

resigned officeholder remains on the ballot for the recall primary or recall election. Wis. Stat.

§ 9.10(3)(c).

If the officeholder does not resign, he or she continues to perform the duties of the office. If the

incumbent is defeated at the recall election, he or she continues to perform the duties until a

certificate of election is issued to the successor. Wis. Stat. § 9.10(5)(b)

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Campaign Finance Disclosure Requirements

Petitioners seeking to recall elected officials and recall candidates must comply with the

campaign finance disclosure requirements of Wisconsin law, Wis. Stat . Ch. 11. For questions

about campaign finance requirements, please contact the County Clerk for county office recalls

or the Wisconsin Ethics Commission at (608) 266-8123 or [email protected].

Glossary of Terms

Certification of Circulator a statement at the bottom of each sheet of a petition, which is

signed and dated by the circulator.

Campaign Registration Statement Wisconsin Ethics Commission form, filed by petitioner to

register intent to file a recall petition; each candidate at the recall election, except for the

officeholder; and any others actively supporting or opposing the recall effort.

Circulation period a 60-day period beginning the day after registration when petition

signatures can be collected

Circulator a qualified elector who circulates a petition. A circulator is not required to be a

resident of the jursidiction or district subject to recall, but must be otherwise a qualified elector

if he or she were a resident of Wisconsin. Wis. Stat. § 6.03.

Declaration of Candidacy Wisconsin Elections Commission form (EL-162), a statement of

qualification to hold office if elected, to be filed by all candidates at the recall election, except

for the officeholder. (Sample is included with this manual.)

Filed the recall papers have been reviewed and a certificate of sufficiency or insufficiency is

attached by the filing officer.

Filing Officer for recalls of county officials, the county clerk is the filing officer; for recalls of

district attorneys, State Senators, State Representatives, Congressional Members or U.S.

Senators, the Wisconsin Elections Commission is the filing officer.

Nomination Papers Wisconsin Elections Commission form (EL-169), for nonpartisan offices,

or Wisconsin Elections Commission form (EL-168), for partisan offices, to be filed by

candidates at the recall election, except for the officeholder.

Offered for filing submitting the petition to the filing officer for review for certificate of

sufficiency or insufficiency (note: the filing officer should not accept partial petitions and make

partial determinations of sufficiency until such time as the petitioner is submitting the petition

for a complete review for sufficiency and the filing officer is prepared to make the sufficiency

determination.)

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Officeholder the elected official for whom recall is sought.

Petition Wisconsin Elections Commission form (EL-170), a sworn document which conforms

to Wis. Stat. §§ 8.40 and 9.10(2). (Sample is included with this manual.)

Petitioner the individual or group initiating and filing the recall petition.

Registration the act of filing a Campaign Registration Statement with the appropriate filing

officer along with a Statement of Intent to Recall, which includes the name of the officeholder.

Sworn Complainta written challenge, sworn to before a person authorized to administer oaths.

Questions concerning recall of local elected officials should be directed to the local filing officer

or to the Wisconsin Elections Commission, or may be addressed by consulting the

Commission’s separate Recall of Local Officials Manual. All forms and a copy of this manual

can be found at the Wisconsin Elections Commission website listed below. Forms should be

printed from the agency website for the current version.

Wisconsin Elections Commission

212 East Washington Avenue, P.O. Box 7984

Madison, Wisconsin 53707-7984

Phone: (608) 266-8005; FAX (608) 267-0500

http://elections.wi.gov

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STATE OF WISCONSIN Name of County Name of Municipality

___________________ ____________________________

_____________________________________________________________________________

STATEMENT OF INTENT TO CIRCULATE RECALL PETITION

THE UNDERSIGNED RECALL PETITIONER, _ (Print Name)

STATES HIS/HER INTENT TO CIRCULATE, PURSUANT TO Wis. Stat. § S.9.10

OF THE WISCONSIN STATUTUES, A PETITION TO RECALL,

(Indicate the name of, and office held by, the official being recalled),

FOR THE FOLLOWING REASON OR REASONS RELATED TO THE OFFICIAL

RESPONSIBILITIES OF THE OFFICIAL SOUGHT TO BE RECALLED:

(This statement should be appended to the Campaign Registration Statement (ETHCF-1) filed with the filing officer.)

Dated this day of ______________, _______ ______________________________ (Signature of Petitioner)

(Notary Not Required)

EL-170i | Rev. 2017-07 | Wisconsin Elections Commission, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 | web: elections.wi.gov |email: [email protected]

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nsin

Con

stitu

tion

and

§.9.

10 o

f the

Wis

cons

in S

tatu

tes.

(nam

e of

offi

ceho

lder

to b

e re

calle

d an

d of

fice)

. ST

AT

EM

EN

T O

F R

EA

SON

FO

R R

EC

AL

L(T

he re

ason

for r

ecal

l mus

t be

stat

ed o

n pe

titio

ns fo

r city

, vill

age,

tow

n, a

nd sc

hool

dis

trict

offi

cial

s. Th

e re

ason

mus

t be

rela

ted

to th

e of

ficia

l res

pons

ibili

ties o

f the

offi

ceho

lder

. N

o st

atem

ent o

f rea

son

is re

quir

ed to

initi

ate

the

reca

ll of

stat

e, c

ongr

essi

onal

, le

gisl

ativ

e, ju

dici

al, o

r cou

nty

offic

ials

.) __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

TH

E M

UN

ICIP

AL

ITY

USE

D F

OR

MA

ILIN

G P

UR

POSE

S, W

HE

N D

IFFE

RE

NT

TH

AN

MU

NIC

IPA

LIT

Y O

F R

ESI

DE

NC

E, I

S N

OT

SU

FFIC

IEN

T. T

HE

NA

ME

OF

TH

E M

UN

ICIP

AL

ITY

OF

RE

SID

EN

CE

MU

ST A

LW

AY

S B

E L

IST

ED

. SI

GN

ATU

RES

OF

ELEC

TOR

S PR

INTE

D N

AM

E O

F EL

ECTO

RS

STR

EET

& N

UM

BER

OR

RU

RA

L R

OU

TE

Rura

l add

ress

mus

t also

incl

ude b

ox o

r fire

no.

M

UN

ICIP

AL

ITY

OF

RE

SID

EN

CE

In

dica

te T

own,

City

, or V

illag

eD

AT

E O

F SI

GN

ING

1.

T

own

V

illag

e

City

2.

T

own

V

illag

e

City

3.

T

own

V

illag

e

City

4.

T

own

V

illag

e

City

5.

T

own

V

illag

e

City

6.

T

own

V

illag

e

City

7.

T

own

V

illag

e

City

8.

T

own

V

illag

e

City

9.

T

own

V

illag

e

City

10.

T

own

V

illag

e

City

Cer

tific

atio

n of

Cir

cula

tor

I, __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_, c

ertif

y: I

resid

e at

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(n

ame

of c

ircul

ator

)

(circ

ulat

or's

resid

ence

- in

clud

e nu

mbe

r, st

reet

, and

mun

icip

ality

) I f

urth

er c

ertif

y I a

m e

ither

a q

ualif

ied

elec

tor o

f Wis

cons

in, o

r a U

.S. c

itize

n, a

ge 1

8 or

old

er w

ho, i

f I w

ere

a re

side

nt o

f thi

s sta

te, w

ould

not

be

disq

ualif

ied

from

vot

ing

unde

r Wis

. Sta

t. §

6.03

. per

sona

lly c

ircul

ated

this

reca

ll pe

titio

n an

d pe

rson

ally

obt

aine

d ea

ch o

f th

e si

gnat

ures

on

this

pap

er. I

kno

w th

at th

e si

gner

s are

ele

ctor

s of t

he ju

risdi

ctio

n or

dis

trict

repr

esen

ted

by th

e of

ficeh

olde

r nam

ed in

this

pet

ition

. I k

now

that

eac

h pe

rson

sign

ed th

e pa

per w

ith fu

ll kn

owle

dge

of it

s con

tent

on

the

date

indi

cate

d op

posi

te h

is o

r her

na

me.

