New York Codes, Rules and Regulations › Title 8 - EDUCATION DEPARTMENT › Chapter II - Regulations of the Commissioner › Subchapter E - Elementary and Secondary Education › Part 122 - Military Ballots for School District and School District Public Library Elections, Budget, and Referenda › Section 122.8 - Military ballot voter information

Current through Register Vol. 46, No. 28, July 10, 2024
The following shall be printed on the inner envelope
					 transmitted with the ballot by mail, or the additional form transmitted with
					 the ballot by facsimile or e-mail to be permanently fixed to an envelope
					 secured by the military voter as provided in section 122.3(b)(5)  of this
					 Part.
(a) On one side of the envelope
				  shall be printed or permanently fixed:
OFFICIAL BALLOT, MILITARY VOTER
for
School District or School District Public Library Election,
					 Budget Vote or Referenda
Name of Voter.......................
District Residence (street and number, if
					 any)...........
City (or Town) of......................
County of........................
School District ..........
School Election District (if
					 applicable)..............
The date of the election, budget vote or referenda and name
					 of the school district or school district public library, as applicable, shall
					 be printed and the name of the voter, residence, school election district (if
					 applicable) shall be written in by the board of registration, in school
					 districts that provide for personal registration of voters; the school district
					 clerk, in school districts that do not provide for personal registration; or
					 the appropriate official designated by school district public libraries, as
					 applicable.
(b) On the
				  reverse side of such envelope shall be printed or permanently fixed the
				  following statement:
STATEMENT OF MILITARY VOTER
I do declare that I am a citizen of the United States, and
					 will be at least eighteen years of age, on the date of the school district
					 and/or school district public library election, budget vote or referenda for
					 which I submit this military ballot; that I will have been a resident of this
					 state and of the school district and school election district, if any, shown on
					 the reverse side of this envelope for thirty days next preceding the said
					 election, budget vote or referenda and that I am or on such a date will be, a
					 qualified voter of said school district and/or school district public library;
					 that I will be unable to appear personally on the day of said school district
					 election, budget vote or referenda at the polling place of the said district in
					 which I am or will be a qualified voter because of the reason stated on my
					 application heretofore submitted; that I have not qualified, nor do I intend to
					 vote, elsewhere than as set forth on the reverse side of this envelope; that I
					 have not received or offered, do not expect to receive, have not paid, offered
					 or promised to pay, contributed, offered or promised to contribute to another
					 to be paid or used, any money or other valuable thing, as a compensation or
					 reward for the giving or withholding of a vote at this school district and/or
					 school district public library election, budget vote or referenda, and have not
					 made any promise to influence the giving or withholding of any such votes; that
					 I have not made or become directly or indirectly interested in any bet or wager
					 depending upon the result of this school district and/or school district public
					 library election, budget vote or referenda; and that I have not been convicted
					 of bribery or any infamous crime, or, if so convicted, that I have been
					 pardoned or restored to all the rights of a citizen, without restriction as to
					 the right of suffrage, or have received a certificate of relief from
					 disabilities or a certificate of good conduct pursuant to article twenty-three
					 of the correction law removing my disability to register and vote. I hereby
					 declare that the foregoing is a true statement to the best of my knowledge and
					 belief, and
I understand that if I make any material false statement in
					 the foregoing statement of military voter, I shall be guilty of a
					 misdemeanor.
Date ..................... Signature of Voter
					 ..........................