Form 3-F "Nominating Petition and Statement of Candidacy for District Office for Representative to Congress" - Ohio

What Is Form 3-F?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2021;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 3-F by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 3-F "Nominating Petition and Statement of Candidacy for District Office for Representative to Congress" - Ohio

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Form No. 3-F Prescribed by the Ohio Secretary of State (06-21)
Nominating Petition and Statement of Candidacy
For District Office
For Representative to Congress
To be filed with the Board of Elections of the most populous county of the district not later than 4 p.m. of the day before
the primary election
R.C. 3513.257, .261, .262, .28; 3501.38
Statement of Candidacy
NOTE - The candidate must fill in, sign and date this statement of candidacy before the signatures of electors are
affixed.
I,
, the undersigned, hereby declare under penalty of election falsification that
Name of Candidate
my voting residence address is
,
,
.
Street Number and Address, if any,
City or Village
State
Zip Code
(or rural route and number)
I further declare that I desire to be a candidate for election to the office of Representative to Congress for the:
Check
full term or
unexpired term ending
, from the
District of Ohio, at
one
Unexpired Term Ending Date
District Number
the general election to be held on the
day of
,
.
Day
Month
Year
I further declare that, if elected to this office, I will qualify therefor.
Dated this
day of
,
.
Day
Month
Year
Signature of Candidate
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
I,
, hereby designate the persons named below as a committee to represent me:
Name of Candidate
Name
Residence
Nominating Petition
We, the undersigned, qualified electors of the State of Ohio, whose voting residence is in the county, city,
village, or township set opposite our names, hereby nominate
as a
Name of Candidate
candidate for election to the office of Representative to Congress in the
District of Ohio, for the:
District Number
Check
full term or
unexpired term ending
, to be voted for at the next general
one
Unexpired Term Ending Date
election, and certify said person is, in our opinion, well qualified to perform the duties of the office or position to
which the person desires to be elected.
Voting Residence
City, Village, or
Date of
Signature
County
Street Number and Address
Township
Signing
1.
2.
3.
4.
5.
6.
Form No. 3-F Prescribed by the Ohio Secretary of State (06-21)
Nominating Petition and Statement of Candidacy
For District Office
For Representative to Congress
To be filed with the Board of Elections of the most populous county of the district not later than 4 p.m. of the day before
the primary election
R.C. 3513.257, .261, .262, .28; 3501.38
Statement of Candidacy
NOTE - The candidate must fill in, sign and date this statement of candidacy before the signatures of electors are
affixed.
I,
, the undersigned, hereby declare under penalty of election falsification that
Name of Candidate
my voting residence address is
,
,
.
Street Number and Address, if any,
City or Village
State
Zip Code
(or rural route and number)
I further declare that I desire to be a candidate for election to the office of Representative to Congress for the:
Check
full term or
unexpired term ending
, from the
District of Ohio, at
one
Unexpired Term Ending Date
District Number
the general election to be held on the
day of
,
.
Day
Month
Year
I further declare that, if elected to this office, I will qualify therefor.
Dated this
day of
,
.
Day
Month
Year
Signature of Candidate
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
I,
, hereby designate the persons named below as a committee to represent me:
Name of Candidate
Name
Residence
Nominating Petition
We, the undersigned, qualified electors of the State of Ohio, whose voting residence is in the county, city,
village, or township set opposite our names, hereby nominate
as a
Name of Candidate
candidate for election to the office of Representative to Congress in the
District of Ohio, for the:
District Number
Check
full term or
unexpired term ending
, to be voted for at the next general
one
Unexpired Term Ending Date
election, and certify said person is, in our opinion, well qualified to perform the duties of the office or position to
which the person desires to be elected.
Voting Residence
City, Village, or
Date of
Signature
County
Street Number and Address
Township
Signing
1.
2.
3.
4.
5.
6.
Voting Residence
City, Village, or
Date of
Signature
County
Street Number and Address
Township
Signing
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Circulator Statement
Must be completed and signed by the circulator.
I,
, declare under penalty of election falsification that I reside at the address
Printed Name of Circulator
signatures;
appearing below my signature; that I am the circulator of the foregoing petition containing
Number
that I witnessed the affixing of every signature; that all signers were to the best of my knowledge and belief
qualified to sign; and that every signature is to the best of my knowledge and belief the signature of the person
whose signature it purports to be or of an attorney in fact acting pursuant to section 3501.382 of the Revised Code.
Signature of Circulator
Permanent Residence Address
City or Village
State
Zip Code
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