Cal. ELEC § 6859.5

The certificate of the elections official to nomination papers of a candidate shall be in substantially the following form: CERTIFICATE OF COUNTY ELECTIONS OFFICIAL TO NOMINATION PAPERS OF A CANDIDATE To the Secretary of State: I, County Elections Official of the County of ______, hereby certify that I have examined the nomination papers, to which this certificate is attached, of the presidential candidate, and that the number of names which I have not marked “not sufficient” is _______. The candidate named in the nomination papers is comprised of the following: _______________________________________________________ Dated this ________ day of ________, 20___. ________________________ (SEAL) County Elections Official By Deputy