O. Box, City, Apt #, State and Zip Code.
B. SPOUSE'S ADDRESS: Address, City, Zip Code
C. PERSON'S DUTY, LOCAL OFFICE AREAS, INCLUDING CURRENT FLEET COMMAND POSTS, LOCAL OFFICE POSITIONS, AND LOCAL CIVILIAN DEPUTIES.
D. DUE DUTY, AND OR OTHER APPLICABLE RESIDENCIES AUTHORITY. You shall provide the following information. Please complete this form as completely and in full as the law will permit you to do so.
1. Position to be filled.
2. Title of Position.
3. Number of Years of experience in this position, if any.
4. The name and address of the principal officer.
5. Telephone Number of the person to be contacted.
6. Name, Address, Telephone Number, Age, and Relationship (spouse, if applicable) of the person to be contacted, if known.
7. Telephone Number where copy of the Declaration of Candidacy, Statement of Organization, Financial Disclosure Form, and any other statements regarding your candidacy that you are required to file is to be mailed to.
8. Telephone Number of all members of the filing committee if you have any.
9. In case there are other persons to be notified, their names, addresses, telephone numbers, and occupations and responsibilities shall be included.
10. If required (in most cases), a copy of the Statement of Organization and a copy of your Certificate of Election or Notice of Nomination and/or Declaration of Candidacy, if applicable, and all supporting documentation shall be submitted with these required statements.
11. If you intend to serve in any administrative position, please be prepared to complete a statement of experience, certification of qualifications, and other applicable form(s).
You have 10 business Days to accept either the Candidate Statement or the Statement of Organization form. No filing shall be completed otherwise.
If you are selected to fill a vacancy in a local office, the filing Committee shall notify the incumbent local office candidate of his or her selection by a letter on or before the date specified in the Election Code. The letter containing the election filing statement shall be sent either by registered or certified mail or by facsimile machine to the mailing address for the incumbent local office.
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STATEMENT OF SUBSTANTIAL INTERESTS in LOCAL OFFICE INSTRUCTIONS. This statement must be completed by each person required to do so by K.S.A. 75-4301a. Upon completion, mail or hand deliver your completed
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