Missouri Code of State Regulations › Title 15 - ELECTED OFFICIALS › Division 30 - Secretary of State › Chapter 4 - Postcard Voter Application and Forms › Section 15 CSR 30-4.010 - Postcard Voter Application and Forms

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the information
				  required on the postcard.
(1)
				A postcard voter application form titled Missouri Voter Registration
				Application shall be printed. All Missouri election authorities shall accept a
				completed and signed postcard voter application form as a valid application to
				register in their jurisdiction. In addition to the Missouri Voter Registration
				Application, each election authority may print and accept its own postcard
				voter application form which shall be substantially in the same form as the
				Missouri Voter Registration Application.
(2) Postcard Application Form Format and
				Content-
(A) The postcard application form
				shall be printed on white index one hundred ten (110) pound paper cut to ten
				inches by eight inches (10" x 8"), perforated into two (2) sections measuring
				five inches by eight inches (5" x 8");
(B) The format of the bottom section of the
				postcard voter application form shall substantially follow the guidelines
				provided in subsections (2)(C)-(D) of this rule;
(C) The questions asked on the postcard
				application form shall be identical to those questions listed below:
1. Are you a citizen of the United States of
				America? ___ Yes ___No;
2. Will you
				be 18 years of age on or before election day? ___ Yes ___ No;
3. New Registration ___ Address Change ___
				Name Change ___ Political Party Affiliation;
4. (Full Legal Name) Last Name ______First
				Name______Middle Name ______Suffix Jr. __ Sr. __ II __ III __ IV __ Male ___
				Female ___;
5. Address where you
				live (House No., Street, Apt. No. or Rural Route and Box - No PO Box)
				__________City ______County _____Zip Code _____;
6. Address where you get your mail (Required
				if different from #5 above) __________City ______ County ______Zip Code
				_____;
7. Driver's License Number
				(If you do not have a driver's license, please leave blank);
8. Last 4 digits of Social Security Number
				(If you do not have a Social Security Number, please leave blank);
9. Date of Birth (MM/DD/YYYY)
				___/___/_____;
10. Place of Birth
				(optional);
11. Daytime Phone No.
				(optional);
12. Email Address
				(optional);
13. Name and Address on
				Last Voter Registration - Name __________ Address __________City ________State
				____County ______
(If currently registered in another state or county, please
				  complete this box);
14. I
				hereby certify that I am a citizen of the United States and a resident of the
				state of Missouri. I am at least seventeen and one-half years of age. I have
				not been adjudged incapacitated by any court of law. If I have been convicted
				of a felony or a misdemeanor connected with the right of suffrage, I have had
				the voting disabilities from such conviction removed pursuant to law. I swear
				under penalty of perjury that all statements made on this card are true to the
				best of my knowledge and belief. I understand that if I register to vote
				knowing that I am not legally entitled to register, I am committing a class one
				election offense and may be punished by imprisonment of not more than five (5)
				years or by a fine of between two thousand five hundred dollars ($2,500) and
				ten thousand dollars ($10,000) or both such imprisonment and fine.
Date_________________________
Signature________________________;
15. Political Party Affiliation (optional)
				___ Republican ___ Democratic ___ Libertarian ___ Unaffiliated _____
				Other.
(D) The format and
				questions and the statement "Warning: Conviction of making a false statement
				may result in imprisonment for up to five years and/or a fine up to $10,000"
				shall be printed in black ink, except that the statement, "YOUR APPLICATION
				WILL BE CONFIRMED BY MAIL WITHIN SEVEN (7) BUSINESS DAYS OF ITS RECEIPT BY THE
				ELECTION AUTHORITY. PLEASE CONTACT THE ELECTION AUTHORITY IF YOU DO NOT RECEIVE
				NOTIFICATION," shall be printed in red ink not smaller than ten (10) point in
				size;
(E) The format of the top
				section of the postcard voter application form may include information as
				determined by the secretary of state to facilitate orderly elections, and shall
				substantially follow the guidelines provided in subsection (2)(F) of this rule;
				and
(F) The top portion of the card
				shall contain a statement printed in red ink explaining that the application
				will be confirmed by mail within seven (7) business days of its receipt by the
				election authority, and the following statement printed in black ink. "THIS
				CARD IS NOT PROOF OF REGISTRATION."