"Petition Complaint Form" - Colorado

Petition Complaint Form is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on November 16, 2011;
  • The latest edition currently provided by the Colorado Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

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Download "Petition Complaint Form" - Colorado

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Petition Complaint Form
For office use only
Any person registered to vote in Colorado may use this form to file a written complaint with the
Complaint ID: __ __ - __ __ __
Secretary of State alleging a violation of the laws relating to petition circulation. (Section
1-40-132(1), C.R.S.)
Date Stamp:
Please fill out this form as completely as possible. All fields marked with an asterisk (*) are
required to submit a complaint.
Mail, fax, deliver, or scan your signed form and email it to:
The Colorado Secretary of State, Elections Division
1700 Broadway, Ste. 200
Denver, CO 80290
Fax: (303) 869-4861
initiatives@sos.state.co.us
Your information
Last name*
First name*
Middle name
Street address where you are registered to vote (No P.O. Boxes)*
Apt. or Unit
City or Town*
ZIP Code*
Colorado County
Mailing address (required if different from your home address)
Apt. or Unit
City or Town
State
ZIP Code
Phone number (include area code)*
Email address
Circulator or petition entity information
Initiative petition number (if known)
Name of circulator (if known)
Name of petition entity (if known)
Petition proponents or issue committee (if known)
Petition section number (if known)
Alleged violation(s) of State Law (check all that apply)
A petition was circulated by someone other than the authorized circulator
A circulator provided a false name or address on the affidavit attached to the petition
A circulator was not present during one or more signings of the petition
A circulator lied about the issues or tried to confuse an elector into signing the petition
A circulator or someone else offered something of value in exchange for a signature
A circulator forged the signature of an elector
A petition was signed by an unregistered elector
An elector signed a name other than his or her own
Other
(please specify):
Secretary of State Approved 11-16-2011
Page 1 of 2
Petition Complaint Form
For office use only
Any person registered to vote in Colorado may use this form to file a written complaint with the
Complaint ID: __ __ - __ __ __
Secretary of State alleging a violation of the laws relating to petition circulation. (Section
1-40-132(1), C.R.S.)
Date Stamp:
Please fill out this form as completely as possible. All fields marked with an asterisk (*) are
required to submit a complaint.
Mail, fax, deliver, or scan your signed form and email it to:
The Colorado Secretary of State, Elections Division
1700 Broadway, Ste. 200
Denver, CO 80290
Fax: (303) 869-4861
initiatives@sos.state.co.us
Your information
Last name*
First name*
Middle name
Street address where you are registered to vote (No P.O. Boxes)*
Apt. or Unit
City or Town*
ZIP Code*
Colorado County
Mailing address (required if different from your home address)
Apt. or Unit
City or Town
State
ZIP Code
Phone number (include area code)*
Email address
Circulator or petition entity information
Initiative petition number (if known)
Name of circulator (if known)
Name of petition entity (if known)
Petition proponents or issue committee (if known)
Petition section number (if known)
Alleged violation(s) of State Law (check all that apply)
A petition was circulated by someone other than the authorized circulator
A circulator provided a false name or address on the affidavit attached to the petition
A circulator was not present during one or more signings of the petition
A circulator lied about the issues or tried to confuse an elector into signing the petition
A circulator or someone else offered something of value in exchange for a signature
A circulator forged the signature of an elector
A petition was signed by an unregistered elector
An elector signed a name other than his or her own
Other
(please specify):
Secretary of State Approved 11-16-2011
Page 1 of 2
Details of the complaint
State in your own words the detailed facts and circumstances that form the basis of your complaint, including any relevant person(s). Please
include relevant dates and times and the names and addresses of other persons whom you believe have knowledge of the facts.
Please provide the details of your complaint in the space below. If you need additional space, check the box below and attach a separate page.
(please type or print)
See additional page(s) attached
Sign or mark below
I affirm that the information provided above is true and accurate to my best knowledge.
Signature*
(date)
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