OATH OF VOTER | |
I,, acknowledge that by returning my voted | |
ballot by facsimile transmission I have waived my right to have my ballot | |
kept secret. Nevertheless, I understand that, as with any vote by mail | |
voter, my signature, whether on this oath of voter form or my identification | |
envelope, will be permanently separated from my voted ballot to maintain | |
its secrecy at the outset of the tabulation process and thereafter. | |
My residence address is(Street Address) _____ _____ (City) _____ _____ (ZIP Code). | |
My current mailing address is(Street Address) _____ (City) _____ _____ (ZIP Code). | |
My e-mail address is _________________. My facsimile transmission number is _________________. | |
I am a resident of __________ County, State of California, and I have not applied, nor intend to apply, for a vote by mail ballot from any other jurisdiction for the same election. | |
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. | |
Dated this __________ day of ______, 20_____. | |
(Signature) | |
voter(power of attorney cannot be accepted) | |
YOUR BALLOT CANNOT BE COUNTED UNLESS YOU SIGN THE ABOVE OATH AND INCLUDE IT WITH YOUR BALLOT AND IDENTIFICATION ENVELOPE, ALL OF WHICH ARE RETURNED BY FACSIMILE TRANSMISSION. |