Minnesota Regulations § 8200.9939 FORM OF OATH, SPECIFIED BY PART 8200.5100
Regulation Text
Use this form only if you are registering to vote with a voucher as your proof of residence.
I, _______________________ (Name of Voucher) swear or affirm that (Check one):
( ) I am pre-registered to vote in this precinct
Voter ID ____________________
(to be completed by the election judge)
( ) I registered in this precinct today and did not have another person vouch for me
( ) I am an employee of a residential facility
_________________
(Name of residential facility)
Residential Address of Voucher or Address of Residential Facility
_____________________________________________________________
Street Address City
Telephone number __________________
E-mail address (optional) __________________
I personally know that _______________________________________________
(Name of person registering)
is a resident of this precinct.
_____________________
Signature of Voucher
Election Judge Official Use Only:
Subscribed and sworn to before me
__/__/____ ___________________________
Date Signature of Election Judge
The above oath shall be attached to the voter registration card and retained for at least 22 months.
History
20 SR 2787; 32 SR 2055
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