Each individual who casts a provisional ballot under section
3505.181
of the Revised Code shall execute a written affirmation. The form of the written affirmation shall be printed upon the face of the provisional ballot envelope and shall be as follows:
"Provisional Ballot Affirmation
(A)
Clearly print your full name: ___________________
(B)
Write your date of birth: _______________________
(C)
(1)
Write your current address: __________________
_____________________________________________________
(2)
Have you moved without updating your voter registration?:
Yes ______ No ______
If yes, write your former address: __________________
_____________________________________________________
Failure to provide your former address will not cause your provisional ballot to be rejected.
[(D) Provide one of the following forms of]
(D)
(1)
You must show photo
identification
[:]
[(1) Write]
to the election official that includes your name and photograph and is not expired. Check the type of photo identification you provided:
______ An Ohio driver's license or state identification card or an interim identification form issued by the Bureau of Motor Vehicles. If you showed
your
[full]
Ohio driver's license or state identification card
or an interim identification form, write your full driver's license or state identification card
number: ________________________
[(2) Write the last four digits of your Social Security number: _______________]
[(3)]
______ A United States passport or passport card;
______ A United States military identification card, Ohio national guard identification card, or United States department of veterans affairs identification card.
(2)
If you do not have photo identification because you have a religious objection to being photographed, complete an affidavit of religious objection. The precinct election official will attach it to the provisional ballot envelope.
(3)
If you did not
[write your full Ohio driver's license or state identification card number or the last four digits of your Social Security number, you must]
show
[one of the following forms of]
photo
identification to the
[precinct]
election official
[. If you do not check one of the following boxes affirming the type of identification you showed to the precinct election official, the board of elections will conclude that you did not show identification to your precinct election official and that]
or complete an affidavit of religious objection,
you must
[show identification]
appear
at the
office of the
board of elections during the
[seven]
four
days after the election
and provide photo identification or complete an affidavit of religious objection
for your vote to be eligible to be counted.
[______ A form of photo identification that was issued by the United States government or the State of Ohio, that contains your name and current address (or your former address if the identification is an Ohio driver's license or state identification card), and that has an expiration date that has not passed;]
[______ A military identification card; or]
[______ A current utility bill, bank statement, government check, paycheck, or other government document, other than a notice of voter registration mailed by a board of elections, that contains your name and current address.]
[(4) If you fail to provide identification at this time, you must go to the board of elections on or before the seventh day following this election to provide a qualifying form of identification in order for this ballot to count.]
(4)
If you need to update your voter registration, you may provide additional information below. This information will not be used for ballot counting purposes.
Write your full Ohio driver's license or state identification card number: ________________________
Write the last four digits of your Social Security number: _______________
(E)
If your right to vote has been challenged, you must provide any required additional information to the board of elections on or before the seventh day following this election.
(F)
Sign and date the following statement:
I solemnly swear or affirm that I am a citizen of the United States; that I will be at least 18 years of age at the time of the general election; that I have lived in this state for 30 days immediately preceding this election in which I am voting this ballot; that I am a registered voter in the precinct in which I am voting this provisional ballot; and that I am eligible to vote in the election in which I am voting this provisional ballot.
I understand that, if the information I provide on this provisional ballot affirmation is not fully completed and correct, if the board of elections determines that I am not registered to vote, a resident of this precinct, or eligible to vote in this election, or if the board of elections determines that I have already voted in this election, my provisional ballot will not be counted. I understand that, if I am not currently registered to vote or if I am not registered at my current address or under my current name, this form will serve as an application to register to vote or update my registration for future elections, as long as I provide all of the information required to register to vote or update my registration. I further understand that knowingly providing false information is a violation of law and subjects me to possible criminal prosecution.
I hereby declare, under penalty of election falsification, that the above statements are true and correct to the best of my knowledge and belief.
________________________
Signature of Voter
________________________
Date
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE."
In addition to any information required to be included on the written affirmation, an individual casting a provisional ballot may provide additional information to the election official to assist the board of elections in determining the individual's eligibility to vote in that election, including the date and location at which the individual registered to vote, if known.
If the individual provided all of the information required under section
3503.14
of the Revised Code to register to vote or to update the individual's registration on the provisional ballot affirmation, the board of elections shall consider the individual's provisional ballot affirmation to also serve as a notice of change of name, change of residence, or both, or as a voter registration form, as applicable, for that individual only for the purposes of future elections.
History
Amended by
134th General Assembly
File No.
TBD
,
HB 458
,
§
1
, eff.
4/7/2023
.
Amended by
130th General Assembly
File No.
67
,
SB 216
,
§
1
, eff.
6/1/2014
.
Amended by
130th General Assembly
File No.
3
,
SB 47
,
§
1
, eff.
6/21/2013
.
Amended by
129th General Assembly
File No.
105
,
SB 295
,
§
1
, eff.
8/15/2012
.
Amended by
129th General Assembly
File No.
40
,
HB 194
,
§
1
Made subject to referendum in the Nov. 6, 2012 election. The version of this section thus amended was repealed by
129th General Assembly
File No.
105
,
SB 295
,
§
1
, eff.
8/15/2012
.
Effective Date: 05-02-2006; 2008 HB562 09-22-2008