Recall Petition General Statement A.R.S. § 19-202.01(B)

This statement must be submitted before a serial number can be issued. The language provided should match the information completed on the Application for Recall to be submitted to the Secretary of State's Office. Completing this form does not complete the application process. You must make an appointment with our Office to review the final form and sign before you will receive a serial number. Email [email protected] to make a filing appointment.

Applicant

Name of Applicant

Email

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Committee

Committee Name

Committee ID No.

Chairperson

Treasurer

Email

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Recall Info

Name of Officer to be Recalled

Title of Office Held

The grounds for the recall are as follows

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