FOR OFFICE USE ONLY
NOTIFICATION OF NONCANDIDACY
I, ________________________________________________, state that I am currently the
(please print name)
incumbent officeholder for the office listed below.
I will not be a candidate for this office at the next election. I understand that the
timely receipt* of this notice will avoid an extension of the deadline for filing ballot
access documents.
TITLE OF OFFICE: _________________________________________________________
(print current office, including district #, if any)
NEXT ELECTION DATE: ___________________________________________________
SIGNATURE: _________________________________
DATE OF SIGNING: __________________________
*Notification must be received by the proper filing officer no later than 5:00 p.m. on
the 2nd Friday preceding the deadline for filing ballot access documents to avoid an
extension of time for filing such papers.
The information on this form is filed in accordance with §§.8.05(1)(j), 8.10(2)(a), 8.15(1), 8.20(8)(a), 120.06(6)(b), Wis. Stats.
This form is prescribed by the Wisconsin Elections Commission, 212 East Washington Avenue, 3
rd
Floor, P.O. Box 7984,
Madison, WI 53707-7984, (608) 266-8005, FAX (608)267-0500, http://elections.wi.gov
Email: elections@wi.gov.
EL-163 (4/2009)
