Candidate Financial Disclosure
Chelise Jessen
Clerk-Auditor
Clerk-Auditor
Financial Campaign Report for County and Local School Board Candidates
Name of Candidate
AddressCityStateZip Code
Office
Phone NumberEmail
Type of Report
Seven days preceding the General Election
No
Mark the applicable report
30 Days after withdrawal or elimination
Seven days preceding Convention
Candidates that participate in County Convention must report contributions and expenditures
made 10 days prior to the date of the Election.
made 10 days prior to the date of the Election.
Seven days preceding the Primary Election
Candidates on the Primary Ballot must report contributions and expenditures
made 10 days prior to the date of the Election.
made 10 days prior to the date of the Election.
Seven days preceding the General ElectionCandidates on the General Ballot must report contributions and expenditures
made 10 days prior to the date of the Election.
made 10 days prior to the date of the Election.
30 Days after the General Election
End-of-Year Report
Due on December 31 for current County and local school board officers.
Is this report an amendment?
NoYes, Date of Original Report ____________________
Affirmation
I, 
affirm that this Report of Contributions and Expenditures is true,
accurate and correct to the best of my knowledge.
Printed Name of Candidate
accurate and correct to the best of my knowledge.
Signature
Date
Where to File
Mail:
P.O. Box 270
Duchesne, UT 84021
P.O. Box 270
Duchesne, UT 84021
Date of Filing