Cal. Elec. Code § 6859.5
The certificate of the elections official to nomination papers of a candidate shall be in substantially the following form:
| CERTIFICATE OF COUNTY ELECTIONS OFFICIAL TO NOMINATION PAPERS OF A CANDIDATE | |
| To the Secretary of State: | |
| I, County Elections Official of the County of ______, hereby certify that I have examined the nomination papers, to which this certificate is attached, of the presidential candidate, and that the number of names which I have not marked “not sufficient” is _______. The candidate named in the nomination papers is comprised of the following:_______________________________________________________ | |
| Dated this ________ day of ________, 20___. | |
| ________________________ | |
| (SEAL) | County Elections Official By Deputy |