Unsworn Declaration in Lieu of Candidate’s Affidavit

Document Overview

This form is issued by the Blair County Board of Elections in Pennsylvania. It serves as an alternative to a notarized "Candidate's Affidavit" for individuals seeking nomination or election to public office.

Purpose and Legal Basis

• Act 15 of 2020: This form is authorized under this act. It allows a candidate to submit an unsworn declaration instead of a sworn, notarized statement if the Commonwealth requires one but the candidate cannot obtain a notary.
• Usage: It is designed to be attached to the Candidate's Affidavit when a notarized statement is unavailable.

Declaration Requirements

By signing this document, the candidate declares under penalty of perjury that:

• Their residence, election district, and office sought match the attached documents.
• They are eligible for the office.
• They will not violate election laws or campaign finance regulations (specifically Section 1626 of the Pennsylvania Election Code regarding reporting).
• They are not a candidate for the same office via another party's petition (with exceptions for specific judicial and school board roles).
• If running for a political party office, they are a registered member of that party.
• They do not currently hold an office with a term expiring in the same year as the one they are seeking.

Information Required

To complete this form, the candidate must provide:

• Signature and Date (MM/DD/YYYY)
• Printed Name
• Political Party
• Municipality (City, Borough, or Township)
• Street Address/Post Office/ZIP
• Election District (District where registered to vote)
• Office Sought
• Daytime Phone Number
• E-mail Address