Section 669:27 Forms. - New Hampshire Statutes

Prior to each such election, the clerk shall prepare in such quantities as he may deem necessary the following forms:
   I. Official absentee voting ballots, with the words ""absentee ballot'' printed on them, similar in form to the official ballot to be used at said election, and similarly endorsed and printed on paper of the same color as that used for official ballots;
   II. Blank forms of application for such ballots worded as follows:
      To the clerk of __________, I, __________, am a duly qualified voter and entitled to vote in __________ (insert name of town, city, village district or school district).

Mail absentee voter's ballot to: ____________________ (Signature) ____________________ (Street and number) ____________________ (Town, state and country) ____________________;
   III. Envelopes of sufficient size to contain the ballots specified in paragraph I, on which shall be printed the following affidavit:
   Absence. A person voting by absentee ballot because of absence from the place in which he or she is entitled to vote shall fill out and sign the following certificate:
   I do hereby certify, under the penalties for voting fraud set forth below, that I am a voter in the town (city, village district, school district) of __________, New Hampshire, that I will be unable to appear at any time during polling hours at my polling place because I will be working on election day or will be otherwise absent on election day from said town (city, village district, school district) and will be unable to vote in person; that I have carefully read the instructions forwarded to me with the ballot herein enclosed, and that I personally marked the within ballot and enclosed and sealed it in this envelope.
   (Signature) _______________
   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.
   Absence Because of Religious Observance or Physical Disability. A person voting by absentee ballot because of religious observance or physical disability shall fill out and sign the following certificate:
   I do hereby certify, under the penalties for voting fraud set forth below, that I am a voter in the town (city, village district, school district) of __________, New Hampshire, that I will be observing a religious commitment which prevents me from voting in person, or that on account of physical disability I am unable to vote in person; that I have carefully read the instructions forwarded to me with the ballot herein enclosed, and that I personally marked the within ballot and sealed it in this envelope.
   (Signature) _______________
   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.

Source. 1979, 410:1; 308:8. 1981, 392:4. 1987, 276:7. 2003, 289:47. 2006, 136:4, eff. July 21, 2006.