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Special District Election Forms
2012 Forms and Sample Documents
The division of local government created and collected these forms and sample documents as a convenience to special districts to meet their statutory election requirements. These forms were written using relevant statutory citations and secretary of state rules that govern elections and campaign and political finance. Many of the election documents and samples enclosed were created, in part, with assistance from other special district governments. Special districts are not required to use all of these specific forms. However, a district wishing to develop its own documents may want to consult with legal counsel for guidance.
E-File
| B-1 | Budget Worksheet |
| B-3.1 | Election Resolution - Ballot Issue Election |
| B-3.2 | Election Resolution - Director Only Election |
| B-4 | Election Resolution - Sample (Mail Ballot Election) slight revision made to #5 & font changed 1-27-12 |
| B-5 | Designated Election Official Appointment |
| B-6 | Call for Nominations |
| B-8 | Campaign & Political Finance Memo for Candidates |
| B-9 | Self Nomination and Acceptance Form available; revised 2/6/12 with minor modifications to DEO instructions |
| B-27 | Notice of Cancellation & Certified Statement of Results |
| B-28.1 | Sample Ballot for Polling Place Election |
| B-28.2 | Sample Ballot for Mail Ballot Election |
| B-31 | Letter - Request to Assessor for Property Owner’s List |
| B-32 | Letter - Request to Clerk & Recorder for Voter Registration |
| B-33 | Acceptance of Appointment & Certification of Qualification of Election Judge |
| B-34 | Master List of Election Judges for Polling Place |
| B-34a | Certification of Appointment of Election Judges |
| B-35 | Oath of Election Judge |
| B-39.1 | Mail-In (Formerly Absentee) Record of Applications Cover Page |
| B-39.2 | Mail-In (Formerly Absentee) Record of Applications and Ballot Log |
| B-40.1 | Request for Replacement Mail-in (Formerly Absentee) Ballot |
| B-40.2 | Request for Mail Ballot |
| B-41 | Notice - Mail Ballot Election Updated 3-1-2012 to reflect date changes |
| B-43 | Oath Of Canvasser |
| B-44 | Polling Place - Sign |
| B-45 | Notice - Polling Place Election |
| B-47 | Watcher - Certificate of Appointment and Oath |
| B-47.1 | Watcher - Duties and Responsibilities |
| B-48 | Polling Place Set Up - Diagram |
| B-49 | Polling Place - Items/Signs to be Posted at Polling Place |
| B-50 | Polling Place - No Electioneering Sign |
| B-51 | Polling Place - Instructions To Voters (Instruction Card) |
| B-52 | Polling Place - Assistance for Electors with Disabilities Sign |
| B-53 | Polling Place - Poll Book |
| B-54 | 32-1-806: Self Affirming Oath or Affirmation of Elector |
| B-55.1 | Polling Place - Provisional Ballot - Affidavit Side |
| B-55.2 |
Polling Place - Provisional Ballot Envelope - Voter Information Side |
| B-56 | Notice to Elector Who Casts Provisional Ballot |
| B-56.1 | Mail-In (Formerly Absentee) Elector Affirmation at Polling Place |
| B-57 | Polling Place - Disabled Voter Assistance Form |
| B-58 | Polling Place - Non-English Voter Assistance Form |
| B-59 | Polling Place - Voter Challenge - Property Owner |
| B-60 | Polling Place - Oath of Challenged Voter |
| B-61 | Mail Ballot Log (Poll Book) |
| B-61.2 | Mail Ballot Log |
| B-61.3 | Mail Ballot Record and Reconciliation |
| B-62 | Tally Sheet - Counting Form |
| B-63 | Abstract of Votes - Judge’s Unofficial |
| B-64 |
Polling Place - Certificate of Election Returns and Statement of Ballots Updated to correct statutory language 3-11-12 |
| B-66 |
Mail Ballot - Certificate of Election Returns and Statement of Ballots |
| B-67 | Judge’s Pay Sheet - Expense Bill |
| B-68 | Polling Place - Receipt for Return of Election Materials |
| B-69 | Provisional Ballot Log |
| B-70-1 | Canvassers Certificate of Abstract Votes Cast / Certificate of Results - Replaces B-70 and B-72 Updated to include information for provisional ballots, if applicable 3-12-12; corrected to show canvassers meet up to 17 days after election, not 7 |
| B-71 | Recounts - Scenarios and Equation for Calculating Need |
| B-73 | Oath of Office - Board of Directors |
| B-74 | Bond - Sample |
| B-75 | District Contact Data and Director’s List |
| B-76 | Affidavit of Intent to be a Write-In Candidate available; revised 1/30/12 |
| B-77 | Emergency Mail-In (Formerly Absentee) Ballot Application |
| B-79 | Certificate of Election - Initial Notice to Winning Candidates |
| B-80 | Certificate of Election - Formal Notice After Oath & Bond Complete |
| B-81.2 | Resolution of Cancellation by Board of Directors Instructions to file with DLG added 2/10/12 |
| DLG-32 | Notice of Special District Authorization or Issuance of General Obligation Indebtedness |
Administrative Forms & Documents
| Notice of Appointment (File with Oath) | |
| Contact/Web Update | |
| Notice to Electors (Transparency Notice) | |
| Compliance Calendar |
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