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Complete this form if you are interested in running for state office in your district. Available ballot lines are listed below.  All other towns may petition for ballot access. 

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State Representative Independent Party Ballot Lines District

2 Bethel- Newtown	5 Windsor	9 Manchester	11 East Hartford	13 Manchester	14 South Windsor	17 Avon	18 West Hartford
21 Farmington	22 New Britain	23 Old Saybrook	24 New Britain	27 Newington	28 Wethersfield	29 Rocky Hill	31 Glastonbury
32 Cromwell	33 Middletown	34 East Hampton	35 Clinton	36 Essex	37 East Lyme	38 Waterford	40 Groton
42 Ledyard	43 Pawcatuck	44 Stonington	45 Griswold	46 Norwich	47 Canterbury	48 Colchester	51 Thompson
52 Stafford	53 Tolland	56 Vernon	57 Ellington	59 Enfield	60 Windsor	61 Suffield	62 Granby
63 Torrington	64 Salisbury	​65 Torrington	66 Woodbury	67 New Milford	68 Watertown	72 Waterbury	73 Waterbury
74 Waterbury	76 Thomaston	77 Bristol	78 Bristol	79 Bristol	80 Wolcott	81 Southington	82 Meriden
83 Meriden	85 Wallingford	86 North Branford	87 North Haven	89 Prospect	90 Wallingford	96 New Haven	97 New Haven

 

99 East Haven	101 Madison	102 Bradford	103 Cheshire	104 Ansonia	107 Brookfield	109 Danbury	110 Danbury
111 Ridgefield	112 Monroe	114 Woodbridge	117 Milford	118 Milford	119 Milford	120 Stratford	123 Trumbull
124 Bridgeport	128 Bridgeport	132 Fairfield	133 Fairfield	134 Fairfield	135 Weston	137 Norwalk	138 Danbury
139 Norwich	141 Darien	142 Norwalk	143 Westport	149 Greenwich	150 Greenwich