Utah Code § 20A-9-408.5

Declaration of candidacy form for qualified political party
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The declaration of candidacy form described in Sections 20A-9-407 and 20A-9-408 shall:
(1) be substantially as follows:
 "State of Utah, County of ____
 I, ______________, declare my intention of becoming a candidate for the office of
____ as a candidate for the ____ party. I do solemnly swear, under penalty of perjury, that:
I will meet the qualifications to hold the office, both legally and constitutionally, if selected;
I reside at _____________ in the City or Town of ____, Utah, Zip Code ____, Phone No.
____; I will not knowingly violate any law governing campaigns and elections; I will file all
campaign financial disclosure reports as required by law; and I understand that failure to
do so will result in my disqualification as a candidate for this office and removal of my name
from the ballot. The mailing address that I designate for receiving official election notices is
___________________________________________________________________________
___________________________________________________________________________.
 Subscribed and sworn before me this __________(month\day\year). Notary Public (or
other officer qualified to administer oath).";
(2) direct the candidate to state, in the sworn statement described in Subsection (1):
(a) the registered political party of which the candidate is a member; or
(b) that the candidate is not a member of a registered political party; and

(3) direct the candidate to indicate whether the candidate is seeking the nomination using:
(a) the convention process described in Section 20A-9-407;
(b) the signature-gathering process described in Section 20A-9-408; or
(c) both processes described in Subsections (3)(a) and (b).

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