"Petition Entity License Application & Certificate of Circulator Training" - Colorado

Petition Entity License Application & Certificate of Circulator Training is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on September 30, 2014;
  • 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;
  • Fill out the form in our online filing application.

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 Entity License Application & Certificate of Circulator Training" - Colorado

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Petition Entity License Application & Certificate of
Office Use Only:
Circulator Training
License #:_______________________
Date Issued:_____________________
Any person or issue committee that provides compensation to a circulator to circulate a initiative
petition must complete this form. It is unlawful for any petition entity to provide compensation to
Fee:____________________________
a circulator without first obtaining a license from the Colorado Secretary of State. Complete, sign,
and return this form with the required fee to the Colorado Secretary of State.
Please type or print.
Application Type
This is an application for:
New License
Reinstatement of License
Amend Current License
Contact Information
Petition Entity Name
Current Name
Petition Entity Address
Street Address
Apt/Unit
City
State
Zip Code
Petition Entity Telephone & Email Address
Phone Number
Email Address
Petition Entity Designated Agent
First Name
Last Name
Certificate of Petition Circulator Training
Date training completed (DD/MM/YYYY)
Application Fee
The application fee of one hundred dollars ($100.00) must be enclosed with this application. Please make the check
payable to the Colorado Secretary of State.
Signature
Applicant's Affirmation
I affirm under penalty of perjury that I have read and understand Colorado petition laws as outlined in Article 40, Title 1, C.R.S. and Rule
15.2, and have completed the training related to potential fraudulent activities in petition circulation provided by the Colorado Secretary
of State, and that I will register with the Colorado Secretary of State in accordance with state law prior to circulating any petition.
Signature
Date
(Petition Entity Designated Agent)
Mail, fax, or scan and email the signed form to:
Colorado Secretary of State
1700 Broadway, Suite 200
Denver, Colorado 80290
Phone: (303) 894-2200
Fax: (303) 869-4861
Email: initiatives@sos.state.co.us
Print Form
SOS Approved 09-30-14
Petition Entity License Application & Certificate of
Office Use Only:
Circulator Training
License #:_______________________
Date Issued:_____________________
Any person or issue committee that provides compensation to a circulator to circulate a initiative
petition must complete this form. It is unlawful for any petition entity to provide compensation to
Fee:____________________________
a circulator without first obtaining a license from the Colorado Secretary of State. Complete, sign,
and return this form with the required fee to the Colorado Secretary of State.
Please type or print.
Application Type
This is an application for:
New License
Reinstatement of License
Amend Current License
Contact Information
Petition Entity Name
Current Name
Petition Entity Address
Street Address
Apt/Unit
City
State
Zip Code
Petition Entity Telephone & Email Address
Phone Number
Email Address
Petition Entity Designated Agent
First Name
Last Name
Certificate of Petition Circulator Training
Date training completed (DD/MM/YYYY)
Application Fee
The application fee of one hundred dollars ($100.00) must be enclosed with this application. Please make the check
payable to the Colorado Secretary of State.
Signature
Applicant's Affirmation
I affirm under penalty of perjury that I have read and understand Colorado petition laws as outlined in Article 40, Title 1, C.R.S. and Rule
15.2, and have completed the training related to potential fraudulent activities in petition circulation provided by the Colorado Secretary
of State, and that I will register with the Colorado Secretary of State in accordance with state law prior to circulating any petition.
Signature
Date
(Petition Entity Designated Agent)
Mail, fax, or scan and email the signed form to:
Colorado Secretary of State
1700 Broadway, Suite 200
Denver, Colorado 80290
Phone: (303) 894-2200
Fax: (303) 869-4861
Email: initiatives@sos.state.co.us
Print Form
SOS Approved 09-30-14