A certificate of election must be prepared by the secretary of state for each individual elected to a state or a district office. The certificate must be signed by the governor and the secretary of state, have the great seal of the state affixed, and be attested by at least one of the other members of the state canvassing board. The certificate, in substance, must be in the following form:

At an election held on _, , _ was elected to the office of _ of this state for the term of _ years from _, , (or, if to fill a vacancy, for the residue of the term ending on _, __), and until a successor is duly elected and qualified.

Given at Bismarck on ____, __.