(a) The officially prescribed form for a confirmation notice must include:
(1) a statement that, if the voter fails to submit to the registrar a written, signed response confirming the voter’s current residence on or before the 30th day after the date the confirmation notice is mailed:
(A) the voter is subject to submission of a statement of residence before the voter may be accepted for voting in an election held after that deadline; or
(B) for a notice delivered under § 14.023, the voter will remain subject to submission of a statement of residence before the voter may be accepted for voting in an election;
(2) a warning that the voter’s registration is subject to cancellation if the voter fails to confirm the voter’s current residence either by notifying the registrar in writing or voting on a statement of residence before November 30 following the second general election for state and county officers that occurs after the date the confirmation notice is mailed; and
(3) a statement that the voter must include all of the required information on the official confirmation notice response form.
(b) The official confirmation notice response form must:
(1) provide spaces for the voter to include all of the information that a person must include in an application to register to vote under § 13.002;
(2) describe the requirements of § 15.054, provide a space for the voter to indicate if the voter is exempt from those requirements, and provide a space to indicate the reason for an exemption, if any;
(3) provide the definition of residence under § 1.015; and
(4) be postage prepaid and preaddressed for delivery to the registrar.

(c) The registrar may prescribe a different design from that prescribed by the secretary of state for an official form, if approved by the secretary.