1102. PETITION FORM

1102 PETITION FORM 1102.1 The Board shall prepare and provide to the proposer at a public meeting an original petition form which shall contain the following: Numbered lines for twenty (20) names, designed so that each signer may personally affix the date signed and their signature, printed name, residence address (giving street and number) and election ward; (b) A statement requesting that the Board hold a recall election in the manner prescribed in Charter Amendment No. 2 to Title IV of the District of Columbia Self-Government and Governmental Reorganization Act; (c) The name of the elected officer sought to be recalled and the office held by that elected official; (d) The name and address of the proposer or proposers of the recall; (e) The statement of grounds for the recall and the response of the officer sought to be recalled, if any. If the officer sought to be recalled has not responded, the petition shall so state; (f) A warning statement declaring that only duly registered qualified electors of the District of Columbia may sign the petition; (g) Instructions advising signatories of the proper method of signing the petition as follows: EVERYONE WHO SIGNS THIS PETITION MUST SIGN THEIR OWN NAME. UNDER NO CIRCUMSTANCES IS ANY PERSON PERMITTED TO SIGN ANOTHER PERSON’S NAME OR SIGN MORE THAN ONCE. IN ORDER TO ENSURE THAT YOUR SIGNATURE WILL BE COUNTED, PRINT YOUR FULL NAME (AS IT APPEARS ON YOUR VOTER REGISTRATION RECORD), YOUR RESIDENCE ADDRESS, THE DATE OF SIGNING, AND YOUR WARD IN THE SPACES PROVIDED. IF YOU NEED ASSISTANCE WITH PROVIDING YOUR INFORMATION ON THIS PETITION, YOU MUST MAKE THAT REQUEST BEFORE SIGNING. (h) The words "PAID FOR BY" followed by the name and address of the payer or the committee or other person, and its treasurer on whose behalf the material appears, in the right-hand corner of the front page. 1102.2 The second page of each petition form shall include a circulator’s affidavit, providing space for the circulator of a petition to record their name and address and the dates between which the signatures on the sheet were obtained. By signing the affidavit, the circulator swears under oath or affirms that: They are a qualified petition circulator; (b) They were in the presence of each person who signed the petition at the time the petition was signed; (c) According to the best information available to the circulator, each signature is the genuine signature of the person whose name it purports to be; and (d) They have not written, altered, corrected, clarified, or obscured information on the petition about the signer of the petition after the signer affixed their signature to the petition. 1102.3 No petition sheets may be circulated prior to the Board’s provision of the original petition form. 1102.4 The proposer shall reproduce the paper petition form at their own expense. Each reproduced petition sheet shall be printed in its entirety on paper of good writing quality of the same size as the original petition form prepared by the Board and shall be double-sided. SOURCE: Final Rulemaking published at 42 DCR 4419, 4421-23 (August 18, 1995); as amended by Final Rulemaking published at 48 DCR 11722 (December 28, 2001); as amended by Final Rulemaking published at 49 DCR 2737 (March 22, 2002); as amended by Final Rulemaking published at 61 DCR 625 (January 24, 2014); as amended by Final Rulemaking published at 65 DCR 5644 (May 18, 2018); as amended by Final Rulemaking published at 69 DCR 001132 (February 11, 2022); as amended by Final Rulemaking published at 73 DCR 008498 (June 12, 2026). District of Columbia Municipal Regulations Elections and Ethics 3 DCMR § 1102