The secretary of state shall prescribe by rule the form required for a recall petition. Each page of the petition must contain the following information:

1. (1) the name and office held by the state officer who is the subject of the recall petition and, in the case of a representative, senator, or district judge, the district number in which the state officer serves;
2. (2) the specific grounds upon which the state officer is sought to be recalled and a concise, accurate, and complete synopsis of the specific facts that are alleged to warrant recall on those grounds;
3. (3) a statement that a recall election, if conducted, will be conducted at public expense;

4. (4) a statement that persons signing the petition:

   1. (i) must be eligible voters residing within the district where the state officer serves or, in the case of a statewide officer, within the state;
   2. (ii) must know the purpose and content of the petition; and
   3. (iii) must sign of their own free will and may sign only once; and

5. (5) a space for the signature and signature date; printed first, middle, and last name; residence address, including municipality and county; and date of birth of each signer.

   The secretary of state shall make available sample recall petition forms upon request.