Texas Election Code 84.011 – Official Application Form
(a) The officially prescribed application form for an early voting ballot must include:
(1) immediately preceding the signature space the statement: “I certify that the information given in this application is true, and I understand that giving false information in this application is a crime.”;
(2) a statement informing the applicant of the offenses prescribed by Sections 84.003 and 84.004;
(3) spaces for entering an applicant’s voter registration number and county election precinct of registration, with a statement informing the applicant that failure to furnish that information does not invalidate the application;
(3-a) a space for entering the information required under § 84.002(a)(1-a); and
(4) on an application for a ballot to be voted by mail:
(A) a space for an applicant applying on the ground of absence from the county of residence to indicate the date on or after which the applicant can receive mail at the address outside the county;
(B) a space for indicating the fact that an applicant whose application is signed by a witness cannot make the applicant’s mark and a space for indicating the relationship or lack of relationship of the witness to the applicant;
(C) a space for entering an applicant’s telephone number, with:
(i) a statement informing the applicant that failure to furnish that information does not invalidate the application; and
(ii) a statement prescribed by the secretary of state explaining the benefits of furnishing that information, including how that information assists the early voting clerk;
(D) a space or box for an applicant applying on the ground of age or disability to indicate that the address to which the ballot is to be mailed is the address of a facility or relative described by § 84.002(a)(3), if applicable;
(E) a space or box for an applicant applying on the ground of confinement in jail or involuntary civil commitment to indicate that the address to which the ballot is to be mailed is the address of a relative described by § 84.002(a)(4) or (7), if applicable;
(F) a space for an applicant applying on the ground of age or disability to indicate if the application is an application under § 86.0015;
(G) spaces for entering the signature, printed name, and residence address of any person assisting the applicant;
(H) a statement informing the applicant of the condition prescribed by § 81.005; and
(I) a statement informing the applicant of the requirement prescribed by § 86.003(c).
(b) The officially prescribed application form for an early voting ballot to be voted by mail must be at least eight inches by nine inches in size and be printed in at least six-point type.
Terms Used In Texas Election Code 84.011
- County election precinct: means an election precinct established under § 42. See Texas Election Code 1.005
- Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
- Residence address: means the street address and any apartment number, or the address at which mail is received if the residence has no address, and the city, state, and zip code that correspond to a person's residence. See Texas Election Code 1.005
- Signature: includes the mark of a person unable to write, and "subscribe" includes the making of such a mark. See Texas Government Code 312.011
- Signed: includes any symbol executed or adopted by a person with present intention to authenticate a writing. See Texas Government Code 311.005
(c) The secretary of state shall make the statement prescribed by Subsection (a)(4)(C)(ii) available on the secretary’s Internet website.