Utah Code § 20A-1-1004 — Utah Code / Title 20A / Chapter 20A-1 / § 20A-1-1004
§ 20A-1-1004. Circulator verification sheet -- Rejection of petition packet.
Status: in_force

(1) The final page of each petition packet shall contain a circulator verification sheet featuring the following printed or typed statement to be completed by the individual who gathers signatures for the petition:VERIFICATION OF SIGNATURE-GATHERERI, _____________________, hereby state, under penalty of perjury, that:I am at least 18 years old;All the names that appear in this petition packet were signed by individuals who professed to be the individuals whose names appear in it, and each of the individuals signed the individual's name on it in my presence or, in the case of an individual with a qualifying disability, I have signed this petition packet on the individual's behalf, at the direction of the individual and in the individual's presence, by entering the initials "AV" as the individual's signature;I certify that, for each individual whose signature is represented in this petition packet by the initials "AV":I obtained the individual's voluntary direction or consent to sign the petition packet on the individual's behalf;I do not believe and do not have reason to believe that the individual lacked the mental capacity to give direction or consent;I do not believe and do not have reason to believe that the individual did not understand the purpose or nature of my signing the petition packet on the individual's behalf;I did not intentionally or knowingly deceive the individual into directing me to, or consenting for me to, sign the petition packet on the individual's behalf; andI did not intentionally or knowingly enter false information on the signature sheet;I did not knowingly make a misrepresentation of fact related to this petition;I believe that each individual's name and address is written correctly, that each signer has had an opportunity to read all the information contained in the petition, and that each signer is or will be registered to vote in Utah at the time the petition packet is submitted for verification;The correct date of signature appears next to each individual's name;I have not paid or given anything of value to any individual who signed this petition packet to encourage that individual to sign it;I understand that if I have been or will be paid to gather signatures for this petition, my compensation must be based on an hourly rate if the petition is an initiative or referendum petition, or on an hourly rate or rate per valid signature if the petition is another type of petition.I completed the signature gatherer training available on the lieutenant governor's website at www.vote.utah.gov before gathering signatures for this petition. Yes ____ No ____ (Check one)________________________________________________________________________________________________(Printed Name) (Signature) (Residence Address) (Date) (2) A clerk shall reject a petition packet if: (a) all or any portion of the circulator verification sheet described in this section is not completed by the individual who gathered signatures for the petition; or (b) the individual who gathered signatures for the petition checked "No" in response to the signature gatherer training statement.