What does the Withdrawal of Petition Signature form do?

It lets a signer request to withdraw their name from a petition and records the petition description, signer’s name, and date.

Do I need a notary for the Withdrawal of Petition Signature?

No. You can sign in the presence of the receiving officer or an authorized representative; the form also provides for notarized acknowledgment.

When is the deadline to file a petition signature withdrawal?

The document states that the deadline is 5:00 p.m. on the date the petitions are filed.

Yavapai County, AZ · Yavapai County

No notary required

Withdrawal of Petition Signature

Yavapai County residents use this document to withdraw their name from a petition and submit the signed request to the receiving officer.

At a glance

Issued by: City of Yavapai County · Yavapai County, Yavapai County, Arizona
Notarization: Not required: file this form without a notary.
Official source: yavapaiaz.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This document lets a signer request removal of their name from a petition. It must be filed by 5:00 p.m. on the date the petitions are filed; for Yavapai County special district matters, the receiving officer is the Clerk of the Board of Supervisors. The form asks for the petition description, the signer’s name and date, and an acknowledgment or receiving-officer record.

Who needs it

A person who wants to withdraw their signature from a petition handled by the Yavapai County receiving officer needs this document.

How to submit it

For special district matters, submit it to the Clerk of the Board of Supervisors as receiving officer by the stated filing deadline. The document says a notarized withdrawal may be mailed to the receiving officer but gives no mailing address.

About notarization

This document can be signed without a notary in the presence of the receiving officer or an authorized representative; it also provides for notarized acknowledgment.

How to submit this form

1
Download the Form
Download the Withdrawal of Petition Signature document.
2
Complete the Request
Enter the petition description, your name, and the date.
3
Sign the Form
Sign before the receiving officer or an authorized representative, or use the form’s notarized acknowledgment.
4
Submit to the Receiving Officer
For special district matters, submit to the Clerk of the Board of Supervisors by 5:00 p.m. on the petition filing date.

Frequently asked questions

What does the Withdrawal of Petition Signature form do?: It lets a signer request to withdraw their name from a petition and records the petition description, signer’s name, and date.
Do I need a notary for the Withdrawal of Petition Signature?: No. You can sign in the presence of the receiving officer or an authorized representative; the form also provides for notarized acknowledgment.
How do I submit the Withdrawal of Petition Signature?: For Yavapai County special district matters, submit it to the Clerk of the Board of Supervisors as receiving officer. The form says a notarized withdrawal may be mailed.
When is the deadline to file a petition signature withdrawal?: The document states that the deadline is 5:00 p.m. on the date the petitions are filed.

Need something notarized?

This Withdrawal of Petition Signature doesn’t need a notary, but if you have another Yavapai County form that does, a commissioned online notary can help.