19-101. Referendum petition; circulators;
violation; classification


A. The following shall be the form for referring to the people by referendum
petition a measure or item, section or part of a measure enacted by the legislature, or
by the legislative body of an incorporated city, town or county:


Referendum Description


(Insert a description of no more than one hundred words of the principal provisions of
the measure sought to be referred.)


Notice: This is only a description of the measure sought to be referred prepared by
the sponsor of the measure. It may not include every provision contained in the
measure. Before signing, make sure the title and text of the measure are attached. You
have the right to read or examine the title and text before signing.


Petition for Referendum


To the secretary of state: (or to the corresponding officer for or on
local county, city or town measures)


We, the undersigned citizens and qualified electors of the state of Arizona,
respectfully order that the senate (or house) bill No. ___ (or other local
county, city or town measure) entitled (title of act or ordinance, and if the
petition is against less than the whole act or ordinance then set forth here
the item, section, or part, of any measure on which the referendum is used),
passed by the _________________ session of the legislature of the state of
Arizona, at the general (or special, as the case may be) session of said
legislature, (or by a county, city or town legislative body) shall be referred
to a vote of the qualified electors of the state, (county, city or town) for
their approval or rejection at the next regular general election (or county,
city or town election) and each for himself says:


I have personally signed this petition with my first and last names. I
have not signed any other petition for the same measure. I am a qualified
elector of the state of Arizona, county of (or city or town and county of, as
the case may be) _____________.


"Warning


It is a class 1 misdemeanor for any person to knowingly sign an
initiative or referendum petition with a name other than his own, except in a
circumstance where he signs for a person, in the presence of and at the
specific request of such person, who is incapable of signing his own name
because of physical infirmity, or to knowingly sign his name more than once
for the same measure, or to knowingly sign such petition when he is not a
qualified elector."



Signature Name Actual Arizona City or Date
(first and address post office town signed
last name (street & address (if any)
printed) no. and if & zip
no street code
address,
describe
residence
location)

(Fifteen lines for signatures which shall be numbered)


The validity of signatures on this sheet must be sworn to by the
circulator before a notary public on the form appearing on the back of the
sheet.


Number ________________


B. Each petition sheet shall have printed in capital letters in no less than twelve
point bold-faced type in the upper right-hand corner of the face of the petition sheet
the following:


"___________ paid circulator" "______________ volunteer".


C. A circulator of a referendum petition shall state whether he is a paid
circulator or volunteer by checking the appropriate line on the petition form before
circulating the petition for signatures.


D. Signatures obtained on referendum petitions in violation of subsection C are
void and shall not be counted in determining the legal sufficiency of the petition. The
presence of signatures that are invalidated under this subsection on a petition does not
invalidate other signatures on the petition that were obtained as prescribed by this
section.