Free DECLARATION OF INTENT TO BE A WRITE-IN CANDIDATE (VRG-22) - Indiana


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State: Indiana
Category: Government
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http://www.state.in.us/icpr/webfile/formsdiv/51631.pdf

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NOTICE TO ABSENTEE VOTER TO SUPPLY ADDITIONAL DOCUMENTATION
State Form 51631(R4 / 9-07) Indiana Election Commission (42 USC 15483; IC 3-7-33-4.5; 3-11-4-18(b))

Reset Form

(ABS-18)

INSTRUCTIONS: This notice is sent to a voter who registered to vote by mail and is applying for an absentee ballot. Under federal law, if the voter submitted an application to register to vote through the mail after January 1, 2006, if registering for the first time in Indiana, the voter must present the county voter registration office with a copy of a personal identification document before the voter's absentee ballot can be counted in the 2008 elections. The county voter registration office must receive this document from the voter no later than 6:00 p.m. on election day.
STATE OF INDIANA COUNTY OF ____________________________________

Voter Exemption Information If you believe you have received this notice in error, please check one of the following exemptions, sign this notice, and return the notice to the County Voter Registration Office: I previously voted in a general election in This County in the following year (check one) 2006 2004 2002 2000 1998 1996 Other _______________________ If I was registered to vote under a different name at that election, my name was: ________________________________________________________________________ I am a military voter, the spouse of a military voter, or a dependent of a military voter, who is currently outside of _____________________________ County. I am an overseas voter who is currently outside of the United States. I did not register to vote by mailing a voter registration application to your office.
Signature of Voter Printed Name of Voter Date Signed (MM/DD/YY)

Voter Documentation Information
If you do not qualify for one of the exemptions mentioned above, please come into the county voter registration office to present the one of the documents listed below OR return this notice by mail or FAX (to ________________________) with a photocopy of one of the following documents. Do not mail this office an original copy of any document. The document must have your name and current residence address as stated on your voter registration application printed on the document: · Current and valid photo identification, such as your Indiana driver's license · Current utility bill · Current bank statement · Current government check · Current paycheck · Other government document that shows your name and address PLEASE NOTE: If you are required to present this documentation to the County Voter Registration Office, we encourage you to do so now, if possible. If you do not do so by 6:00 p.m. on election day, your absentee ballot will not be counted. If you have further questions, please contact the County Voter Registration Office.