§ 17-28-3 - Address confidentiality program Application Certification.
SECTION 17-28-3
§ 17-28-3 Address confidentiality program Application Certification. (a) An adult person who is a victim of domestic violence and any member ofhis/her household may apply to the secretary of state to have an addressdesignated by the secretary of state serve as the person's address. Thesecretary of state shall approve an application if it is filed in the mannerand on the form prescribed by the secretary of state and if it contains:
(1) A sworn statement by the applicant:
(i) That the applicant is a victim of domestic violence, asdefined in § 17-28-2(c) of this chapter;
(ii) That the applicant fears for his or her safety or his orher children's safety;
(iii) That the applicant resides in the same household as avictim of domestic violence, as defined in subsection 17-28-2(c); and
(iv) That the individual who committed the domestic violencehas knowledge that the applicant lives in the same household as the victim ofdomestic violence, as defined in subsection 17-28-2(c).
(2) The mailing address where the applicant can be contactedby the secretary of state, and the phone number or numbers where the applicantcan be called by the secretary of state;
(3) The new address or addresses that the applicant requestsnot be disclosed for the reason that disclosure will increase the risk ofdomestic violence;
(4) The signature of the applicant, and of any individual orrepresentative of any office designated in writing under § 17-28-6 whoassisted in the preparation of the application, and the date on which theapplicant signed the application.
(b) Applications shall be filed with the office of thesecretary of state.
(c) Upon filing a properly completed application, thesecretary of state shall certify the applicant as a program participant.Applicants shall be certified for four (4) years following the date of filingunless the certification is withdrawn or invalidated before that date. Thesecretary of state shall establish by rule a renewal procedure.
(d) A person who falsely attests in an application thatdisclosure of the applicant's address would endanger the applicant's safety orthe safety of the applicant's children, or who knowingly provides false orincorrect information upon making an application, shall be punished by a fineof not more than five hundred dollars ($500).