Last Name 3. The format used on this application MUST be used by ALL individuals, organizations, and groups that distribute absentee ballot applications. Failure to conform to this format may result in criminal prosecution. Organizations distributing this form may not reprint mailing address information. I have not applied for an absentee ballot for this election by any other means.
Perjury is punishable by imprisonment in state prison for two, three or four years.
If bar coding or OCR font of the voter identification number is used, submit samples to this office for testing.