I k

now

thei

r res

pect

ive

resi

denc

es g

iven

. I s

uppo

rt th

is re

call

petit

ion.

I a

m a

war

e th

at fa

lsify

ing

this

cer

tific

atio

n is

pun

isha

ble

unde

r § 1

2.13

(3)(

a), W

is. S

tats

.

____

____

____

____

____

____

____

____

____

____

____

____

____

_ __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_ (d

ate)

(sig

natu

re o

f circ

ulat

or)

EL

-170

(Rev

.2017-08

) Th

e in

form

atio

n on

this

form

is re

quire

d by

§§.

8.4

0 an

d 9.

10, W

is. S

tats

. Th

is fo

rm is

pre

scrib

ed b

y th

e W

iscon

sin E

lect

ions

Com

miss

ion,

P.O

. Box

798

4, M

adis

on, W

I 53

707-

7984

; 608

-266

-800

5; h

ttp://

elec

tions

.wi.g

ov;

emai

l: el

ectio

ns@

wi.g

ov

Page

No.

13

Page 16: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

INST

RU

CT

ION

S FO

R P

RE

PAR

ING

RE

CA

LL

PE

TIT

ION

S

This

is a

sam

ple

reca

ll pe

titio

n fo

rm. I

t con

form

s to

the

stat

utor

y re

quire

men

ts fo

r re

call

petit

ions

. Thi

s fo

rm m

ay b

e re

prod

uced

. The

Wis

cons

in E

lect

ions

Com

mis

sion

has

det

erm

ined

that

no

disc

laim

er o

r ot

her

attri

butio

n st

atem

ent i

s req

uire

d on

reca

ll pe

titio

ns.

Reg

istr

atio

n - B

efor

e ci

rcul

atin

g a

reca

ll pe

titio

n, th

e pe

rson

s or

com

mitt

ees

seek

ing

to re

call

an e

lect

ed o

ffic

ial m

ust r

egis

ter w

ith th

e ap

prop

riate

filin

g of

ficer

indi

catin

g th

eir i

nten

t to

circ

ulat

e a

reca

ll pe

titio

n an

d th

e na

me

of th

e of

ficer

to b

e re

calle

d. P

etiti

ons f

or th

e re

call

of lo

cal e

lect

ion

offic

ials

mus

t sta

te th

e re

ason

s for

the

reca

ll w

hich

rela

te to

the

offic

ial d

utie

s of t

he p

erso

n to

be

reca

lled.

Req

uire

d Si

gnat

ures

- T

he n

umbe

r of

sig

natu

res

requ

ired

to r

ecal

l an

elec

ted

offic

ial i

s sp

ecifi

ed in

§.9

.10(

1)(b

), (c

), W

is. S

tats

. The

fili

ng o

ffic

er is

requ

ired

to d

eter

min

e an

d ce

rtify

to a

ny p

erso

n th

e nu

mbe

r of

sig

natu

res

requ

ired

on a

reca

ll pe

titio

n. It

is re

com

men

ded

that

a p

erso

n se

ekin

g to

reca

ll el

ecte

d of

ficia

ls c

onsu

lt w

ith a

n at

torn

ey c

once

rnin

g th

e va

lidity

of s

igna

ture

s on

reca

ll pe

titio

ns.

§.9.

10(2

)(e)

, Wis

. Sta

ts.

Filin

g O

ffic

er -

The

reca

ll pe

titio

n sh

all b

e di

rect

ed to

the

offic

ial w

ith w

hom

nom

inat

ion

pape

rs o

r a d

ecla

ratio

n of

can

dida

cy fo

r the

offi

ce o

f the

per

son

to b

e re

calle

d is

file

d.

Juri

sdic

tion

- The

nam

e of

the

juris

dict

ion

or d

istri

ct th

at th

e of

ficeh

olde

r rep

rese

nts s

hall

be p

lace

d on

the

reca

ll pe

titio

n, a

long

with

the

nam

e of

the

offic

ehol

der t

o be

reca

lled,

and

the

offic

e he

ld.

Rea

sons

for

Rec

all -

Rec

all p

etiti

ons f

or e

lect

ed o

ffici

als r

epre

sent

ing

city

, vill

age,

tow

n, a

nd sc

hool

dis

trict

offi

ces m

ust s

tate

reas

ons f

or th

e re

call

whi

ch re

late

to th

e of

ficia

l dut

ies o

f the

offi

cial

to b

e re

calle

d. N

o st

atem

ent o

f re

ason

is re

quir

ed to

initi

ate

the

reca

ll of

stat

e, c

ongr

essi

onal

, leg

isla

tive,

judi

cial

, or c

ount

y el

ecte

d of

ficia

ls.

The

lines

can

be

left

blan

k.

Sign

atur

es a

nd P

rint

ed N

ames

of E

lect

ors -

Onl

y qu

alifi

ed e

lect

ors o

f the

juris

dict

ion

or d

istri

ct re

pres

ente

d by

the

offic

ehol

der m

ay si

gn th

e pe

titio

n. E

ach

sign

er m

ust a

lso

legi

bly

prin

t the

ir na

me.

Res

iden

tial A

ddre

ss o

f Ele

ctor

s - E

ach

elec

tor’

s m

unic

ipal

ity o

f res

iden

ce m

ust b

e lis

ted

on th

e pe

titio

n, a

long

with

the

mai

ling

addr

ess,

incl

udin

g an

y str

eet,

fire

or ru

ral r

oute

num

ber,

box

num

ber (

if ru

ral r

oute

) and

stre

et o

r ro

ad n

ame.

The

Stre

et &

Num

ber o

r Rur

al R

oute

col

umn

for e

ach

elec

tor’

s ad

dres

s is

spl

it in

to tw

o ro

ws.

The

firs

t row

is fo

r the

stre

et a

ddre

ss.

The

seco

nd ro

w is

for t

he m

unic

ipal

ity fo

r mai

ling

purp

oses

if it

is d

iffer

ent t

hen

the

mun

icip

ality

of r

esid

ence

. The

Mun

icip

ality

of

Res

iden

ce c

olum

n fo

r ea

ch s

igni

ng e

lect

or m

ust c

lear

ly id

entif

y th

e to

wn,

vill

age

or c

ity w

here

the

elec

tor's

vot

ing

resi

denc

e is

loca

ted.

A p

ost o

ffic

e bo

x nu

mbe

r al

one

does

not

sho

w w

here

the

elec

tor a

ctua

lly re

side

s. D

itto

mar

ks th

at fo

llow

cor

rect

and

com

plet

e ad

dres

s in

form

atio

n ar

e ac

cept

able

. The

circ

ulat

or m

ay a

dd a

ny m

issi

ng o

r ille

gibl

e ad

dres

s nf

orm

atio

n be

fore

the

petit

ion

is fi

led

with

the

filin

g of

ficer

.

Dat

e of

Sig

ning

- Th

e da

te th

e el

ecto

r si

gned

the

petit

ion,

incl

udin

g m

onth

, day

and

yea

r, m

ust b

e in

dica

ted.

Ditt

o m

arks

that

fol

low

cor

rect

and

com

plet

e da

te in

form

atio

n ar

e ac

cept

able

. The

circ

ulat

or m

ay a

dd a

ny

mis

sing

or i

llegi

ble

date

info

rmat

ion

befo

re th

e pe

titio

n is

file

d w

ith th

e fil

ing

offic

er.

