Sec. 9-23h. Application form.
Sec. 9-23h. Application form. The application provided for in section 9-23g shall
provide spaces for the following information for each applicant: (1) Name, (2) bona
fide residence, including street number, street address, apartment number if applicable,
town and zip code, (3) telephone number, (4) date of birth, (5) whether the applicant is
registered as an elector in any other town in the state of Connecticut or in any other
state, and if so, the applicant's last previous voting residence, (6) whether the applicant
is a United States citizen, (7) whether the applicant will be eighteen years of age on or
before election day, (8) party affiliation, if any, (9) the applicant's signature and date
of signature, and (10) the applicant's Connecticut motor vehicle operator's license number or, if none, the last four digits of the applicant's Social Security number. The spaces
for the applicant's telephone number and party affiliation shall indicate that such information does not have to be provided. On any such application printed on or after January
1, 2006, the space for the applicant's party affiliation shall also include a list of the
names of the major parties, as defined in section 9-372, as options for the applicant. The
spaces regarding United States citizenship and whether the applicant will be eighteen
years of age on or before election day shall indicate that if the applicant answers "No"
to either question, the applicant may not complete the voter registration form. No Social
Security number on any such form filed prior to January 1, 2000, may be disclosed to
the public or to any governmental agency. The application shall contain a notice that if
the applicant does not receive a notice of acceptance or rejection of the application from
the office of the registrars of voters for the municipality in which the applicant resides,
the applicant should contact said office. The application shall also contain any other
information, questions or instructions prescribed by the Secretary of the State.
(P.A. 88-344, S. 2, 5; P.A. 93-386, S. 2, 5; P.A. 94-121, S. 19, 33; P.A. 99-268, S. 41, 46; P.A. 00-169, S. 22; P.A. 02-83, S. 7; June 30 Sp. Sess. P.A. 03-6, S. 92; P.A. 05-235, S. 16.)
History: P.A. 93-386 required form to provide space for applicant's Social Security number, required secretary and
registrars to comply with Privacy Act re request for such number and prohibited public disclosure of the number, amended
Subpara. (A) by substituting "until approved by the registrars of voters," for "until he receives a notice of acceptance from
the registrars of voters, which should be within three weeks," amended Subpara. (B) by adding reference to Sec. 9-27, deleted
former Subparas. (C), (E) and (F), re witnessing official, and renumbered remaining Subparas. accordingly, substituted new
Subpara. (D) for former Subpara. (H), requiring summary of applicable penalties to be contained on application instead
of full text and amended relettered Subpara. (E) to provide for applicant to retain receipt, effective January 1, 1994; P.A.
94-121 deleted requirements that application provide spaces for applicant's sex, birthplace and printed or typed name and
address and contain instructions re question re citizenship and information specified in former Subparas. (A) to (E), inclusive, effective January 1, 1995; P.A. 99-268 repealed requirement that application provide space for applicant's Social
Security number and extended prohibition on disclosure of Social Security numbers on forms to the public or to any
governmental agency, effective January 1, 2000; P.A. 00-169 revised effective date of P.A. 99-268 but without affecting
this section; P.A. 02-83 made a technical change for purposes of gender neutrality and required application to contain
notice that applicant should contact registrars' office if applicant does not receive notice of acceptance or rejection, effective
January 1, 2003; June 30 Sp. Sess. P.A. 03-6 added new Subdiv. (7) to require application to provide space for whether
applicant will be 18 years of age on or before election day, renumbered former Subdivs. (7) and (8) as Subdivs. (8) and
(9), added Subdiv. (10) to require application to provide space for applicant's Connecticut motor vehicle operator's license
number or, if none, the last four digits of applicant's Social Security number, and added provision to require spaces re
citizenship and whether applicant will be 18 years of age to indicate that if applicant answers "No", applicant may not
complete form, effective January 1, 2004; P.A. 05-235 required application to include list of names of major parties,
effective January 1, 2006.