Bill Text: NH HB183 | 2016 | Regular Session | Amended
Bill Title: Relative to voter registration forms.
Spectrum: Partisan Bill (Republican 4-0)
Status: (Engrossed - Dead) 2016-03-31 - Refer to Interim Study, Motion Adopted, Voice Vote; 03/31/2016; Senate Journal 11 [HB183 Detail]
Download: New_Hampshire-2016-HB183-Amended.html
HB 183 - AS AMENDED BY THE HOUSE
6Jan2016... 3030h
2015 SESSION
03/05
HOUSE BILL 183
AN ACT relative to voter registration forms.
COMMITTEE: Election Law
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ANALYSIS
This bill modifies the content of voter registration forms.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
6Jan2016... 3030h 15-0124
03/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Fifteen
AN ACT relative to voter registration forms.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Voter Registration Form. Amend RSA 654:7, IV to read as follows:
IV.(a) A standard registration application form shall be used throughout the state. The registration form shall be no larger than 8 1/2 inches by 11 inches.
(b) The secretary of state shall prescribe the form of the voter registration form to be used for voter registrations other than those at the polling place on the date of a state general election, which shall be in substantially the following form:
Date _________________
VOTER REGISTRATION FORM
(Please print or type)
1. Name _________________________________________________________________________
Last (suffix) First Full Middle Name
2. Domicile Address _______________________________________________________________
Street Ward Number
__________________________________________________________________________________
Town or City Zip Code
3. Mailing Address if different than in 2 ____________________________________________
Street
__________________________________________________________________________________
Town or City Zip Code
4. Place and Date of Birth _________________________________________________________
Town or City State
Date_________________
5. Are you a citizen of the United States? Yes _____ No _____
If a naturalized citizen, give name of court where and date when naturalized __________________________________________________________________________________
6. Place last registered to vote _____________________________________________________
Street Ward Number
7. Name under which previously registered, if different from above
_______________________________________________________________________________
8. Party Affiliation (if any) ______________________________________________________
9. Driver’s License Number __________________________State ______________________
If you do not have a valid driver’s license, provide the last four digits of your social security number ____________
My name is ____________________. I am today registering to vote in the city/town of ____________________, New Hampshire.
I understand that to vote in this city/town, I must be at least 18 years of age, I must be a United States citizen, and I must be domiciled in this city/town.
I understand that a person can claim only one state and one city/town as his or her domicile at a time. A domicile is that place, to which upon temporary absence, a person has the intention of returning. By registering or voting today, I am acknowledging that I am not domiciled or voting in any other state or any other city/town.
[In declaring New Hampshire as my domicile, I am subject to the laws of the state of New Hampshire which apply to all residents, including laws requiring a driver to register a motor vehicle and apply for a New Hampshire’s driver’s license within 60 days of becoming a resident.]
In declaring New Hampshire as my domicile, I realize that I am not qualified to vote in the state or federal elections in another state.
If I have any questions as to whether I am entitled to vote in this city/town, I am aware that a supervisor of the checklist is available to address my questions or concerns.
I acknowledge that I have read and understand the above qualifications for voting and do hereby swear, under the penalties for voting fraud set forth below, that I am qualified to vote in the above-stated city/town, and, if registering on election day, that I have not voted and will not vote at any other polling place this election.
____________________ ___________________________________________________
Date Signature of Applicant
In accordance with RSA 659:34, the penalty for knowingly or purposefully providing false information when registering to vote or voting is a class A misdemeanor with a maximum sentence of imprisonment not to exceed one year and a fine not to exceed $2,000. Fraudulently registering to vote or voting is subject to a civil penalty not to exceed $5,000.
(c) The secretary of state shall prescribe the form of the voter registration form to be used only for voter registrations at the polling place on the date of a state general election, which shall be in substantially the following form:
Date _________________
VOTER REGISTRATION FORM
FOR USE AT THE POLLING PLACE ON THE DATE OF THE STATE GENERAL ELECTION
(Please print or type)
1. Name _________________________________________________________________________
Last (suffix) First Full Middle Name
2. Domicile Address _______________________________________________________________
Street Ward Number
__________________________________________________________________________________
Town or City Zip Code
3. Mailing Address if different than in 2 ____________________________________________
Street
__________________________________________________________________________________
Town or City Zip Code
4. Place and Date of Birth _________________________________________________________
Town or City State
Date_________________
5. Are you a citizen of the United States? Yes _____ No _____
If a naturalized citizen, give name of court where and date when naturalized __________________________________________________________________________________
6. Place last registered to vote _____________________________________________________
Street Ward Number
7. Name under which previously registered, if different from above
________________________________________________________________________________
8. Party Affiliation (if any) ______________________________________________________
9. Driver’s License Number __________________________State ______________________
If you do not have a valid driver’s license, provide the last four digits of your social security number ______________
My name is ____________________. I am today registering to vote in the city/town of ____________________, New Hampshire.
I understand that to vote in this city/town, I must be at least 18 years of age, I must be a United States citizen, and I must be domiciled in this city/town.
I understand that a person can claim only one state and one city/town as his or her domicile at a time. A domicile is that place, to which upon temporary absence, a person has the intention of returning. By registering or voting today, I am acknowledging that I am not domiciled or voting in any other state or any other city/town.
[In declaring New Hampshire as my domicile, I am subject to the laws of the state of New Hampshire which apply to all residents, including laws requiring a driver to register a motor vehicle and apply for a New Hampshire’s driver’s license within 60 days of becoming a resident.]
In declaring New Hampshire as my domicile, I realize that I am not qualified to vote in the state or federal elections in another state.
If I have any questions as to whether I am entitled to vote in this city/town, I am aware that a supervisor of the checklist is available to address my questions or concerns.
I acknowledge that I have read and understand the above qualifications for voting and do hereby swear, under the penalties for voting fraud set forth below, that I am qualified to vote in the above-stated city/town, and, if registering on election day, that I have not voted and will not vote at any other polling place this election.
____________________ ___________________________________________________
Date Signature of Applicant
If this form is used in place of proof of identity, age, citizenship, or domicile, I hereby swear that such information is true and accurate to the best of my knowledge.
This form was executed for purposes of proving (applicant shall circle yes or no and initial each item):
Identity yes/no _____
(initials)
Citizenship yes/no _____
(initials)
Age yes/no _____
(initials)
Domicile yes/no _____
(initials)
______________________________________ ____________________________
Applicant Election Official
________________________________
Notary Public/Justice of the Peace/Official Authorized by RSA 659:30
In accordance with RSA 659:34, the penalty for knowingly or purposefully providing false information when registering to vote or voting is a class A misdemeanor with a maximum sentence of imprisonment not to exceed one year and a fine not to exceed $2,000. Fraudulently registering to vote or voting is subject to a civil penalty not to exceed $5,000.
2 Effective Date. This act shall take effect 60 days after its passage.
