South Dakota Regulations § 5:02:08:45 Form for precinct committeeman or committeewomanVersion dated Oct. 30, 2024

The statement for precinct committeeman or committeewoman shall 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 understand that to be a Precinct Committeeman or Committeewoman, I am a resident of the precinct, I am a registered voter of the political party named above at the time I sign this statement, and if elected, will serve in the office.

I certify all of the above information to be true.

Print Name ______________________________

Date ____________

Signature _______________________________

Telephone Number __________________