[Code of Federal Regulations]
[Title 11, Volume 1]
[Revised as of January 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 11CFR8.4]

[Page 44-45]
 
                       TITLE 11--FEDERAL ELECTIONS
 
                 CHAPTER I--FEDERAL ELECTION COMMISSION
 
PART 8--NATIONAL VOTER REGISTRATION ACT (42 U.S.C. 1973gg-1 et seq.)--Table of Contents
 
            Subpart B--National Mail Voter Registration Form
 
Sec. 8.4  Contents.

    (a) Information about the applicant.
    The application shall provide appropriate fields for the 
applicant's:
    (1) Last, first, and middle name, any suffix, and (optional) any 
prefix;
    (2) Address where the applicant lives including: street number and 
street name, or rural route with a box number; apartment or unit number; 
city, town, or village name; state; and zip code; with instructions to 
draw a locational map if the applicant lives in a rural district or has 
a non-traditional residence, and directions not to use a post office box 
or rural route without a box number;
    (3) Mailing address if different from the address where the 
applicant lives, such as a post office box, rural route without a box 
number, or other street address; city, town, or village name; state; and 
zip code;
    (4) Month, day, and year of birth;
    (5) Telephone number (optional); and
    (6) Voter identification number as required or requested by the 
applicant's state of residence for election administration purposes.
    (i) The application shall direct the applicant to consult the 
accompanying state-specific instructions to determine what type of voter 
identification number, if any, is required or requested by the 
applicant's state.
    (ii) For each state that requires the applicant's full social 
security number as its voter identification number, the state's Privacy 
Act notice required at 11 CFR 8.6(c) shall be reprinted with the 
instructions for that state.
    (7) Political party preference, for an applicant in a closed primary 
state.
    (i) The application shall direct the applicant to consult the 
accompanying state-specific instructions to determine if the applicant's 
state is a closed primary state.
    (ii) The accompanying instructions shall state that if the applicant 
is registering in a state that requires the declaration of party 
affiliation, then failure to indicate a political party preference, 
indicating ``none'', or selecting a party that is not recognized under 
state law may prevent the applicant from voting in partisan races in 
primary elections and participating in political party caucuses or 
conventions, but will not bar an applicant from voting in other 
elections.
    (8) Race/ethnicity, if applicable for the applicant's state of 
residence. The application shall direct the applicant to consult the 
state-specific instructions to determine whether race/ethnicity is 
required or requested by the applicant's state.
    (b) Additional information required by the Act. (42 U.S.C. 1973gg-
7(b) (2) and (4)). The form shall also:
    (1) Specify each eligibility requirement (including citizenship). 
The application shall list U.S. Citizenship as a universal eligibility 
requirement and include a statement that incorporates by reference each 
state's specific additional eligibility requirements (including any 
special pledges) as set forth in the accompany state instructions;
    (2) Contain an attestation on the application that the applicant, to 
the best of his or her knowledge and belief, meets each of his or her 
state's specific eligibility requirements;
    (3) Provide a field on the application for the signature of the 
applicant, under penalty of perjury, and the date of the applicant's 
signature;
    (4) Inform an applicant on the application of the penalties provided 
by law for submitting a false voter registration application;
    (5) Provide a field on the application for the name, address, and 
(optional) telephone number of the person who assisted the applicant in 
completing the form if the applicant is unable to sign the application 
without assistance;
    (6) State that if an applicant declines to register to vote, the 
fact that the applicant has declined to register will remain 
confidential and will be used only for voter registration purposes; and
    (7) State that if an applicant does register to vote, the office at 
which the applicant submits a voter registration application will remain 
confidential and will be used only for voter registration purposes.
    (c) Other information. The form will, if appropriate, require an 
applicant's former address or former name or request a drawing of the 
area where the

[[Page 45]]

applicant lives in relation to local landmarks.

[59 FR 32323, June 23, 1994; 59 FR 40639, Aug. 9, 1994]