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Contra Costa California Form 656-B: What You Should Know
This is a form provided for candidates wishing to submit an affidavit of eligibility for an office or a petition for an initiative or referendum. The sample form is intended for use by the county clerk, but should not be considered a form for filing. When filling out the sample form, candidates should make a check mark (x) if they are a resident of the County and sign the bottom line. If you live outside the County, fill out the form as if you did. If you were previously a candidate or elected officer but are not a resident of Contra Costa County, fill out the form only and sign the bottom line. When your name is called, write the name of the office you seek (e.g., Sheriff, County Attorney) as your name, followed by your campaign manager's name and campaign name. Fill out each of the following two categories: Signature of the Candidate or Yourself (e.g., “I would like to sign the authorization if I am to be elected County Clerk.”). If this request is made, the signature of the candidate or the signature of the individual acting on behalf of the candidate, whichever is applicable, may be used if provided. 2) Signature of the Individual Entitled to Sign the Form. (e.g., “I am the individual entitled to sign the authorization of being nominated as County Clerk.”) The signatures may be in the form of a check or made of a different material and should meet the following standards: All signatures must be legible unless under penalty of perjury the County Clerk or County Attorney requires the signature to be typewritten, typed, or otherwise signed in the form of an affidavit of signature to be filed with such candidate's signature at the time of nomination or petition filing. If a certificate of signature is used, the signature of the County Clerk or County Attorney must be certified in writing by the person certifying the signature as to his or her existence and authority to sign the original form, is not required on the amended signed form. The County Clerk, upon petition of a duly nominated qualified candidate for an office or a petition filed with his or her office before the first day of the filing period for a referendum or initiative, may authorize the submission of the candidate's nominating or petition materials to anyone in the State or other States, and may authorize persons in other jurisdictions to make such submission, provided that the materials are otherwise in compliance with this ordinance.
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