48A.11 - VOTER REGISTRATION FORM.
48A.11 VOTER REGISTRATION FORM.
1. Each voter registration form shall provide space for the
registrant to provide the following information:
a. The county where the registrant resides.
b. The registrant's name, including first name and any family
forename or surname.
c. The address at which the registrant resides and claims as
the registrant's residence for voting purposes.
d. The registrant's mailing address if it is different from
the residence address.
e. Iowa driver's license number if the registrant has a
current and valid Iowa driver's license, Iowa nonoperator's
identification card if the registrant has a current and valid Iowa
nonoperator's identification card, or the last four numerals of the
registrant's social security number. If the registrant does not have
an Iowa driver's license number, an Iowa nonoperator's identification
card number, or a social security number, the form shall provide
space for a number to be assigned as provided in subsection 8.
f. Date of birth, including month, date, and year.
g. Sex.
h. Residential telephone number (optional to provide).
i. Political party affiliation as defined in section 43.2 or
nonparty political organization affiliation if approved for inclusion
on the form pursuant to section 44.18.
j. The name and address appearing on the registrant's
previous voter registration.
k. A space for a registrant who is homeless or who has no
established residence to provide such information as may be necessary
to describe a place to which the person often returns.
l. A statement that lists each eligibility requirement,
contains an attestation that the registrant meets all of the
requirements, and requires the signature of the registrant under
penalty of perjury.
m. A space for the registrant's signature and the date
signed.
2. The voter registration form shall include, in print that is
identical to the attestation portion of the form, the following:
a. Each voter eligibility requirement.
b. The penalty provided by law for submission of a false
voter registration form, which shall be the penalty for perjury as
provided by section 902.9, subsection 5.
3. The following questions and statement regarding eligibility
shall be included on forms that may be used for registration by mail:
a. "Are you a citizen of the United States of America?"
b. "Will you be eighteen years of age on or before election
day?"
c. "If you checked 'no' in response to either of these
questions, do not complete this form."
4. Voter registration forms used by voter registration agencies
under section 48A.19 shall include the following statements:
a. If a person declines to register to vote, the fact that
the person has declined to register will remain confidential and will
be used only for voter registration purposes.
b. If a person does register to vote, the office at which the
registrant submits a voter registration form will remain confidential
and the information will be used only for voter registration
purposes.
5. Voter registration forms may be on paper or electronic media.
6. All forms for voter registration shall be prescribed by the
state voter registration commission.
7. A person who has been designated to have power of attorney by
a registrant does not have authority to sign a voter registration
form, except as otherwise provided in section 39.3, subsection 17.
8. A voter registration application lacking the registrant's
name, sex, date of birth, residence address or description, or
signature shall not be processed. A voter registration application
lacking the registrant's Iowa driver's license number, Iowa
nonoperator's identification card number, or the last four digits of
the registrant's social security number shall not be processed. A
registrant whose registration is not processed pursuant to this
subsection shall be notified pursuant to section 48A.26, subsection
3. A registrant who does not have an Iowa driver's license number,
an Iowa nonoperator's identification number, or a social security
number and who notifies the registrar of such shall be assigned a
unique identifying number that shall serve to identify the registrant
for voter registration purposes. Section History: Recent Form
94 Acts, ch 1169, §12; 2002 Acts, ch 1134, §21, 115; 2004 Acts, ch
1083, §7--12, 37; 2004 Acts, ch 1175, §355; 2005 Acts, ch 19, §18;
2007 Acts, ch 59, §41, 43; 2008 Acts, ch 1115, §76, 77
Referred to in § 48A.26, 48A.37