ELECTION APPLICATION
State of Wyoming | ) | |
) | ss | |
County of .... | ) |
I, ...., being .... years of age, a qualified elector of Election District No. ...., Precinct No. ...., Ward No. ....(if applicable), residing at ...., in the City of ...., State of Wyoming, do hereby request that my name be printed upon the Official Special Municipal Election Ballot for the special election to be held on ...., .... (year), in the City of ...., as a candidate for the office of ..... I hereby declare that if elected I will qualify for the office.
Dated the .... day of ...., .... (year)
.... (Signature of Candidate)
W.S. 22-23-902