Los Angeles County Registrar-Recorder/County Clerk NOVEMBER 8, 2016 GENERAL ELECTION Candidate Registration Process

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1 Los Angeles County NOVEMBER 8, 2016 GENERAL ELECTION Candidate Registration Process Registration Process Important Facts Getting Started Candidate Qualification and Filing Schedule Los Angeles County Imperial Highway 2 nd Floor, Room 2013 Election Information Norwalk, California Authorization To Pick Up (PDF format requires Adobe Acrobat Reader) Candidate Registration & Qualification Form (CRQ)

2 Registration Process The candidate filing period for the November 8, 2016 General Election commences on Monday, July 18 through Friday, August 12. If a declaration of candidacy for an incumbent is not filed by the August 12 deadline, the filing period will be extended from Saturday, August 13 through Wednesday, August 17. The extension period does not apply when there is no incumbent up for re-election, or when the office is listed as "Vacant or for WATER AGENCY DISTRICTS. Note: The office will be closed Saturday, August 13 and Sunday, August 14. During the candidate filing period, a candidate must sign and submit a Candidate Registration and Qualification (CRQ) form. It is the candidate's responsibility to sign and submit a completed CRQ form to the Registrar-Recorder/County Clerk. The CRQ provides the information necessary for the to confirm the candidate's qualification status and prepare the official Nomination Documents. The CRQ is not an official candidate nomination document. To expedite the registration and qualification process, a candidate may provide the necessary information to the Registrar by filling out and transmitting the "Online Candidate Registration and Qualification Form (CRQ) on or before the final filing deadline established by law. Also a blank form may be obtained for this purpose at the Registrar's Office. Only official documents issued by the may be used. Forms are available from the s Office at E. Imperial Highway, Norwalk, 2 nd Floor, Room 2013 between the hours of 8 a.m. and 5 p.m., Monday through Friday, excluding holidays. This office will process the transmitted CRQ form within 48 hours (excluding weekends/holidays). All candidates bear the full responsibility to execute and file official filing documents prepared and issued by this office no later than the legal filing deadline established by law. If for any reason the CRQ form is not accepted or does not qualify you for the office chosen, you will be notified by telephone or by return within 48 hours (excluding weekends/holidays) and provided with the reason for not accepting the form. First and Last Day For Nomination Papers July 18 Through August 12 Extension of Nomination Period If Incumbent fails to file by August 12, 2016 Attention! Extension is not applicable if: no incumbent is up for re-election, or office is listed as "Vacant, or a WATER AGENCY DISTRICT. Deadline for Transmitting CRQ Deadline for Requesting Nomination by Mail August *13 Through August 17 *8/13 (Sat.) and 8/14 (Sun.) office will be closed Attention Online Candidate Registration & Qualification will not be available during the extension period. Candidate or Agents on behalf of a candidate must pickup/file papers at the Registrar- Recorder/County Clerk office. August 11, Noon August 4, Midnight

3 Important Facts All official candidate filing documents (Declaration of Candidacy, Candidate Statement of Qualification, Transliteration and campaign reporting forms) must contain "original signatures" and received in this office by the legal filing deadlines. Faxed copies are not acceptable. This office cannot provide official filing documents any earlier than the first day established by state law, or legally accept any official filing documents sent by U.S. Mail after 5 p.m. on the filing deadline. All Mail Must Be Addressed To: (800) Option #5 (562) Or Delivered To: (800) Option #5 (562) (661) Election Planning Section, Room 2015 Nomination Documents Enclosed Post Office Box 1024 Norwalk, California Election Information Section, Room Imperial Highway Norwalk, California (Business Hours: 8 a.m. to 5 p.m.) Lancaster District Office th Street West, Suite 101 Lancaster, California (Business Hours: 8:30 a.m. to 4:30 p.m.) Deadline August 12, 2016 at 5 p.m. Access to the "Online Candidate Registration and Qualification (CRQ) will not be available after 12 noon on August 11, 2016, including extension periods where applicable. This is to ensure timely filing of nomination documents and safeguard against any misunderstanding that submission of the Candidate Registration and Qualification form completes the filing process. The last day to request forms by mail is midnight Thursday, August 4. Contact either the Election Information Section at or Election Planning Section at (562) if you have any further questions.

