Indiana § 3-7-16-12 Requirements for registration form

Indiana Statutes

§ 3-7-16-12 — Requirements for registration form

Indiana·Art. 7 VOTER REGISTRATION·Ch. 16 Registration at Agencies Serving Persons With

(a)The registration form prescribed under section 11 of this chapter must meet the following requirements:

(1)The form must be equivalent to the mail registration form prescribed by the election division under IC 3-7-31 and in compliance with 52 U.S.C. 20506(a)(6)(A)(ii).

(2)The form must include a statement that does the following:

(A)Sets forth each eligibility requirement for registration (including citizenship).

(B)Contains an attestation that the applicant meets each of the eligibility requirements.

(C)Requires the signature of the applicant, under penalty of perjury, and the date the form was signed.

(3)The form must include the following as provided in 52 U.S.C. 20506(a)(6)(B):

(A)A question reading "If you are not registered to vote where you live now, would you like to app

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(a) The registration form prescribed under
section 11 of this chapter must meet the following requirements:
(1) The form must be equivalent to the mail registration form
prescribed by the election division under IC 3-7-31 and in
compliance with 52 U.S.C. 20506(a)(6)(A)(ii).
(2) The form must include a statement that does the following:
(A) Sets forth each eligibility requirement for registration
(including citizenship).
(B) Contains an attestation that the applicant meets each of the
eligibility requirements.
(C) Requires the signature of the applicant, under penalty of
perjury, and the date the form was signed.
(3) The form must include the following as provided in 52 U.S.C.
20506(a)(6)(B):
(A) A question reading "If you are not registered to vote where
you live now, would you like to apply to register to vote here
today?".
(B) A statement reading "Applying to register or declining to
register to vote will not affect the amount of assistance that you
will be provided by this agency.".
(C) Boxes for the applicant to check to indicate whether the
applicant would like to register or declines to register to vote.
(D) A statement in close proximity to the boxes and in
prominent type: "IF YOU DO NOT CHECK EITHER BOX,
YOU WILL BE CONSIDERED TO HAVE DECIDED NOT
TO REGISTER TO VOTE AT THIS TIME.".
(E) A statement reading "If you would like help in filling out
the voter registration application form, we will help you. The
decision whether to seek or accept help is yours. You may fill
out the application form in private.".
(F) A statement reading "If you believe that someone has
interfered with your right to register or to decline to register to
vote, or your right to choose your political party or other
political preference, you may file a complaint with (insert the
title, address, and telephone number of the NVRA official). If
you want you may first try to solve the problem by filing a
complaint with the county voter registration office of the county
where the violation occurred.".
(4) The form must be designed to make voter registration as
accessible as possible for persons with disabilities.
(b) The registration form prescribed under section 11 of this chapter
must include a statement informing the individual that if the individual
is registering for the first time, the appropriate information required
under IC 3-7-33-4.7 must be submitted with the registration form in
order to avoid the additional identification requirements upon voting
for the first time.