Fill - Free fillable Joint County Voters Pamphlet (City of Tualatin) PDF form

ORS 251.335 JCVP-01

Revised 012020 Page 1 of 2 JCVP-01

Candidate checklist for ‘JCVP-01 Joint County Voters’ Pamphlet Candidate Statement’ information:

Typewritten & Signed JCVP-01

‘Required Information’: (Optional) ‘Optional Information’

Occupation (Optional) Portrait

Occupational Background (If applicable) JCVP-02 Endorsement Statement #: ____

Educational Background Fee/Petition Provided

Prior Governmental Experience Word Count (325 words/numbers MAX)

Joint County Voters’ Pamphlet

Candidate Statement

Important! Read all instructions before completing this form.

Use this form when ling a ‘JCVP-01 Joint County Voters’ Pamphlet Candidate Statement’ with your County Elections

oce. Please note that each county produces a separate County Voters’ Pamphlet. If the jurisdiction or district is

located in more than one county, a separate JCVP-01 form must be led and the ling fee paid to each county where

the ‘Candidate Statement’ is to be printed.

Filing Information

Election Date:

________________________________________ Amended Statement

Name of Candidate (as it should appear on the ballot):

Filing for the Oce of (complete what’s applicable):

District/Position:

“This information furnished by” (Required: Name of Candidate or Committee as it should appear in the Voters’ Pamphlet):

Contact Information:

Phone: Cell: _________________________ Work: __________________________ Home: __________________________

Email:

Warning: Any person who supplies information in the ‘Required’ portion of a Voters’ Pamphlet statement, knowing it to be

false, is subject upon conviction of a Class C felony, to imprisonment for up to ve years or to a ne of $125,000, or both.

ORS 260.715 (1); 260.993; 161.605; and 161.625.

Note: Language which violates any provision of ORS 251.415 will be excluded from the Voters’ Pamphlet

By signing this document, I hereby state:

- That all information provided by me on this form and in this ‘Candidate Statement’ is true to the best of my knowledge;

- I am the author of this ‘Candidate Statement’ (ORS 251.415);

- I have read and understand the instructions for submitting this ‘Candidate Statement’; and

- The portrait, if provided, is less than four (4) years old.

________________________________________________________ ____________________________

Signature of Candidate or Agent on behalf of Candidate Date Signed

________________________________________________________ ____________________________

(If applicable) Printed name of Agent Phone number

ORS 251.335 JCVP-01

Revised 012020 Page 2 of 2 JCVP-01

For Oce Use Only: Required Info? Yes No Word Count (325 max):

County: ______________________ Optional Info? Yes No

Signed? Yes No Providing digital copy? Yes No

Cash-receipt #: ________________

Endorsements? Yes # ______ No

Check #: _____________________ Portrait? Received digital copy? Yes No

Print? #______

 Yes No

Received digital copy? Yes No 

 None

Candidate Statement for Voters’ Pamphlet

Required Information

Candidate Name:

Total maximum of 325 hand counted typewritten words/numbers for the combined ‘Required’ and ‘Optional

Information’, excluding the bold headings already printed on this form. All sections of the ‘Required Information’

must be completed. If there is not relevant information for a required section, the word “None” should be inserted.

Occupational Background (any previous paid or unpaid employment):

Educational Background (relevant school(s) attended):

  

, , ;

Prior Governmental Experience (elected or appointed):

Optional Information

Attach a separate sheet with your 'Required' and ‘Optional Information’. Remember: both your ‘Required’ and ‘Optional'

Information count toward the 325 word limit (excluding required information headings).

Occupation (present paid or unpaid employment):

See Attached - Please attach printed paper copy of REQUIRED and OPTIONAL information

on separate sheet of printed paper. If providing a photo, please provide paper copy of photo.

After filing the paper copy (with signed page one) and paying the fee, please email an electronic

copy (Word or Google Doc) of the required and optional information to

elections@co.washington.or.us along with electronic copy of the photo (JPG or TIF format).

See Attached

Joint County Voters’ Pamphlet Candidate Statement Instructions

Voters’ Pamphlet Candidate Filing Fees:

1. Special District/City/County at Special/Regular Election: Metro at Primary/General Election positions

●$25

● $100

2. 



●$25 – Districts with fewer than 1,000 voters within the county.

● $50 – Districts with 1,000 – 9,999 voters within the county.

● $100 – Districts with 10,000 – 49,999 voters within the county.

● $300 – Districts with 50,000 or more voters within the county.

Payment Options

Cash or Check only. Credit/Debit Cards are not accepted at this time.

Candidate Statements are Optional

You may choose to include a Candidate Statement and portrait in the County Voters’ Pamphlet. No candidate



A county may choose independently to list a candidate’s name in their county’s Voters’ Pamphlet.

