RECALL PETITION
__________________
(Official application no.)
__________________
(County or city)
To __________________ | |||||
(Name of election superintendent) | |||||
__________________ | |||||
(Address) | |||||
__________________ | |||||
(City, state, ZIP Code) | |||||
We, the electors registered to vote in the recall election herein petitioned, demand the recall of __________________ (Name and office) on the grounds that said official has, while holding public office, conducted himself or herself in a manner which relates to and adversely affects the administration of his or her office and adversely affects the rights and interest of the public and that said official __________________ (State the appropriate ground or grounds for recall as set forth in subparagraph (B) of paragraph (7) of Code Section 21-4-3 and a brief statement, not to exceed five lines, of the fact or facts upon which such ground or grounds are based.). | |||||
Name | Date of Signing | Residence Address | County of Residence | ||
__________________ | |||||
(Signature) | (Number and street or route) | ||||
__________________ | __________________ | ||||
(Printed name of elector) | (City) | ||||
(Ten lines for signatures and printed names) |
OCGA § 21-4-7