4 Getting Started Step 1 Check the Candidate Qualification and Filing Schedule for the office title and requirements and filing dates/deadlines. Step 2 You may execute and submit your Candidate Registration and Qualification Form in one of four ways: Internet transmission - This office will process the CRQ form within 48 hours (excluding weekends/holidays). Deadline to transmit is August 11, at 12 noon. A. Documents will be prepared in advance, and ready for pickup and/or filing in the Election Information Section, 2 nd floor, Room 2013, Or you may request all nomination documents via mail by selecting Request to Receive documents by mail on the "Online Candidate Registration and Qualification Form". (Also see Telephone Request below.) B. All candidates bear the full responsibility to execute and file official filing documents prepared and issued by this office no later than the legal filing deadline established by law. In Person - Candidate filing takes place in our Election Information Section located on the 2 nd Floor, Room 2013, between 8 a.m. and 5 p.m. We are located at Imperial Highway, Norwalk. By an authorized agent - You may authorize an agent to pickup and deliver your signed CRQ and Nomination documents. (**Click here for "Authorization to Pickup ) **(PDF format requires Adobe Acrobat Reader) Telephone Request - You may call the Election Information Section at or Election Planning Section at (562) between 8 a.m. and 5 p.m., Monday through Friday, excluding holidays, to apply for and receive official filing documents by mail. Deadline for mail request is August 4. Step 3 All candidates must complete the nomination process no later than the legal filing deadline established by law. No exceptions will be made.

5 Los Angeles County Registration-Recorder/County Clerk CANDIDATE REGISTRATION & QUALIFICATION FORM Nomination Papers First Day to Apply July 18, 2016 / Last Day to File - August 12, 2016 Part I IMPORTANT NOTE: Please be sure to fill out all (*) Required Fields NAME TO APPEAR ON BALLOT AS: *FIRST MIDDLE NAME OR INITIAL *LAST NAME *NAME AS REGISTERED (If Different From Ballot Name) *RESIDENCE STREET ADDRESS *CITY NAME *ZIP CODE *TELEPHONE NUMBERS *DAYTIME *EVENING *FAX WEBSITE PART II ADDRESS AND TELEPHONE NUMBER FOR PUBLICATION/INTERNET AND ISSUED TO NEWS MEDIA (If none given, the above residence address and telephone numbers will be used.) *STREET ADDRESS: *CITY NAME *ZIP CODE *TELEPHONE FAX WEBSITE E MAIL PART III *OFFICE TITLE (District, Term and Division or Office No.) Click here for Qualification Information Drop down list of offices: See List of Offices *ARE YOU AN INCUMBENT? YES NO IF "YES", * Select on of the following. Please Select "I am aware of the qualifications for the office and understand this is not an official filing document." NAME OF CANDIDATE OR AGENT SUBMIT N/A INCUMBENT APPOINTED INCUMBENT RESET Last day to request forms by mail is midnight, August 4th. Click here to receive documents By Mail

