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    Recall Petition

    Uploaded by

    Jim Doherty
    This document is a petition to recall an elected official from their office. It lists the name of the official and office subject to recall. It provides signatures of three registered voters who are sponsors of the recall committee and accept responsibility for the recall effort. It specifies that the recall election should be held on the next general/regular municipal/special election date and estimates costs if a special election is required. Optional statements from the recall committee or elected official are included. Signatures of additional registered voters who support the recall are collected on subsequent pages.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Recall Petition

    Uploaded by

    Jim Doherty
    126 views2 pages
    This document is a petition to recall an elected official from their office. It lists the name of the official and office subject to recall. It provides signatures of three registered voters who are sponsors of the recall committee and accept responsibility for the recall effort. It specifies that the recall election should be held on the next general/regular municipal/special election date and estimates costs if a special election is required. Optional statements from the recall committee or elected official are included. Signatures of additional registered voters who support the recall are collected on subsequent pages.

    Original Description:

    Sample Recall Petition

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    This document is a petition to recall an elected official from their office. It lists the name of the official and office subject to recall. It provides signatures of three registered voters who are sponsors of the recall committee and accept responsibility for the recall effort. It specifies that the recall election should be held on the next general/regular municipal/special election date and estimates costs if a special election is required. Optional statements from the recall committee or elected official are included. Signatures of additional registered voters who support the recall are collected on subsequent pages.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    126 views2 pages

    Recall Petition

    Uploaded by

    Jim Doherty
    This document is a petition to recall an elected official from their office. It lists the name of the official and office subject to recall. It provides signatures of three registered voters who are sponsors of the recall committee and accept responsibility for the recall effort. It specifies that the recall election should be held on the next general/regular municipal/special election date and estimates costs if a special election is required. Optional statements from the recall committee or elected official are included. Signatures of additional registered voters who support the recall are collected on subsequent pages.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    PETITION FOR THE RECALL OF

    ______________________________________________________________

    FOR THE OFFICE OF


    ______________________________________________________________

    By the: Committee to Recall _________________________ For the Office of _________________________

    The recall is for ______________________________, ___________________________________


    (Name of Elected Official)

    (Office of Elected Official)

    We have three sponsors listed below with signatures


    We represent the Committee to Recall ________________________________________________;
    for the Office of __________________________________________________________________
    We, the undersigned, certify that we are sponsors of the Committee to Recall _________________,
    and that we are registered to vote in ______________________________. We support the recall
    and accept responsibility associated with the serving on the Recall Committee.
    The recall should be held at the ________________________ election.
    (general, regular municipal or special)

    If applicable, the estimated cost of a special election is __________________________________.

    STATEMENT OF THE RECALL COMMITTEE OR DECLARATION THAT NO STATEMENT WAS


    PROVIDED (Optional- not to exceed 200 words)

    RESPONSEOF
    STATEMENT
    OF COMMITTEE
    THE ELECTED
    OFFICIAL
    TO BE RECALLED
    OR DECLARATION
    THE RECALL
    OR
    DECLARATION
    THAT NO STATEMENT
    WAS
    STATEMENT
    to exceed 200 words)
    THAT NO RESPONSE
    WAS PROVIDED (Optional - not to exceed 200 words):
    (Optional- notSTATEMENT
    PROVIDED

    The Recall Committee is listed below:


    1. _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    Zip Code

    2. _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    Zip Code

    3. _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    Zip Code

    THE FORMAT OF THIS PETITION HAS BEEN APPROVED BY THE APPROPRIATE RECALL
    ELECTION OFFICIAL.
    (Signature) ____________________________________________
    (Title) ____________________________________________
    (Date) ____________________________________________

    Page 1

    Petition to Recall ___________________________ from the Office of ___________________________


    Signature and residence address of registered voter:
    1.

    Page _____ of _____

    _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    I had the opportunity to review the information on the first page of this petition.

    Zip Code

    Date: ____________________

    2. _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    I had the opportunity to review the information on the first page of this petition.

    Zip Code

    Date: ____________________

    3. _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    I had the opportunity to review the information on the first page of this petition.

    Zip Code

    Date: ____________________

    4. _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    I had the opportunity to review the information on the first page of this petition.

    Zip Code

    Date: ____________________

    5. _______________________________________________________________________________________________
    Signature

    Print Name

    _______________________________________________________________________________________________
    Residence Address (Number and Street)

    Municipality

    I had the opportunity to review the information on the first page of this petition.

    State of New Jersey


    County of

    Zip Code

    Date: ____________________

    :
    : ss.
    :

    I, ______________________________________, being duly sworn, upon my oath say that my address is


    _____________________________________, that I assumed responsibility for circulating this Petition
    and that I witnessed the signing of this page by each person whose signature appears thereon; that to the
    best of my information and belief, the signers are legal residents of _____________, New Jersey and that
    (County)

    this signature page was circulated in absolute good faith for the purpose of causing the recall of
    ________________________ for the office of _______________________, named on the first page of this
    Petition. The dates between which signatures on this page were collected are _____/_____/_____ and
    _____/_____/_____/.
    Sworn and subscribed to before me in
    ____________________________________ N.J.,

    on

    ___________________________________________

    (List County where Affidavit was signed and notarized)

    (Signature of Circulator/Witness)

    this ___________________________ day of


    ___________________________________________

    (Day)

    (Residence Address)

    ______________, 20_____
    (Month)

    ___________________________________________

    (Year)

    (Municipality)
    _____________________________________________________

    (Notary Signature)
    _____________________________________________________

    (My Commission Expires)

    Page 2

    (Zip Code)

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