CalPERS Special Public Agency Member Election Form
This file contains the Nomination Acceptance/Ballot Designation Form for the 2021 CalPERS Special Public Agency Member Election. Candidates must submit the form by mail or in-person by December 16, 2021. This document provides essential guidelines for eligible candidates participating in the election.
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How do I fill this out?
To fill out this form, start by selecting either acceptance or non-acceptance of the nomination. Ensure you provide the required personal information including your name, proposed ballot designation, employer, and job classification. Finally, make sure to sign the form to certify the accuracy of the information provided.
How to fill out the CalPERS Special Public Agency Member Election Form?
1
Select your nomination acceptance or non-acceptance option.
2
Complete the required fields with your information.
3
Provide details regarding your employment and years of service.
4
Sign the form to certify the information.
5
Submit the completed form by mail or in-person by the due date.
Who needs the CalPERS Special Public Agency Member Election Form?
1
Candidates running for the CalPERS Board of Administration need this form to officially accept their nomination.
2
Public agency members interested in participating in the election must complete this form to express their candidacy.
3
Election coordinators require this form to manage and process nominations effectively.
4
Employers of candidates might need this form to verify the candidate's information.
5
Voters may refer to this form to understand nominees' designations and qualifications.
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What are the instructions for submitting this form?
To submit this form, candidates may choose to either hand-deliver it to the CalPERS Board Election Coordinator at the specified address or send it by mail. For mail submissions, it is recommended to use certified mail to ensure receipt. The addressed mail should be sent to P.O. Box 942702, Sacramento, CA 94229-2702, and in-person submissions should be made to 400 Q Street, Room W1570, Sacramento, CA 95811.
What are the important dates for this form in 2024 and 2025?
Key dates for this form include December 16, 2021, for submission. Additionally, the term for elected members will begin immediately upon certification of election results and end on January 15, 2027. Keep an eye on future election cycles for updated nomination timelines.
What is the purpose of this form?
The purpose of this form is to collect necessary information from candidates wishing to participate in the CalPERS Board of Administration election. It confirms the acceptance of nomination by qualified candidates and ensures that the election process can be carried out smoothly. Furthermore, it serves to authenticate candidate information for voters and election officials alike.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The candidate's full name as they wish it to appear on the ballot.
- 2. Proposed Ballot Designation: The title or designation the candidate wishes to be known by during the election.
- 3. Employer: The current employer of the candidate.
- 4. Job Classification: The official job title of the candidate.
- 5. Total Years of Service: The total years the candidate has served in a CalPERS-covered position.
What happens if I fail to submit this form?
Failure to submit this form will result in exclusion from the CalPERS Board election ballot. Candidates will not have their names listed for voters if the form is not received by the deadline. This could impact their future participation in similar elections.
- Loss of Candidacy: Not submitting the form means you cannot be a candidate in the election.
- Missing Deadline Consequences: If the form is not submitted by the deadline, your nomination will not be counted.
- Voter Communication: Failure to submit can lead to miscommunication with voters regarding candidate qualifications.
How do I know when to use this form?
- 1. Nomination Acceptance: Used by candidates to formally accept their nomination.
- 2. Election Participation: Necessary for individuals wanting to run in the CalPERS election.
- 3. Information Verification: Helps verify candidate details for the election board and voters.
Frequently Asked Question
What is this form for?
This form is for candidates to accept or decline their nomination for the CalPERS Board.
How do I submit the form?
You can submit the form either in-person or by mail to the specified CalPERS addresses.
What information do I need to provide?
You'll need to provide your name, proposed ballot designation, and employment details.
Is there a deadline for submission?
Yes, the form must be submitted by 5:00 p.m. on December 16, 2021.
Can I edit this PDF?
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How do I sign this PDF?
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Can I share this PDF?
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What happens if I miss the deadline?
Missing the deadline means that your name will not be on the ballot.
Can I withdraw my nomination?
Yes, you can withdraw your nomination by notifying the Board Election Coordinator.
Where can I find more information on the election?
Further information can be found on the CalPERS website or by contacting the election office.
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