Cer

tific

atio

n of

Cir

cula

tor

- The

circ

ulat

or s

hall

pers

onal

ly p

rese

nt th

e pe

titio

n to

eac

h si

gner

. The

circ

ulat

or m

ay n

ot le

ave

the

petit

ion

pape

rs u

natte

nded

on

coun

ters

or p

oste

d on

bul

letin

boa

rds.

Afte

r obt

aini

ng th

e sig

natu

res,

the

circ

ulat

or m

ust c

ompl

ete,

sign

and

dat

e th

e ce

rtific

atio

n on

eac

h pa

ge o

f the

pet

ition

.

Page

Num

bers

- N

umbe

r eac

h pa

ge c

onse

cutiv

ely,

beg

inni

ng w

ith “

1”, b

efor

e su

bmitt

ing

to th

e fil

ing

offic

er. A

spac

e fo

r pag

e nu

mbe

rs h

as b

een

prov

ided

in th

e lo

wer

righ

t-han

d co

rner

of t

he fo

rm.

Filin

g R

equi

rem

ents

- th

e pe

titio

n sh

all b

e fil

ed n

o la

ter t

han

5:00

p.m

. on

the

60th

day

afte

r reg

istra

tion

of th

e re

call

com

mitt

ee. A

fter t

he p

etiti

on is

file

d, n

o na

me

may

be

adde

d or

rem

oved

. Any

sig

natu

re o

btai

ned

befo

re

regi

stra

tion

or a

fter t

he a

ppro

pria

te c

ircul

atio

n pe

riod

may

not

be

coun

ted.

Indi

vidu

als o

r com

mitt

ees s

eeki

ng to

reca

ll el

ecte

d of

ficia

ls sh

ould

car

eful

ly re

view

§. 9

.10(

2)(e

), W

is. S

tats

., co

ncer

ning

the

valid

ity o

f sig

natu

res o

n re

call

petit

ions

.

Oth

er R

equi

rem

ents

- I

ndiv

idua

ls o

r co

mm

ittee

s pe

titio

ning

for

rec

all a

re s

ubje

ct to

cam

paig

n fin

ance

rep

ortin

g re

quire

men

ts. §

.11.

20(4

m),

Wis

. Sta

ts. I

ndiv

idua

ls o

r co

mm

ittee

s or

gani

zed

to r

ecal

l ele

cted

off

icia

ls s

houl

d ca

refu

lly re

view

§.9

.10,

Wis

. Sta

ts. I

f ind

ivid

uals

or c

omm

ittee

s hav

e an

y qu

estio

ns, t

hey

shou

ld c

onta

ct th

e fil

ing

offic

er o

f the

off

icia

l to

be re

calle

d.

EL

-170

Instr

uctio

ns (R

ev. 2

017-

08)

14

Page 17: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

}

Declaration of Candidacy(See instructions for preparation on back)

Is this an amendment?

Yes (if you have already filed a DOC for this election) No (if this is the first DOC you have filed for this election)

I, ______________________________________________________________, being duly sworn, state thatCandidate's name

I am a candidate for the office of ________________________________________________________________Official name of office - Include district, branch or seat number

representing ________________________________________________________________________________If partisan election, name of political party or statement of principle - five words or less (Candidates for nonpartisan office may leave blank.)

and I meet or will meet at the time I assume office the applicable age, citizenship, residency and voting qualificationrequirements, if any, prescribed by the constitutions and laws of the United States and the State of Wisconsin, and thatI will otherwise qualify for office, if nominated and elected.

I have not been convicted of a felony in any court within the United States for which I have not been pardoned.1

My present address, including my municipality of residence for voting purposes is:

Town of Village of City of

House or fire no. Street Name Mailing Municipality and State Zip code Municipality of Residence for Voting

My name as I wish it to appear on the official ballot is as follows:

______________________________________________________________________________________________(Any combination of first name, middle name or initials with surname. A nickname may replace a legal name.)

(Signature of candidate)STATE OF WISCONSIN

County of _____ (County of notarization)

Subscribed and sworn to before me this ______day of ___________________, ________.

_________________________________________________________________(Signature of person authorized to administer oaths)

My commission expires or is permanent.

Notary Public or ________________________________________________(Official title, if not a notary)

The information on this form is required by Wis. Stat. § 8.21, Art. XIII, Sec. 3, Wis. Const., and must be filed with the filing officer inorder to have a candidate's name placed on the ballot. Wis. Stats. §§ 8.05 (1)(j), 8.10 (5), 8.15 (4)(b), 8.17 (2), 8.20 (6), 120.06 (6)(b).

EL-162 | Rev. 2016-07 | Wisconsin Elections Commission, P.O. Box 7984, Madison, WI 53707-7984608-266-8005 | web: elections.wi.gov | email: [email protected]

1 A 1996 constitutional amendment bars any candidate convicted of a misdemeanor which violates the public trust from running for or holding a public office. However, the legislature has not defined which misdemeanors violate the public trust. A candidate convicted of any misdemeanor is not barred from running for or holding a public office until the legislature defines which misdemeanors apply.

FOR OFFICE USE ONLY

NOTARY SEAL

NOT REQUIRED

ss.

15

Page 18: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

Instructions for Completing the Declaration of Candidacy

All candidates seeking ballot status for election to any office in the State of Wisconsin must properly completeand file a Declaration of Candidacy. This form must be ON FILE with the proper filing officer no later than thedeadline for filing nomination papers or the candidate's name will not appear on the ballot. A facsimile will beaccepted if the FAX copy is received by the filing officer no later than the filing deadline and the signed originaldeclaration is received by the filing officer with a postmark no later than the filing deadline.

Information to be provided by the candidate:

Type or print your name on the first line. The title of the office and any district, branch, or seat number for which you are seeking election must be

inserted on the second line. For legislative offices insert the title and district number, for district attorneysinsert the title and the county, for circuit court offices insert the title, county and branch number, and formunicipal and school board offices insert the title and any district or seat number.

Type or print the political party affiliation or principle supported by you in five words or less on the third line.Nonpartisan candidates may leave this line blank.

Felony convictions: Your name cannot appear on the ballot if you have been convicted of a felonyin any court in the United States for which you have not been pardoned. Please see footnote onpage 1 for further information with respect to convictions for misdemeanors involving a violation ofpublic trust. These restrictions only apply to candidates for state and local office.

Your current address, including your municipality of residence for voting purposes, must be inserted on thefourth line. This must include your entire mailing address (street and number, municipality where youreceive mail) and the name of the municipality in which you reside and vote (town, village, or city of __).If your address changes before the election, an amended Declaration of Candidacy must be filed with the filingofficer. Wis. Stat. § 8.21. Federal candidates are not required to provide this information, however an addressfor contact purposes is helpful.

Type or print your name on the fifth line as you want it to be printed on the official ballot. You may use yourfull legal name, or any combination of first name, middle name, and initials, or nickname with last name.

Note: The Wisconsin Elections Commission has determined that, absent any evidence of anattempt to manipulate the electoral process, candidates are permitted to choose anyform of their name, including nicknames, by which they want to appear on the ballot.

No titles are permitted. In addition, names such as “Red” or “Skip” are permitted, butnames which have an apparent electoral purpose or benefit, such as “Lower taxes,”“None of the above” or “Lower Spending” are not permitted. It is also not permissibleto add nicknames in quotes or parentheses. For example, John “Jack” Jones or John(Jack) Jones are not acceptable, but John Jones, Jack Jones or John Jack Jones areacceptable.

This form must be sworn to and signed in the presence of a notary public or other person authorized toadminister oaths, such as a county or municipal clerk. Wis. Stat. § 8.21(2).

