Unsworn Declaration in Lieu of Waiver of Expense Account Reporting Affidavit

Document Overview

This form is an official document from the Blair County Board of Elections in Pennsylvania. It serves as a substitute for a notarized "Waiver of Expense Account Reporting Affidavit. "

According to Act 2020-15, candidates who are unable to have their standard affidavit notarized may use this unsworn declaration instead. It allows candidates to declare that they do not intend to exceed specific financial limits for campaign spending.

Financial Limits and Requirements

By signing this document, the candidate makes the following declarations:

• Spending Cap: They do not intend to form a political committee or make expenditures exceeding $250 during any reporting period.
• Record Keeping: They agree to keep records of contributions and expenditures as required by law.
• Future Reporting: If contributions or expenditures eventually exceed $250, they agree to file reports as required by law (Act No. 1980-127).

Required Information

To complete this form, the candidate must provide the following details:

• Signature and Date
• Printed Name
• Location: City, Borough, Township, County, State, and Country.
• Political Party
• Address: Street Address or Post Office box.
• Election District: The district where the candidate is registered to vote.
• Office/District: The specific office or district for which they are running.
• Contact Info: Daytime phone number and email address.

Legal Declaration

The form concludes with a statement declaring that the information provided is true and correct under the penalty of perjury under the laws of the Commonwealth of Pennsylvania.