California Code, Government Code - GOV § 57133

(a) For an incorporation: “Shall the order adopted on __________, 20______, by the Local Agency Formation Commission of __________ County ordering the incorporation of the territory described in the order and designated in the order as __________ (insert the distinct short form designation previously assigned by the commission) be confirmed?”

(b) For an annexation: “Shall the order adopted on __________, 20______, by the __________ (insert Local Agency Formation Commission) ordering the annexation to __________ (insert city or district) of the territory described in that order and designated as __________ (insert the short form designation previously assigned by the commission) be confirmed?”

(c) For a detachment: “Shall the order adopted on __________, 20______, by the __________ (insert Local Agency Formation Commission) ordering the detachment from the __________ (insert city or district) of the territory described in the order and designated in the order as __________ ( insert the short form designation previously assigned by the commission) be confirmed?”

(d) For a city consolidation: “Shall the order adopted on __________, 20______, by the __________ (insert Local Agency Formation Commission) of the County of __________ (insert name of city) ordering the consolidation of the Cities of __________ (insert names of all cities ordered consolidated) into a single city known as the City of __________ be confirmed?”

(e) For a disincorporation: “Shall the order adopted on __________, 20__________, by the Local Agency Formation Commission of the County of __________ ordering the disincorporation of the City of __________ be confirmed?”

(f) For a reorganization: “Shall the order adopted on __________, 20______, by the __________ (insert Local Agency Formation Commission) ordering a reorganization affecting the __________ (insert names of all affected cities or districts) and providing for __________ (insert list of all changes of organization or new cities proposed to be incorporated or districts to be formed) be confirmed?”

(g) For a district dissolution: “Shall the order adopted on __________, 20______, by the Local Agency Formation Commission of the County of __________ ordering the dissolution of the __________ district be confirmed?”

(h) For a district consolidation: “Shall the order adopted on __________, 20______, by the Local Agency Formation Commission of the County of __________ ordering the consolidation of __________ (insert the names of all districts ordered consolidated) into a single district known as the __________ District be confirmed?”

(i) For a merger: “Shall the order adopted on __________, 20________, by the Local Agency Formation Commission of the County of __________ ordering the merger of the __________ District with the City of __________ be confirmed?”

(j) For establishment of a subsidiary district: “Shall the order adopted on __________, 20______, by the Local Agency Formation Commission of the County of __________ ordering the __________ District established as a subsidiary district of the City of __________ be confirmed?”

(k) For a district formation, use form of question under principal act of district being formed. If none, use substantially the following form: “Shall the order adopted on __________, 20______, by the Local Agency Formation Commission of __________ County ordering the formation of a district in the territory described, known as __________, be approved?”