Filing Deadline

 



allowed to a ‘Candidate Statement’, including ‘Statements of Endorsements’ and/or portraits, after the 5 pm



“Statements of Endorsements’ and/or portrait issues. Filings unsigned or recieved after the 5 pm deadline will not

be accepted.

2. It is recommended that the candidate email the text (Word or Text format) of the ‘Required’ and ‘Optional

Information’ to the County Elections oce. Both printed and emailed copies must be exactly the same. If there

are discrepencies, the print version verbiage provided will be used for the Voters’ Pamphlet production.

 



the statement is to be printed.

Signatures

JCVP-01 must be signed by the candidate or authorized agent. Digital signatures will not be accepted for JCVP-01 or

JCVP-02 Statement of Endorsement.

Word Count/Format

1. The combined total word count for ‘Required’ and ‘Optional Information’ must not exceed 325 words/numbers.

Please hand count your statement to ensure that your word count does not exceed the 325 maximum

word/number count. The County Elections oce will not print more than 325 words/numbers.

2. ‘Required Information’ headings which include “Occupation”, “Occupational Background”, “Educational Background”

and “Prior Governmental Experience” – these eight words must be a part of the statement, but these eight words do

not count towards the maximum word count of 325.

3. Generally, anything with white space around it counts as a word. Hyphenated words that are listed in a dictionary as

one word and can be used either with or without a hyphen will count as one word. All other hyphenated words will

count as more than one word.

 



 



Required Information.



in list format will be changed to a run-on format, using commas, semicolons and colons as appropriate. All ‘Required

Information’ will be printed in plain text (no boldface, caps, centering, underlining or bulleting). Provide itemized listing

of information without embellishments. The word “None” (part of word count) must be used in any section of the

‘Required Information’ if the candidate does not have relevant information for that section.

Optional Information

1. ‘Optional Information’ must consist of words/numbers only. Standard formatting attributes such as boldface, all

caps, centering, underlining; bulleted and numbered lists may be used. Charts or graphics may not be used. Italics

may only be used when citing the source of published material. Any other italic used will be changed to plain text.

Bullets do not count towards the word count.

Revised 012020 Page 1 of 2 JCVP-01

ORS 251.335 JCVP-01

Quotes

1. Quotes from published sources may be used. The quotation must have been disseminated to the public prior to its

inclusion and the source and date of publication/dissemination must be provided. If a quote, from a previously

published source is used no endorsement form is necessary. The quote, source, and date will count towards the 325

maximum word count.

2. Quotes from websites can be used, but must include the date and website address as part of the statement. It is

recommended that a printed copy from the website is kept for your records from the date you are referencing in your

‘Candidate Statement’.

3. Italics should only be used when citing the source of a quote from a published source. Example of quotes: “The

Oregonian, 06/21/2018”; or from Mayor Smith’s website, “www.mayor-smith.com 06/21/2018” or “In the latest

edition of the NW TimesNW Times,

02/04/2018.

Endorsements

1. If the name of a person and/or title or organization is used as part of the statement in the JCVP-01, a signed JCVP-02



2. Any name (other than the candidate or committee submitting the JCVP-01) listed in the ‘Candidate’s Statement’



251.405.

Portrait Requirements

 

 ” and printed on newsprint. If possible, a digital portrait in a









have their quality impacted. Hard copy portraits must be submitted and labeled with the candidates name on the

back. Do not use a pen that will bleed through to the portrait.

3. Portaits must be less than four years old or it will not be used in the Voters’ Pamphlet.

4. The portrait should only show the face, neck and shoulders of the candidate; no hands, no hat, no sunglasses or

anything below the shoulders. Please leave extra space around the portrait so that it can be cropped to the required

size.

5. The background of the portrait must be plain (non-textured, light gray background is recommended). Paneling,



6. 



altered and any additional expenses charged to the candidate.

Amendments



Statement’ is amended a new completed and signed JCVP-01 form to be submitted with the “Amended” box marked.



No changes will be permitted

after the 5 pm deadline.

Contact Information

ORS 251.335 JCVP-01

Revised 012020 Page 2 of 2 JCVP-01

Clackamas County Elections

1710 Red Soils Ct, Suite 100

Oregon City, OR 97045

phone 503-655-8510

fax

503-655-8461

email elections@clackamas.us

Washington County Elections

2925 NE Aloclek Dr, Suite 170

Hillsboro OR 97124-7523

phone 503-846-5800

fax

503-846-5810

email elections@co.washington.or.us

Multnomah County Elections,

1040 SE Morrison Street

Portland, OR 97214

phone 503-988-3720

fax

503-988-3719

email elections@multco.us

Yamhill County Elections

414 NE Evans Street

McMinnville, OR 97128

phone 503-434-7518

fax

503-434-7520

email elections@co.yamhill.or.us

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