In addition to the other statements and spaces for entering information that appear on an officially prescribed form for an application for a place on the ballot, each official form for an application that a candidate is required to file under this chapter must include:
(A) A space for indicating the form in which the candidate's name is to appear on the ballot;
(B) A space for the candidate's mailing address;
(C) Spaces for the candidate's home and office telephone numbers; and
(D) A statement informing candidates that the furnishing of telephone numbers is optional.