Information to be provided by the person administering the oath:

The county of notarization.

The date the Declaration of Candidacy was signed and the oath administered.

The signature and title of the person administering the oath. If signed by a notary public, the date thenotary’s commission expires must be listed. The notary seal is not required.

All candidates for offices using the nomination paper process and all school district candidates must file thisform with the appropriate filing officer no later than the deadline for filing nomination papers. Wis. Stats. §§8.10 (5), 8.15 (4)(b), 8.17 (2), 8.20 (6), 8.50 (3)(a), 120.06 (6)(b).

Candidates nominated for local office at a caucus must file this form with their municipal clerk within 5 days ofreceiving notice of nomination. Wis. Stat. § 8.05 (l)(j).

16

Page 19: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

NO

MIN

ATIO

N P

APER

FO

R PA

RTIS

AN O

FFIC

E Ca

ndid

ate'

s nam

e (r

equi

red)

; no

title

s m

ay b

e us

ed.

Cand

idat

e’s

resi

dent

ial a

ddre

ss (r

equi

red)

No

P.O

. box

add

ress

es

Stre

et, f

ire, o

r rur

al ro

ute

num

ber;

box

num

ber (

if ru

ral r

oute

); an

d na

me

of st

reet

or r

oad

Cand

idat

e’s

mun

icip

ality

for v

otin

g pu

rpos

es (r

equi

red)

.

Tow

n of

V

illag

e of

C

ity o

f

____

____

____

____

____

____

____

____

____

____

(nam

e of

mun

icip

ality

) Ca

ndid

ate’

s m

ailin

g ad

dres

s, in

clud

ing

mun

icip

ality

for m

ailin

g pu

rpos

es (r

equi

red

if di

ffere

nt th

an re

side

ntia

l add

ress

or v

otin

g m

unic

ipal

ity)

Stat

e (r

equi

red)

W

I Zi

p co

de

Type

of e

lect

ion

(req

uire

d)

ge

nera

l

spec

ial

Gen

eral

Ele

ctio

n da

te

(req

uire

d) M

o/Da

y/Ye

ar

(Req

uire

d) N

ame

of P

arty

or S

tate

men

t of P

rinci

ple

(5

wor

ds o

r les

s)

Title

of o

ffice

(req

uire

d)

Dist

rict o

r Jur

isdic

tion

(req

uire

d if

appl

icab

le)

D

istric

t num

ber _

____

__

Juris

dict

ion

(cou

nty)

___

____

____

____

____

____

____

____

____

___

Nam

e of

juris

dict

ion

or d

istric

t in

whi

ch c

andi

date

seek

s offi

ce (r

equi

red)

I, th

e un

ders

igne

d, re

ques

t tha

t the

can

dida

te, w

hose

nam

e an

d re

siden

tial a

ddre

ss a

re li

sted

abo

ve, b

e pl

aced

on

the

ballo

t at t

he e

lect

ion

desc

ribed

abo

ve a

s a c

andi

date

repr

esen

ting

the

part

y or

st

atem

ent o

f prin

cipl

e in

dica

ted

abov

e, so

that

vot

ers w

ill h

ave

the

oppo

rtun

ity to

vot

e fo

r h

im o

r h

er fo

r the

offi

ce li

sted

abo

ve.

I am

elig

ible

to v

ote

in th

e ju

risdi

ctio

n or

dist

rict i

n w

hich

the

cand

idat

e na

med

abo

ve se

eks o

ffice

. I h

ave

not s

igne

d th

e no

min

atio

n pa

per o

f any

oth

er c

andi

date

for t

he sa

me

offic

e at

this

elec

tion.

Th

e m

unic

ipal

ity u

sed

for m

ailin

g pu

rpos

es, w

hen

diffe

rent

than

mun

icip

ality

of r

esid

ence

, is n

ot su

ffici

ent.

The

nam

e of

the

mun

icip

ality

of r

esid

ence

mus

t alw

ays b

e lis

ted.

Si

gnat

ures

of E

lect

ors

Prin

ted

Nam

e of

Ele

ctor

s Re

side

ntia

l Add

ress

(No

P.O

. Box

Add

ress

es)

Stre

et a

nd N

umbe

r or R

ural

Rou

te

(Rur

al a

ddre

ss m

ust a

lso in

clud

e bo

x or

fire

no)

Mun

icip

ality

of R

esid

ence

Ch

eck

the

type

and

writ

e th

e na

me

of y

our m

unic

ipal

ity fo

r vo

ting

purp

oses

Date

of S

igni

ng

Mo/

Day/

Year

1.

To

wn

V

illag

e

City

2.

To

wn

V

illag

e

City

3.

To

wn

V

illag

e

City

4.

To

wn

V

illag

e

City

5.

To

wn

V

illag

e

City

6.

To

wn

V

illag

e

City

7.

To

wn

V

illag

e

City

8.

To

wn

V

illag

e

City

9.

To

wn

V

illag

e

City

10.

To

wn

V

illag

e

City

CERT

IFIC

ATIO

N O

F CI

RCU

LATO

RI,

___

__

,

cer

tify:

I re

side

at _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_.

(N

ame

of c

ircul

ator

)

(Circ

ulat

or's

resi

dent

ial a

ddre

ss -

Incl

ude

num

ber,

stre

et, a

nd m

unic

ipal

ity)

I fur

ther

cer

tify

I am

eith

er a

qua

lifie

d el

ecto

r of W

iscon

sin, o

r a U

.S. c

itize

n, a

ge 1

8 or

old

er w

ho, i

f I w

ere

a re

siden

t of t

his s

tate

, wou

ld n

ot b

e di

squa

lifie

d fr

om v

otin

g un

der W

is. S

tat.

§ 6.

03.

I per

sona

lly

circ

ulat

ed th

is no

min

atio

n pa

per a

nd p

erso

nally

obt

aine

d ea

ch o

f the

sign

atur

es o

n th

is pa

per.

I kn

ow th

at th

e sig

ners

are

ele

ctor

s of t

he ju

risdi

ctio

n or

dist

rict t

he c

andi

date

seek

s to

repr

esen

t. I

know

th

at e

ach

pers

on si

gned

the

pape

r with

full

know

ledg

e of

its c

onte

nt o

n th

e da

te in

dica

ted

oppo

site

his o

r her

nam

e. I

kno

w th

eir r

espe

ctiv

e re

siden

ces g

iven

. I i

nten

d to

supp

ort t

his c

andi

date

. I a

m

awar

e th

at fa

lsify

ing

this

cert

ifica

tion

is pu

nish

able

und

er W

is. S

tat.

§ 12

.13(

3)(a

).

EL-1

68 |

Rev

. 201

6-03

| W

isco

nsin

Ele

ctio

ns C

omm

issi

on, P

.O. B

ox 7

984,

Mad

ison

, WI

5370

7-79

84 |

608-

266-

8005

| w

eb: e

lect

ions

.wi.g

ov |

emai

l: el

ectio

ns@

wi.g

ov

Page

No.

__

____

____

____

____

____

____

__

___

____

____

____

____

____

____

____

____

____

____

____

____

_

(Dat

e)

(Si

gnat

ure

of c

ircul

ator

)

17

Page 20: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

INST

RUCT

ION

S FO

R PR

EPAR

ING

NO

MIN

ATIO

N P

APER

S FO

R PA

RTIS

AN O

FFIC

E

This

is a

sam

ple

nom

inat

ion

pape

r for

m.

