Thank you for using the Candidate Petition Form webpage. To create and print your candidate affidavit and petition pages, please answer the following questions and click Next. Click the FAQ link at the bottom of the page for helpful information. If you have any questions regarding completion of the affidavit or petitions, please call 1-877-868-3772.


What is your legal name?

* First name Middle Name or Initial * Last name Suffix

How do you want your name to appear on the ballot?

* Name as it is to appear on the Ballot

What is your occupation and gender?

* Occupation Gender


What is your voting district and residential address?

*Voting Precinct Name (Including Ward & Division, if applicable) This is required if you reside in the city of Philadelphia.
 

* Residential Street Address

* City * State * Zip Code

* Municipality: City, Boro or Township


* County of Residence

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Tom Wolf Governor

Pedro A. Cortés
Secretary of the Commonwealth

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