Minnesota Administrative Rules
Agency 133 - Secretary of State
Chapter 8200 - VOTER REGISTRATION
FORMS
Part 8200.9939 - FORM OF OATH, SPECIFIED BY PART 8200.5100

Universal Citation: MN Rules 8200.9939
Current through Register Vol. 49, No. 13, September 23, 2024

Use this form only if you are registering to vote with a voucher as your proof of residence.

I, _______________________ (Name of Voucher) swear or affirm that (Check one):

() I am pre-registered to vote in this precinct

Voter ID ____________________

(to be completed by the election judge)

() I registered in this precinct today and did not have another person vouch for me

() I am an employee of a residential facility

_________________

(Name of residential facility)

Residential Address of Voucher or Address of Residential Facility

_____________________________________________________________

Street Address City

Telephone number __________________

E-mail address (optional) __________________

I personally know that _______________________________________________

(Name of person registering)

is a resident of this precinct.

_____________________

Signature of Voucher

Election Judge Official Use Only:

Subscribed and sworn to before me

__/__/____ ___________________________

Date Signature of Election Judge

The above oath shall be attached to the voter registration card and retained for at least 22 months.

Statutory Authority: MS s 201.022; 201.061; 201.221; 203B.09

Disclaimer: These regulations may not be the most recent version. Minnesota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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