It co

nfor

ms t

o th

e st

atut

ory

requ

irem

ents

for n

omin

atio

n pa

pers

for p

artis

an o

ffice

. Al

l inf

orm

atio

n co

ncer

ning

the

cand

idat

e m

ust b

e co

mpl

eted

in fu

ll be

fore

ci

rcul

atin

g th

is fo

rm to

obt

ain

sign

atur

es o

f ele

ctor

s. A

ll in

form

atio

n co

ncer

ning

the

sig

ning

ele

ctor

s an

d th

e ci

rcul

ator

mus

t be

com

plet

ed in

full

befo

re fi

ling

with

the

appr

opria

te fi

ling

offic

er.

This

form

may

be

repr

oduc

ed in

any

way

. A

cand

idat

e's

pict

ure

and

cam

paig

n in

form

atio

n m

ay a

lso b

e ad

ded

to th

is fo

rm.

The

Wisc

onsin

Ele

ctio

ns C

omm

issio

n ha

s de

term

ined

that

no

disc

laim

er o

r oth

er

attr

ibut

ion

stat

emen

t is r

equi

red

on n

omin

atio

n pa

pers

. Ca

ndid

ates

are

adv

ised

to se

nd a

sam

ple

of th

eir c

ompl

eted

form

to th

e fil

ing

offic

er fo

r rev

iew

bef

ore

circ

ulat

ion.

Fed

eral

and

stat

e ca

ndid

ates

fil

e w

ith th

e W

iscon

sin E

lect

ions

Com

miss

ion.

Cou

nty

cand

idat

es fi

le w

ith th

e Co

unty

Cle

rk.

Page

Num

bers

– N

umbe

r eac

h pa

ge c

onse

cutiv

ely,

beg

inni

ng w

ith “

1”, b

efor

e su

bmitt

ing

to th

e fil

ing

offic

er.

A sp

ace

for p

age

num

bers

has

bee

n pr

ovid

ed in

the

low

er ri

ght-

hand

cor

ner o

f the

form

.

Cand

idat

e's N

ame

- Ins

ert t

he c

andi

date

's na

me.

A c

andi

date

may

use

his

or h

er fu

ll le

gal n

ame,

or a

ny c

ombi

natio

n of

firs

t nam

e, m

iddl

e na

me,

and

initi

als o

r nic

knam

e w

ith la

st n

ame.

The

W

iscon

sin E

lect

ions

Com

miss

ion

has d

eter

min

ed th

at, a

bsen

t any

evi

denc

e of

an

atte

mpt

to m

anip

ulat

e th

e el

ecto

ral p

roce

ss, c

andi

date

s are

per

mitt

ed to

cho

ose

any

form

of t

heir

nam

e, in

clud

ing

nick

nam

es, b

y w

hich

they

wan

t to

appe

ar o

n th

e ba

llot.

No

title

s are

per

mitt

ed.

In a

dditi

on, n

ames

such

as “

Red”

or “

Skip

” ar

e pe

rmitt

ed, b

ut n

ames

that

hav

e an

app

aren

t ele

ctor

al p

urpo

se o

r ben

efit,

such

as “

Low

er ta

xes,

” “N

one

of th

e ab

ove”

or “

Low

er

Spen

ding

” ar

e no

t per

mitt

ed.

It is

also

not

per

miss

ible

to a

dd n

ickn

ames

in q

uote

s or p

aren

thes

es b

etw

een

first

and

last

nam

es.

For e

xam

ple,

John

“Ja

ck”

Jone

s or J

ohn

(Jack

) Jon

es a

re n

ot a

ccep

tabl

e,

but J

ohn

Jone

s, Ja

ck Jo

nes o

r Joh

n Ja

ck Jo

nes a

re a

ccep

tabl

e.

Cand

idat

e's R

esid

ence

– In

sert

the

cand

idat

e’s r

esid

entia

l add

ress

(no

P.O

. Box

add

ress

es) a

nd th

e m

unic

ipal

ity fo

r vot

ing

purp

oses

. In

dica

te if

the

mun

icip

ality

of r

esid

ence

is a

tow

n, v

illag

e or

city

. If

a ca

ndid

ate’

s mai

ling

addr

ess i

s diff

eren

t fro

m th

e re

siden

tial a

ddre

ss o

r vot

ing

mun

icip

ality

, a c

ompl

ete

mai

ling

addr

ess m

ust a

lso b

e gi

ven.

Date

of E

lect

ion

- Ins

ert t

he d

ate

of th

e el

ectio

n. I

f the

nom

inat

ion

pape

r is b

eing

circ

ulat

ed fo

r a g

ener

al e

lect

ion,

the

date

is th

e Tu

esda

y af

ter t

he fi

rst M

onda

y in

Nov

embe

r of a

n ev

en-n

umbe

red

year

. If

the

elec

tion

is a

spec

ial p

artis

an e

lect

ion,

the

date

of t

he s

peci

al e

lect

ion

mus

t be

liste

d.

Part

y or

Sta

tem

ent o

f Prin

cipl

e –

Inse

rt th

e na

me

of th

e pa

rty

the

cand

idat

e re

pres

ents

. In

depe

nden

t can

dida

tes m

ay p

rovi

de a

Sta

tem

ent o

f Prin

cipl

e, n

ot to

exc

eed

5 w

ords

.

Title

of O

ffice

- Th

e na

me

of th

e of

fice

mus

t be

liste

d al

ong

with

the

juris

dict

ion

or d

istr

ict n

umbe

r tha

t cle

arly

iden

tifie

s the

offi

ce th

e ca

ndid

ate

is se

ekin

g, fo

r exa

mpl

e, R

epre

sent

ativ

e to

the

Asse

mbl

y –

1st d

istric

t or D

ane

Coun

ty D

istric

t Att

orne

y.

Nam

e of

Juris

dict

ion

- The

nom

inat

ion

pape

rs m

ust a

lso in

dica

te th

e m

unic

ipal

ity o

r jur

isdic

tion

in w

hich

the

signi

ng e

lect

ors a

re q

ualif

ied

to v

ote,

as i

t rel

ates

to th

e of

fice

soug

ht b

y th

e ca

ndid

ate

nam

ed o

n th

e no

min

atio

n pa

per.

For

exa

mpl

e, fo

r a st

atew

ide

offic

e th

e ju

risdi

ctio

n is

the

Stat

e of

Wisc

onsin

. O

ther

exa

mpl

es a

re 1

st C

ongr

essio

nal D

istric

t, 24

th A

ssem

bly

Dist

rict o

r Bro

wn

Coun

ty.

Sign

atur

es a

nd P

rinte

d N

ames

of E

lect

ors -

Onl

y qu

alifi

ed e

lect

ors o

f the

juris

dict

ion

or th

e di

stric

t the

can

dida

te se

eks t

o re

pres

ent m

ay si

gn th

e no

min

atio

n pa

pers

. Ea

ch si

gner

mus

t also

le

gibl

y pr

int t

heir

nam

e. E

ach

elec

tor m

ust p

rovi

de th

eir r

esid

entia

l add

ress

(no

P.O

. Box

add

ress

es),

incl

udin

g an

y st

reet

, fire

or r

ural

rout

e nu

mbe

r, bo

x nu

mbe

r (if

rura

l rou

te) a

nd st

reet

or r

oad

nam

e an

d m

unic

ipal

ity o

f res

iden

ce.

A po

st o

ffice

box

num

ber a

lone

doe

s not

show

whe

re th

e el

ecto

r act

ually

resid

es.

The

nam

e of

the

Mun

icip

ality

of R

esid

ence

mus

t be

liste

d fo

r eac

h sig

ning

ele

ctor

and

m

ust c

lear

ly id

entif

y th

e to

wn,

vill

age

or c

ity w

here

the

elec

tor's

vot

ing

resid

ence

is lo

cate

d. T

he d

ate

the

elec

tor s

igne

d th

e no

min

atio

n pa

per,

incl

udin

g m

onth

, day

and

yea

r, m

ust b

e in

dica

ted.

