Wash. Admin. Code § 24-12-011
(1) In the conduct of a referendum mail ballot pursuant to the provisions of RCW 15.24.090 the commission shall require that each returned ballot be accompanied by a completed apple grower eligibility certificate in substantially the following form:
WASHINGTON APPLE COMMISSION
APPLE GROWER ELIGIBILITY CERTIFICATE
| (Note: | All appropriate spaces on this certificate must be completed to properly qualify your vote.) |
| i hereby certify that: | ||
| 1. | My name and address are as follows (please print): | |
| Name: . . . . | ||
| Mailing Address: . . . . | ||
| Orchard Address: . . . . | ||
| City: . . . . | State: . . . . | |
| 2. | I am qualified to vote for one of the following reasons (please check the appropriate space): | |
| a . . . . . | I am an individual owner-operator or an individual lessee-operator of commercially producing apple orchard/orchards. | |
| b . . . . . | I am a member of and have been designated to cast the single ballot for (please fill in name), a partnership, joint venture or corporation owning/leasing and operating commercially producing apple orchard/orchards. | |
| 3. | I take my fresh apple crop to the following dealer organizations to pack/ship my fruit. (Please list all that apply to this orchard.) | |
| By signing this certificate, I grant the commission permission to contact dealer(s) listed above to verify total net lbs. fresh apples shipped in the two prior crop years. | ||
| . . . .Signature of Voter | ||
| Name (print). . . . | ||
| Date . . . . |
| Note: | A completed apple grower eligibility certificate must accompany each ballot. |
[Statutory Authority: RCW 15.24.073, 43.01.160, and 43.23.025. WSR 24-20-145, s 24-12-011, filed 10/2/24, effective 11/2/24. Statutory Authority: RCW 15.24.070, 15.24.090, 42.56.040 and chapter 34.05 RCW. WSR 19-24-098, § 24-12-011, filed 12/4/19, effective 1/4/20. Statutory Authority: Chapters 15.24 and 34.05 RCW. WSR 09-19-074, § 24-12-011, filed 9/16/09, effective 10/17/09. Statutory Authority: RCW 15.24.070(1). WSR 82-17-036 (Order 11), § 24-12-011, filed 8/12/82.]