Form CFFN023 "Write in Candidate Declaration" - Delaware

Form CFFN023 or the "Write In Candidate Declaration" is a form issued by the Delaware Department of Elections.

The form was last revised in August 4, 2013 and is available for digital filing. Download an up-to-date Form CFFN023 in PDF-format down below or look it up on the Delaware Department of Elections Forms website.

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Download Form CFFN023 "Write in Candidate Declaration" - Delaware

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Camp
paign Finan
nce Section
Write In C
Candidate D
Declaration
Date _______
____________
_____________
___________
I, __
____________
_____________
_____________
____________
_____________
____________
_______, residi
ing at the follo
wing address
Please t
type or print yo
our correct and
d proper name
e
___
_____________
____________
_____________
____________
____________
_____________
____________
_____________
___________
Ho
ouse #
Street
t
City
Z
Zip Code
___
_____________
____________
_____________
____________
____________
_____________
____________
_____________
___________
Mail
ling address if
f different from
home address
here
eby files as a W
Write In Candid
date for the Of
ffice:
__ _
____________
_____________
____________
_____________
____________
____________
__ District # __
_____________
___________
___
_____________
____________
_____________
____________
___________
_________
_____________
____________
___________
Sign your c
correct and pro
oper name
Tele
ephone number
r
Dat
te of Birth____
_____________
___
___
_____________
____________
_____________
____________
__________
________
_____________
____________
___________
E-mail
Address (Opti
onal)
Web Page Add
dress (Optiona
al)
Form mu
ust be notarize
ed if it is not c
ompleted in th
he office. Can
ndidates for Sta
atewide Office
es are to file at
t the
State Ele
ection Commi
ssioner’s Offi
ce, and all oth
her candidates
s should file a
at the respecti
ive Departmen
nt of
Elections
s Office for the
eir county. Ca
andidate Filing
Forms are con
nsidered Public
c Information u
under the Free
edom
of Inform
mation Act.
For Office U
Use Only
Notary Infor
rmation
Sub
bscribed and sw
worn to before
me on the foll
lowing date:
D
Date Received_
_____________
____________
__________
____
____________
_____________
____________
___________
___
___________
___________
_________
R
Received by
N
Notary Public S
Signature
____
____________
_____________
____________
___________
Date
___
____________
_____________
____________
_____________
_____________
____________
_____________
____________
___________
Page 1 of 1
CFF
FN023 V1.0 2013/
/8/4
Camp
paign Finan
nce Section
Write In C
Candidate D
Declaration
Date _______
____________
_____________
___________
I, __
____________
_____________
_____________
____________
_____________
____________
_______, residi
ing at the follo
wing address
Please t
type or print yo
our correct and
d proper name
e
___
_____________
____________
_____________
____________
____________
_____________
____________
_____________
___________
Ho
ouse #
Street
t
City
Z
Zip Code
___
_____________
____________
_____________
____________
____________
_____________
____________
_____________
___________
Mail
ling address if
f different from
home address
here
eby files as a W
Write In Candid
date for the Of
ffice:
__ _
____________
_____________
____________
_____________
____________
____________
__ District # __
_____________
___________
___
_____________
____________
_____________
____________
___________
_________
_____________
____________
___________
Sign your c
correct and pro
oper name
Tele
ephone number
r
Dat
te of Birth____
_____________
___
___
_____________
____________
_____________
____________
__________
________
_____________
____________
___________
E-mail
Address (Opti
onal)
Web Page Add
dress (Optiona
al)
Form mu
ust be notarize
ed if it is not c
ompleted in th
he office. Can
ndidates for Sta
atewide Office
es are to file at
t the
State Ele
ection Commi
ssioner’s Offi
ce, and all oth
her candidates
s should file a
at the respecti
ive Departmen
nt of
Elections
s Office for the
eir county. Ca
andidate Filing
Forms are con
nsidered Public
c Information u
under the Free
edom
of Inform
mation Act.
For Office U
Use Only
Notary Infor
rmation
Sub
bscribed and sw
worn to before
me on the foll
lowing date:
D
Date Received_
_____________
____________
__________
____
____________
_____________
____________
___________
___
___________
___________
_________
R
Received by
N
Notary Public S
Signature
____
____________
_____________
____________
___________
Date
___
____________
_____________
____________
_____________
_____________
____________
_____________
____________
___________
Page 1 of 1
CFF
FN023 V1.0 2013/
/8/4
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