Ditt

o m

arks

that

follo

w c

orre

ct a

nd c

ompl

ete

addr

ess o

r dat

e in

form

atio

n ar

e ac

cept

able

. Th

e ci

rcul

ator

may

add

any

miss

ing

or il

legi

ble

addr

ess o

r dat

e in

form

atio

n be

fore

the

pape

rs a

re fi

led

with

the

filin

g of

ficer

.

Sign

atur

e of

Circ

ulat

or -

The

circ

ulat

or sh

ould

car

eful

ly re

ad th

e la

ngua

ge o

f the

Cer

tific

atio

n of

Circ

ulat

or.

THE

CIRC

ULA

TOR

MU

ST P

ERSO

NAL

LY P

RESE

NT

THE

NO

MIN

ATIO

N P

APER

TO

EAC

H S

IGN

ER. T

HE

NO

MIN

ATIO

N

PAPE

R M

AY N

OT

BE L

EFT

UN

ATTE

ND

ED O

N C

OU

NTE

RS O

R PO

STED

ON

BU

LLET

IN B

OAR

DS.

The

circ

ulat

or's

com

plet

e re

siden

tial a

ddre

ss in

clud

ing

mun

icip

ality

of r

esid

ence

mus

t be

liste

d in

the

cert

ifica

tion.

Aft

er o

btai

ning

sig

natu

res o

f ele

ctor

s, th

e ci

rcul

ator

mus

t sig

n an

d da

te th

e ce

rtifi

catio

n.

Oth

er In

stru

ctio

ns -

Cand

idat

es a

nd c

ircul

ator

s sho

uld

revi

ew C

h. W

iscon

sin E

lect

ions

Com

miss

ion

§§ 2

.05,

2.0

7, W

is. A

dm. C

ode.

O

rigin

al n

omin

atio

n pa

pers

mus

t be

in th

e ph

ysic

al c

usto

dy o

f the

app

ropr

iate

filin

g of

ficer

by

the

filin

g de

adlin

e. A

pos

tmar

k on

the

filin

g de

adlin

e is

NO

T suf

ficie

nt.

Nom

inat

ion

pape

rs c

anno

tbe

faxe

d/em

aile

d to

the

filin

g of

ficer

. Ch

. Wisc

onsin

Ele

ctio

ns C

omm

issio

n §

6.04

(2),

Wis.

Adm

. Cod

e.

N

omin

atio

n pa

pers

with

the

requ

ired

num

ber o

f sig

natu

res m

ust b

e fil

ed w

ith th

e ap

prop

riate

filin

g of

ficer

no

late

r tha

n 5:

00 p

.m. o

n Ju

ne 1

st (o

r the

nex

t day

if Ju

ne 1

st is

a h

olid

ay o

rw

eeke

nd) b

efor

e th

e ge

nera

l ele

ctio

n. N

omin

atio

n pa

pers

may

not

be

circ

ulat

ed b

efor

e Ap

ril 1

5. S

peci

al e

lect

ions

may

hav

e di

ffere

nt c

ircul

atio

n tim

e fr

ames

and

filin

g de

adlin

es.

Chec

k w

ith

the

filin

g of

ficer

.

In o

rder

for a

can

dida

te's

nam

e to

be

plac

ed o

n th

e ba

llot,

a ca

ndid

ate

mus

t file

a C

ampa

ign

Regi

stra

tion

Stat

emen

t (ET

HCF-

1), a

Dec

lara

tion

of C

andi

dacy

(EL-

162)

, and

Nom

inat

ion

Pape

rs (E

L-16

8) c

onta

inin

g th

e ap

prop

riate

num

ber o

f sig

natu

res f

or th

e of

fice

soug

ht n

o la

ter t

han

the

filin

g de

adlin

e. W

is. S

tat.

§ 8.

15(6

). C

andi

date

s for

stat

e of

fice

and

mun

icip

al ju

dge

mus

t also

file

a

Stat

emen

t of E

cono

mic

Inte

rest

s with

the

Wisc

onsin

Eth

ics C

omm

issio

n by

the

third

bus

ines

s day

aft

er th

e no

min

atio

n pa

per f

iling

dea

dlin

e. W

is. S

tat.

§ 19

.43.

If a

ny o

ne o

f the

se re

quire

d fo

rms i

s not

file

d by

the

dead

line,

the

cand

idat

e's n

ame

will

not

be

plac

ed o

n th

e ba

llot.

Wis.

Sta

t. §

8.30

.

If a

cand

idat

e or

circ

ulat

or h

as a

ny q

uest

ions

, he

or sh

e sh

ould

con

tact

the

filin

g of

ficer

.

18

Page 21: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

NO

MIN

ATIO

N P

APER

FO

R N

ON

PART

ISAN

OFF

ICE

Cand

idat

e's n

ame

(req

uire

d); n

o tit

les m

ay b

e us

ed.

Cand

idat

e’s r

esid

entia

l add

ress

(req

uire

d) N

o P.

O. b

ox a

ddre

sses

St

reet

, fire

, or r

ural

rout

e nu

mbe

r; bo

x nu

mbe

r (if

rura

l rou

te);

and

nam

e of

stre

et o

r roa

d Ca

ndid

ate’

s mun

icip

ality

for v

otin

g pu

rpos

es (r

equi

red)

Tow

n

Vill

age

__

____

____

____

____

____

____

____

____

____

_

City

(nam

e of

mun

icip

ality

) Ca

ndid

ate’

s mai

ling

addr

ess,

incl

udin

g m

unic

ipal

ity fo

r mai

ling

purp

oses

(req

uire

d if

diffe

rent

than

re

siden

tial a

ddre

ss o

r vot

ing

mun

icip

ality

) St

ate

(req

uire

d)

WI

Zip

code

Ty

pe o

f ele

ctio

n (r

equi

red)

sprin

g

spec

ial

Elec

tion

date

(req

uire

d) D

o no

t use

prim

ary

date

. M

o/Da

y/Ye

ar

Title

of o

ffice

(req

uire

d)

Bran

ch, d

istric

t or s

eat n

umbe

r (re

quire

d if

appl

icab

le)

B

ranc

h

Dist

rict

S

eat

Nam

e of

juris

dict

ion

or d

istric

t in

whi

ch c

andi

date

seek

s offi

ce (r

equi

red)

I, th

e un

ders

igne

d, re

ques

t tha

t the

can

dida

te, w

hose

nam

e an

d re

siden

tial a

ddre

ss a

re li

sted

abo

ve, b

e pl

aced

on

the

ballo

t at t

he e

lect

ion

desc

ribed

abo

ve a

s a c

andi

date

so th

at v

oter

s will

hav

e th

e op

port

unity

to v

ote

for

him

or

her

for t

he o

ffice

list

ed a

bove

. I a

m e

ligib

le to

vot

e in

the

juris

dict

ion

or d

istric

t in

whi

ch th

e ca

ndid

ate

nam

ed a

bove

seek

s offi

ce.

I hav

e no

t sig

ned

the

nom

inat

ion

pape

r of a

ny o

ther

can

dida

te fo

r the

sam

e of

fice

at th

is el

ectio

n.

The

mun

icip

ality

use

d fo

r mai

ling

purp

oses

, whe

n di

ffere

nt th

an m

unic

ipal

ity o

f res

iden

ce, i

s not

suffi

cien

t. T

he n

ame

of th

e m

unic

ipal

ity o

f res

iden

ce m

ust a

lway

s be

liste

d.

Sign

atur

es o

f Ele

ctor

s Pr

inte

d N

ame

of E

lect

ors

Resi

dent

ial A

ddre

ss (N

o P.

