INSTRUCTIONS: CONNECTICUT INDEPENDENT EXPENDITURE STATEMENT (INDIVIDUALS) (SEEC Form 22)

To document expenditure by an independent individual in a Connecticut election, a SEEC form 22 is used. This document can be obtained from the website of the government of Connecticut.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 1: In box 1, enter the name of the individual.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 2: In box 2, enter the date of the election or referendum.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 3: In box 3, enter the street address, city, state and zip code of the individual.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 4: In box 4, indicate the type of report you are filing with a check mark next to the appropriate statement. Only check one box.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 5: In box 5, enter the beginning and ending dates of the period you are covering in this statement.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 6: In box 6, the individual should sign the first blank line.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 7: The individual should print their name on the second blank line.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 8: The individual should enter the date on the third blank line.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 9: Skip to the second page and complete Section A, which concerns independent expenditures paid by the individual. Note that you should enter the name of the individual and the type of report being filed at the top of every page after the first page.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 10: Transfer the total value from Section A to line 7 of the first page.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 11: Complete Section B on the third page before completing lines 8 and 9 on the first page.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 12: Document expenditures incurred by the individual during the period being documented but not paid on line 8.

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 13: Document the total outstanding expenditures incurred by the individual that are still unpaid on line 9.