5:02:08:45.  Form for precinct committeeman or committeewoman statement of candidacy. The statement for precinct committeeman or committeewoman candidacy must be in the following form:

Precinct Committeeman or Committeewoman Statement

I, _______________________, of ______________ County, declare myself a candidate for the position of ________________ (insert party) Party Precinct ____________ (insert committeeman or committeewoman) for Precinct No. _________. My mailing address is ________________, __________, SD ________, my residence address is ___________________, ___________, SD ________, my email address is ________________, and my telephone number is ________________.

I am a resident of the precinct, I am a registered voter of the political party specified above at the time I sign this statement, I desire to serve in the office of Precinct Committeeman or Committeewoman, and, if elected, will serve in the office.

I certify all of the above information to be true.

Print Name ______________________________

Date ____________

Signature _______________________________

Telephone Number __________________

    Source: 36 SDR 209, effective June 30, 2010; 45 SDR 9, effective July 30, 2018; 50 SDR 12, effective August 8, 2023.

    General Authority: SDCL 12-1-9(7).

    Law Implemented: SDCL 12-5-4, 12-6-3.2.