Conn. Gen. Stat. § 7-189
Form of petition.
(b) Each page of such petition shall contain a statement, signed under penalties of false statement as defined in section 53a-157b , by the person who circulates the same, setting forth such circulator's name and address, and which shall be in the form as follows: “Each person whose name appears on this page signed the same in person in my presence and such person is known to me or has satisfactorily identified himself to me.” Any page of a petition which does not contain such a statement by the circulator shall be invalid.
(c) Such petition may also include, immediately after the statement provided in subsection (a) of this section, a list of general or specific recommendations for consideration by such commission.
Cited. 188 C. 276; 193 C. 1; 196 C. 623; 234 C. 513.