O. B

ox A

ddre

sses

) St

reet

and

Num

ber o

r Rur

al R

oute

(R

ural

add

ress

mus

t also

incl

ude

box

or fi

re n

o.)

Mun

icip

ality

of R

esid

ence

Ch

eck

the

type

and

writ

e th

e na

me

of y

our m

unic

ipal

ity fo

r vot

ing

purp

oses

.

Date

of S

igni

ng

Mo/

Day/

Year

1.

T

own

V

illag

e

City

2.

T

own

V

illag

e

City

3.

T

own

V

illag

e

City

4.

Tow

n

Vill

age

C

ity

5.

T

own

V

illag

e

City

6.

T

own

V

illag

e

City

7.

T

own

V

illag

e

City

8.

T

own

V

illag

e

City

9.

T

own

V

illag

e

City

10.

T

own

V

illag

e

City

CERT

IFIC

ATIO

N O

F CI

RCU

LATO

R I,_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

cer

tify:

I re

side

at _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

. (N

ame

of c

ircul

ator

)

(Ci

rcul

ator

's re

siden

tial a

ddre

ss -

Incl

ude

num

ber,

stre

et, a

nd m

unic

ipal

ity.)

I fur

ther

cer

tify

I am

eith

er a

qua

lifie

d el

ecto

r of W

iscon

sin, o

r a U

.S. c

itize

n, a

ge 1

8 or

old

er w

ho, i

f I w

ere

a re

siden

t of t

his s

tate

, wou

ld n

ot b

e di

squa

lifie

d fr

om v

otin

g un

der W

is. S

tat.

§6.0

3. I

pers

onal

ly

circ

ulat

ed th

is no

min

atio

n pa

per a

nd p

erso

nally

obt

aine

d ea

ch o

f the

sign

atur

es o

n th

is pa

per.

I kn

ow th

at th

e sig

ners

are

ele

ctor

s of t

he ju

risdi

ctio

n or

dist

rict t

he c

andi

date

seek

s to

repr

esen

t. I

know

that

ea

ch p

erso

n sig

ned

the

pape

r with

full

know

ledg

e of

its c

onte

nt o

n th

e da

te in

dica

ted

oppo

site

his o

r her

nam

e. I

kno

w th

eir r

espe

ctiv

e re

siden

ces g

iven

. I i

nten

d to

supp

ort t

his c

andi

date

. I a

m a

war

e th

at

falsi

fyin

g th

is ce

rtifi

catio

n is

puni

shab

le u

nder

Wis.

Sta

t. §

12.1

3(3)

(a).

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

P

age

No.

(Dat

e)

(Sig

natu

re o

f circ

ulat

or)

EL-1

69 |

Rev

. 201

6-07

| W

iscon

sin E

lect

ions

Com

miss

ion,

P.O

. Box

798

4, M

adiso

n, W

I 537

07-7

984

| 60

8-26

1-20

28 |

web

: ele

ctio

ns.w

i.gov

| e

mai

l: el

ectio

ns@

wi.g

ov

19

Page 22: RECALL OF CONGRESSIONAL, COUNTY AND STATE OFFICIALS · 2019-02-13 · 9.10(2)(d), registration is accomplished by filing a Campaign Registration Statement under Wis. Stat. § 11.0902

INST

RUCT

ION

S FO

R PR

EPAR

ING

NO

MIN

ATIO

N P

APER

S FO

R N

ON

PART

ISAN

OFF

ICE

This

is a

sam

ple

nom

inat

ion

pape

r for

m.

It co

nfor

ms t

o th

e st

atut

ory

requ

irem

ents

for n

omin

atio

n pa

pers

for n

onpa

rtisa

n of

fice.

All

info

rmat

ion

conc

erni

ng th

e ca

ndid

ate

mus

t be

com

plet

ed in

full

befo

re c

ircul

atin

g th

is fo

rm to

obt

ain

signa

ture

s of e

lect

ors.

All

info

rmat

ion

conc

erni

ng th

e sig

ning

ele

ctor

s and

the

circ

ulat

or m

ust b

e co

mpl

eted

in fu

ll be

fore

filin

g w

ith th

e ap

prop

riate

filin

g of

ficer

. Th

is fo

rm m

ay b

e re

prod

uced

in a

ny w

ay.

A ca

ndid

ate'

s pic

ture

and

bio

grap

hica

l dat

a m

ay a

lso b

e ad

ded

to th

is fo

rm.

The

Wisc

onsin

Ele

ctio

ns C

omm

issio

n ha

s det

erm

ined

that

no

disc

laim

er o

r oth

er

attr

ibut

ion

stat

emen

t is r

equi

red

on n

omin

atio

n pa

pers

. Ca

ndid

ates

are

adv

ised

to se

nd a

sam

ple

of th

eir c

ompl

eted

form

the

filin

g of

ficer

for r

evie

w b

efor

e ci

rcul

atio

n.

Page

Num

bers

– N

umbe

r eac

h pa

ge c

onse

cutiv

ely,

beg

inni

ng w

ith “

1”, b

efor

e su

bmitt

ing

to th

e fil

ing

offic

er.

A sp

ace

for p

age

num

bers

has

bee

n pr

ovid

ed in

the

low

er ri

ght-

hand

cor

ner o

f the

form

.

Cand

idat

e's N

ame

- Ins

ert t

he c

andi

date

's na

me.

A c

andi

date

may

use

his

or h

er fu

ll le

gal n

ame,

or a

ny c

ombi

natio

n of

firs

t nam

e, m

iddl

e na

me,

and

initi

als o

r nic

knam

e w

ith la

st n

ame.

The

W

iscon

sin E

lect

ions

Com

miss

ion

has d

eter

min

ed th

at, a

bsen

t any

evi

denc

e of

an

atte

mpt

to m

anip

ulat

e th

e el

ecto

ral p

roce

ss, c

andi

date

s are

per

mitt

ed to

cho

ose

any

form

of t

heir

nam

e, in

clud

ing

nick

nam

es, b

y w

hich

they

wan

t to

appe

ar o

n th

e ba

llot.

No

title

s are

per

mitt

ed.

In a

dditi

on, n

ames

such

as “

Red”

or “

Skip

” ar

e pe

rmitt

ed, b

ut n

ames

whi

ch h

ave

an a

ppar

ent e

lect

oral

pur

pose

or b

enef

it, su

ch a

s “Lo

wer

taxe

s,”

“Non

e of

the

abov

e” o

r “L

ower

Spe

ndin

g” a

re n

ot p

erm

itted

. It

is al

so n

ot p

erm

issib

le to

add

nic

knam

es in

quo

tes o

r par

enth

eses

bet

wee

n fir

st a

nd la

st n

ames

. Fo

r exa

mpl

e, Jo

hn “

Jack

” Jo

nes o

r Joh

n (Ja

ck) J

ones

are

not

ac

cept

able

, but

John

Jone

s, Ja

ck Jo

nes o

r Joh

n Ja

ck Jo

nes a

re a

ccep

tabl

e.

Cand

idat

e's A

ddre

ss –

Inse

rt th

e ca

ndid

ate’

s res

iden

tial a

ddre

ss (n

o P.

O. B

ox a

ddre

sses

) and

the

mun

icip

ality

for v

otin

g pu

rpos

es.

Indi

cate

if th

e m

unic

ipal

ity o

f res

iden

ce is

a to

wn,

vill

age,

or c

ity.

If a

cand

idat

e's m

ailin

g ad

dres

s is d

iffer

ent f

rom

the

resid

entia

l add

ress

or v

otin

g m

unic

ipal

ity, a

com

plet

e m

ailin

g ad

dres

s mus

t also

be

give

n.