6 Acton-Agua Dulce Unified School District (unexpired term) Antelope Valley Health Care District Antelope Valley-East Kern Water Agency, Div. 4 Antelope Valley-East Kern Water Agency, Div. 6 Antelope Valley-East Kern Water Agency, Div. 7 Beach Cities Health Care District Castaic Lake Water Agency, Div. 1 Castaic Lake Water Agency, Div. 2 Castaic Lake Water Agency, Div. 3 Castaic Lake Water Agency, At Large Central Basin Municipal Water, Div. 1 Central Basin Municipal Water, Div. 4 Central Basin Municipal Water, Div. 5 Cerritos Community College District, Trustee 1 Cerritos Community College District, Trustee 2 Cerritos Community College District, Trustee 4 Cerritos Community College District, Trustee 6 Foothill Municipal Water, Div. 1 Foothill Municipal Water, Div. 3 Las Virgenes Municipal Water, Div. 1 Las Virgenes Municipal Water, Div. 4 Lowell Joint School District North Orange County Community College, Trustee 4 North Orange County Community College, Trustee 7 San Gabriel Valley Municipal Water, Div. 2 San Gabriel Valley Municipal Water, Div. 3 Santa Clarita Community College District, Trustee 2 Santa Clarita Community College District, Trustee 3 Santa Clarita Community College District, Trustee 4 Saugus Union School District, Trustee 3 Saugus Union School District, Trustee 4 Saugus Union School District, Trustee 5 (unexpired term) Snowline Joint Unified School District Three Valleys Municipal Water, Div. 2 Three Valleys Municipal Water, Div. 4 Three Valleys Municipal Water, Div. 6 Three Valleys Municipal Water, Div. 7 Upper San Gabriel Valley Municipal Water, Div. 2 Upper San Gabriel Valley Municipal Water, Div. 3 Upper San Gabriel Valley Municipal Water, Div. 4 Victor Valley Community College District Water Replenishment District of Southern California, Dist. 2 Water Replenishment District of Southern California, Dist. 5 West Basin Municipal Water, Div. 3 West Basin Municipal Water, Div. 5 Westfield Recreation and Park District

7

8 Transmittal Confirmation Candidate Registration & Qualification Online Form You have successfully transmitted the "Online Candidate Registration & Qualification" Your Confirmation Number is C Print this page or write down this number for future reference. YOU MUST PICK UP ALL OFFICIAL DOCUMENTS AT REGISTRAR-RECORDER/COUNTY CLERK ELECTION INFORMATION SECTION 2 ND FLOOR, ROOM 2013 NORWALK, CALIFORNIA (Business Hours: 8 a.m. to 5 p.m., Monday through Friday, excluding weekends/holidays) (Deadline for filing is August 12, 2016 at 5 p.m.) Back to Main Page Authorization To Pick-up Candidate Filing Schedule Candidate Registration Form

9 Los Angeles County REQUEST FOR CANDIDATE NOMINATION DOCUMENTS BY MAIL This is to request that the necessary nomination documents for filing as a candidate for the November 8, 2016 General Election be mailed. I have completed the Candidate Registration and Qualification Form, and understand that the nomination documents will be mailed within 48 hours (excluding weekends/holidays), upon confirmation of my qualifications. The nomination packet will be mailed to the residence address provided on the Candidate Registration and Qualification Form, unless I have completed the information below. I am also aware that I am responsible to sign and return the documents to your office no later than 5 p.m. on Friday, August 12. I prefer to have the nomination packet mailed to the following address: Name: Address: City: Zip: SUBMIT RESET (562) MAILING ADDRESS: Election Planning Section, Room 2015 Nomination Documents Enclosed Post Office Box 1024 Norwalk, California Deadline August 12, 2016 at 5 p.m. Back to CANDIDATE REGISTRATION FORM Back to Registration Process

10 Transmittal Confirmation Candidate Registration & Qualification Online Form You have successfully transmitted the "Online Candidate Registration & Qualification" And Request For Candidate Nomination Documents By Mail Your Confirmation Number is C Print this page or write down this number for future reference. All Mail Must Be Addressed To: (562) Or Delivered To: (562) (661) Election Planning Section, Room 2015 Nomination Documents Enclosed Post Office Box 1024 Norwalk, California Election Information Section, Room Imperial Highway Norwalk, California (Business Hours: 8 a.m. to 5 p.m.) Lancaster District Office th Street West, Suite 101 Lancaster, California (Business Hours: 8:30 a.m. to 4:30 p.m.) (Deadline for filing is August 12, 2016 at 5 p.m.)

11 Sorry We regret to inform you that you cannot transmit your Candidate Registration & Qualification form. Records indicate that you may have submitted a Candidate Registration & Qualification form for the office selected or the deadline to submit this form has expired. Questions concerning filing procedures can be addressed from 8 a.m. to 5 p.m. Monday through Friday (excluding holidays) at the Election Information / Candidate Filing Section 2nd Floor, Room Imperial Highway, Norwalk DEADLINE EXPIRES AT 5 P.M. ON: August 12, 2016 Back to Registration Process Back to RR/CC main menu

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