Declaration of Candidacy Forms

Declaration of Candidacy Form for Citywide Officers

    Deadline for receipt of this form is September 30, 2022, timestamped by 5:00 pm. If you'd like a PDF version instead, please contact us.


    As you would like it to appear on ballot.













    Check those methods that are acceptable to give out.



    I, __________, candidate for the office of __________, do hereby declare that I will use the UTLA constituency chapter chair contact information for the sole purpose of contacting members to solicit their votes in connection with the election. I will only disclose this information to members who are participating in my campaign.

    I will assure that anyone working to assist me in my campaign is aware that this information must only be used in connection with the election.

    __________
    Signature of Candidate

    __________
    Date Signed

    This form goes to Tara Thomas of the UTLA Elections Committee, who can also be reached at tthomas@utla.net or 3303 Wilshire Blvd., 10th floor, Los Angeles, CA 90010 or 1–213–637–5165.