Date

of E

lect

ion

- Ins

ert t

he d

ate

of th

e el

ectio

n. I

f the

nom

inat

ion

pape

r is b

eing

circ

ulat

ed fo

r a sp

ring

elec

tion,

the

date

is th

e fir

st T

uesd

ay in

Apr

il. I

f the

ele

ctio

n is

a sp

ecia

l non

part

isan

elec

tion,

th

e da

te o

f the

spec

ial e

lect

ion

mus

t be

liste

d.

Title

of O

ffic

e - T

he n

ame

of th

e of

fice

mus

t be

liste

d al

ong

with

any

bra

nch,

dis

tric

t, or

seat

num

ber (

if ap

plic

able

) tha

t cle

arly

iden

tifie

s the

offi

ce th

e ca

ndid

ate

is se

ekin

g. I

f nec

essa

ry, t

he n

ame

of th

e ju

risdi

ctio

n th

at id

entif

ies t

he o

ffice

, suc

h as

Dan

e Co

unty

Circ

uit C

ourt

Judg

e, B

ranc

h 3,

mus

t also

be

liste

d.

Nam

e of

Juris

dict

ion

- The

nom

inat

ion

pape

rs m

ust a

lso in

dica

te th

e m

unic

ipal

ity o

r jur

isdic

tion

in w

hich

the

signi

ng e

lect

ors a

re q

ualif

ied

to v

ote,

as i

t rel

ates

to th

e of

fice

soug

ht b

y th

e ca

ndid

ate

nam

ed o

n th

e no

min

atio

n pa

per.

For

exa

mpl

e, fo

r a st

atew

ide

offic

e th

e ju

risdi

ctio

n is

the

Stat

e of

Wisc

onsin

. O

ther

s may

be

the

coun

ty, t

own,

vill

age,

city

, ald

erm

anic

dist

rict,

scho

ol d

istric

t, or

tow

n sa

nita

ry d

istric

t, as

requ

ired.

Sign

atur

es a

nd P

rinte

d N

ame

of E

lect

ors -

Onl

y qu

alifi

ed e

lect

ors o

f the

juris

dict

ion

or th

e di

stric

t the

can

dida

te se

eks t

o re

pres

ent m

ay si

gn th

e no

min

atio

n pa

pers

. Ea

ch si

gner

mus

t also

le

gibl

y pr

int t

heir

nam

e. E

ach

elec

tor m

ust p

rovi

de th

eir r

esid

entia

l add

ress

(no

P.O

. Box

add

ress

es),

incl

udin

g an

y st

reet

, fire

or r

ural

rout

e nu

mbe

r, bo

x nu

mbe

r (if

rura

l rou

te) a

nd st

reet

or r

oad

nam

e,

and

mun

icip

ality

of r

esid

ence

. A

post

offi

ce b

ox n

umbe

r alo

ne d

oes n

ot sh

ow w

here

the

elec

tor a

ctua

lly re

sides

. Th

e na

me

of th

e M

unic

ipal

ity o

f Res

iden

ce m

ust b

e lis

ted

for e

ach

signi

ng e

lect

or a

nd

mus

t cle

arly

iden

tify

the

tow

n, v

illag

e or

city

whe

re th

e el

ecto

r's v

otin

g re

siden

ce is

loca

ted.

The

dat

e th

e el

ecto

r sig

ned

the

nom

inat

ion

pape

r, in

clud

ing

mon

th, d

ay a

nd y

ear,

mus

t be

indi

cate

d. D

itto

mar

ks th

at fo

llow

cor

rect

and

com

plet

e ad

dres

s or d

ate

info

rmat

ion

are

acce

ptab

le.

The

circ

ulat

or m

ay a

dd a

ny m

issin

g or

ille

gibl

e ad

dres

s or d

ate

info

rmat

ion

befo

re th

e pa

pers

are

file

d w

ith th

e fil

ing

offic

er.

Sign

atur

e of

Circ

ulat

or -

The

circ

ulat

or sh

ould

car

eful

ly re

ad th

e la

ngua

ge o

f the

Cer

tific

atio

n of

Circ

ulat

or.

THE

CIRC

ULA

TOR

MU

ST P

ERSO

NAL

LY P

RESE

NT

THE

NO

MIN

ATIO

N P

APER

TO

EAC

H S

IGN

ER. T

HE

NO

MIN

ATIO

N

PAPE

R M

AY N

OT

BE L

EFT

UN

ATTE

ND

ED O

N C

OU

NTE

RS O

R PO

STED

ON

BU

LLET

IN B

OAR

DS.

The

circ

ulat

or's

com

plet

e re

siden

tial a

ddre

ss in

clud

ing

mun

icip

ality

of r

esid

ence

mus

t be

liste

d in

the

cert

ifica

tion.

Aft

er

obta

inin

g sig

natu

res o

f ele

ctor

s, th

e ci

rcul

ator

mus

t sig

n an

d da

te th

e ce

rtifi

catio

n.

Oth

er In

stru

ctio

ns -

Cand

idat

es a

nd c

ircul

ator

s sho

uld

revi

ew C

h. G

AB §

§ 2.

05, 2

.07,

Wis.

Adm

. Cod

e.

O

rigin

al n

omin

atio

n pa

pers

mus

t be

in th

e ph

ysic

al c

usto

dy o

f the

app

ropr

iate

filin

g of

ficer

by

the

filin

g de

adlin

e. A

pos

tmar

k on

the

filin

g de

adlin

e is

NO

T suf

ficie

nt.

Nom

inat

ion

pape

rsCA

NN

OT b

e fa

xed

to th

e fil

ing

offic

er.

Ch. G

AB §

6.0

4(2)

, Wis.

Adm

. Cod

e.

N

omin

atio

n pa

pers

with

the

requ

ired

num

ber o

f sig

natu

res m

ust b

e fil

ed w

ith th

e ap

prop

riate

filin

g of

ficer

no

late

r tha

n 5:

00 p

.m. o

n th

e fir

st T

uesd

ay in

Janu

ary

(or t

he n

ext d

ay if

the

first

Tues

day

is a

holid

ay) b

efor

e th

e sp

ring

elec

tion.

Spe

cial

ele

ctio

ns m

ay h

ave

diffe

rent

filin

g de

adlin

es.

Chec

k w

ith th

e fil

ing

offic

er.

In

ord

er fo

r a c

andi

date

's na

me

to b

e pl

aced

on

the

ballo

t, a

cand

idat

e m

ust f

ile a

Cam

paig

n Re

gist

ratio

n St

atem

ent (

ETHC

F-1)

, a D

ecla

ratio

n of

Can

dida

cy (E

L-16

2), a

nd N

omin

atio

n Pa

pers

(EL-

169)

con

tain

ing

the

appr

opria

te n

umbe

r of s

igna

ture

s for

the

offic

e so

ught

no

late

r tha

n th

e fil

ing

dead

line.

Wis.

Sta

t. §

8.10

(3).

Can

dida

tes f

or st

ate

offic

e an

d m

unic

ipal

judg

e m

ust a

lso fi

le a

stat

emen

t of e

cono

mic

inte

rest

s with

the

Wisc

onsin

Eth

ics C

omm

issio

n by

the

third

bus

ines

s day

aft

er th

e no

min

atio

n pa

per f

iling

dea

dlin

e. W

is. S

tat.

§ 19

.43.

If a

ny o

ne o

f the

se re

quire

d fo

rms i

s not

file

d by

the

dead

line,

the

cand

idat

e's n

ame

will

not

be

plac

ed o

n th

e ba

llot.

Wis.

Sta

t. §

8.30

.

If

a ca

ndid

ate

or c

ircul

ator

has

any

que

stio

ns, h

e or

she

shou

ld c

onta

ct th

e fil

ing

offic

er.

20