Connecticut Administrative Code › Title 9 - Elections › 32 - Registrars of Voters-Canvass by Mail › Section 9-32-3 - Notice of canvass - form

Current through July 10, 2024
(a)
Notice of
			 canvass form.
The notice of canvass shall be in both the English and
			 Spanish languages in affected municipalities; in nonaffected municipalities the
			 notice of canvass may be in the English language only. For purposes of this
			 section, affected municipalities shall mean all municipalities in which 1% or
			 more of their total population, but no less than 500 persons, as reflected on
			 the latest known extrapolations from the Director of the Census, are
			 Hispanic-Americans, including all persons of Mexican, Puerto Rican, Cuban,
			 Central or South American, or other Spanish culture or origin, regardless of
			 race. The notice of canvass in affected municipalities shall be in
			 substantially the following form:
Notice of Canvass
Date:_____________________________
Name_________________________________________________________________
Address_______________________________________________________________
Post Office
				Box________________________________________________(optional)
Date of Birth__________________________________________________
				(optional)
Important! This Concerns Your Right to
				Vote
The registrars of voters are conducting a canvass of voters as
				required by law. Please check the statement or statements which apply to you,
				sign in the space provided below, and immediately return this form.
( )
My residence is at the address shown above.
( )
I have moved. The address of my new residence is:
				_____________________
				_______________________________________________________________
(If this new residence is in another town, you must register to
				vote in that town in order to be entitled to vote in the next election.)
( )
I am in military service.
( )
My name has been changed to:
				_____________________________________.
Please record this change on the voter registry list.
_________________________________
Signature of Elector
Important
The Registrars of Voters must receive this form from you within
				thirty (30) days, completed and signed, so that the voter registry list will
				show your correct name and residence address. Failure to return this card may
				affect your right to vote in future elections.
Please cooperate by
				returning this form within thirty (30) days
. There is no need to
				put a stamp on the return form.
Aviso Importante
Dia: _____________________________
Nombre________________________________________________________________
Direccíon_______________________________________________________________
Apartado de
				Correo______________________________________________(optional)
Fecha de Nacimiento
				____________________________________________ (optional)
!Importante! Esto Trata Sobre Su Derecho A
				Votar
Los registradores de votantes están llevando a cabo una campana
				de solicitud de votantes, segun requerida por ley. Por favor, indique la
				declaración o declaraciones que apliquen a usted, firme en el espacio provisto
				más adelante y devuelva este formulario inmediatamente.
( )
Mi residencia está en la dirección arriba indicada.
( )
Me he mudado. La dirección de me nueva residencia es:
				_________________
				_______________________________________________________________
(Si esta nueva residencia es en otro pueblo, usted tiene que
				inscribirse para votar en ese pueblo para que sea elegible para votar en la
				próxima elección.)
( )
Estoy en servicio militar.
( )
Mi nombre ha sido cambiado a:
				_____________________________________.
Por favor registre este cambio en la lista de votantes
				escritos.
_________________________________
Firma del Elector
Importante
Los registradores de votantes deberán recibir este formulario
				de su parte dentro de treinta (30) dias, llenado y firmado, para que la lista
				de votantes inscritos refleje su nombre y residencia correctos. Dejar de
				devolver esta tarjeta puede afectar su derecho a votar en elecciones
				futuras.
Por favor coopere devolviendo este formulario dentro de treinta
				(30) dias. No hay necesidad de poner sello de correo en el formulario.
(b) The notice of canvass in
			 nonaffected municipalities shall be in the form prescribed in subsection (a) or
			 in the English language only prescribed in subsection (a).