Long Form - Tulare County Elections

Required information for various forms

Name as you are registered to vote

First Name:

Middle Name:

Last Name:

Name to appear on ballot: More information

Gender (used for translation purposes):

Office Name: Term: Election:

Incumbent:

Residence Information

Residence Street Address:

Residence City:

Residence State:

Residence Zip Code:

Residence County:

The following section is not required but may be required if you select Yes to certain questions and forms below.

Mailing Street Address:

Mailing City:

Mailing State:

Mailing Zip Code:

Business Street Address:

Business City:

Business State:

Business Zip Code:

Home Phone Number:

Mobile Phone Number:

Campaign Phone Number:

FAX Number:

Website:

Facebook:

Twitter Username:

Email Address:

Attorney Name:

Attorney Street Address:

Attorney City:

Attorney State:

Attorney Zip Code:

Attorney Phone Number:

Attorney Mobile Phone Number:

Attorney FAX Number:

Candidate's Statement of Qualifications

As a candidate, you have the option to file a written statement of your qualifications and reasons for running for this office. This statement will be published in The County Voter Information Guide and mailed to all registered voters in the election. There is an extra fee for filing the Candidate Statement. The fee is collected at the time of filing your Nomination Documents and is an estimation of the cost to print a statement. Actual costs will be calculated once the election is certified and the candidate will be issued an invoice if the actual cost exceeds this estimate or a refund if the actual cost is less than this estimate. Please review the Candidate Statement Fees to see what the fee is for this statement and review the Candidate's Statement of Qualifications to see information about statements printed in the County Voter Information Guide.

Date of Birth:
(This is only used to calculate your age and your DOB will not be printed)

Month:

Day:

Year:

Occupation:

Candidate Statement: (Enter your Candidate Statement.)
Word Count Limit: 200

Estimated Word Count: 0

Code of Fair Campaign Practices

This document is optional to complete. Please review the Code of Fair Campaign Practices. If you sign the Code of Fair Campaign Practices, you agree to conduct a clean and fair campaign.

Do you wish to sign the Code of Fair Campaign Practices?:

If you select Yes, the Code of Fair Campaign Practices Form will be made available for you to sign at your Nomination Documents Appointment in the Registrar of Voters office.

Do you wish to be added to the email distribution list?:

By selecting Yes and submitting this form, I declare my request in writing to receive candidate documents via email or via a website using an encrypted internet security protocol. Once your eligibility for the office being sought is verified, you will receive an email with instructions for completing your documents.