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Document Generator
for the
Declaration of Political Status
Fill out this form and then click the 'Submit' button to generate the document "Declaration of Political Status". After you click the 'Submit' button, that document will be displayed. You can then print the document to a file or to a printer for use.
This document is "notarized" ONLY by a recording secretary or coordinator for one of the 50 Assemblies. What this means is that your autograph is witnessed by that man or woman. Therefore, once you print it, you will need to contact your home state's Assembly through the Contact State Coordinators page.
None of this information is saved to the website. None of this information is sent to any other entity. None of this information is saved in any cookies.