(a) On or immediately after January 1 after a general election for state and county officers, each county clerk shall deliver to the secretary of state a certified statement that contains for each person elected to a county or precinct office in the election:
(1) the name of the person;
(2) the office to which the person was elected; and
(3) the date the person qualified for the office.
(b) The secretary of state shall prescribe necessary forms for the statement and instructions for delivery of the statement.