20A-2-104 - Voter registration form -- Registered voter lists -- Fees for copies. - Utah Statutes

20A-2-104. Voter registration form -- Registered voter lists -- Fees for copies.
(1) Every person applying to be registered shall complete a registration form printed insubstantially the following form:
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UTAH ELECTION REGISTRATION FORM
Are you a citizen of the United States of America? Yes No
Will you be 18 years old on or before election day? Yes No
If you checked "no" to either of the above two questions, do not complete this form.
Name of Voter _________________________________________________________________
First Middle Last
Utah Driver License or Utah Identification Card Number____________________________

Date of Birth ______________________________________________________
Street Address of Principal Place of Residence
____________________________________________________________________________
City County State Zip Code
Telephone Number (optional) _________________________
Last four digits of Social Security Number ______________________
Last former address at which I was registered to vote (if known)__________________________
____________________________________________________________________________
City County State Zip Code
Political Party
(a listing of each registered political party, as defined in Section 20A-8-101 and maintained bythe lieutenant governor under Section 67-1a-2, with each party's name preceded by a checkbox)
.Unaffiliated (no political party preference) .Other (Please specify)___________________
I do swear (or affirm), subject to penalty of law for false statements, that the informationcontained in this form is true, and that I am a citizen of the United States and a resident of thestate of Utah, residing at the above address. I will be at least 18 years old and will have residedin Utah for 30 days immediately before the next election. I am not a convicted felon currentlyincarcerated for commission of a felony.
Signed and sworn
__________________________________________________________
Voter's Signature
_______________(month/day/year).
CITIZENSHIP AFFIDAVIT
Name:
Name at birth, if different:
Place of birth:
Date of birth:
Date and place of naturalization (if applicable):
I hereby swear and affirm, under penalties for voting fraud set forth below, that I am acitizen and that to the best of my knowledge and belief the information above is true and correct.
____________________________
Signature of Applicant
In accordance with Section 20A-2-401, the penalty for willfully causing, procuring, or

allowing yourself to be registered to vote if you know you are not entitled to register to vote is upto one year in jail and a fine of up to $2,500.
NOTICE: IN ORDER TO BE ALLOWED TO VOTE, YOU MUST PRESENT VALID VOTERIDENTIFICATION TO THE POLL WORKER BEFORE VOTING, WHICH MUST BE AVALID FORM OF PHOTO IDENTIFICATION THAT SHOWS YOUR NAME ANDPHOTOGRAPH; OR
TWO DIFFERENT FORMS OF IDENTIFICATION THAT SHOW YOUR NAME ANDCURRENT ADDRESS.
FOR OFFICIAL USE ONLY
Type of I.D. ____________________________
Voting Precinct _________________________
Voting I.D. Number _____________________
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(2) (a) Except as provided under Subsection (2)(b), the county clerk shall retain a copy ofeach voter registration form in a permanent countywide alphabetical file, which may beelectronic or some other recognized system.
(b) The county clerk may transfer a superceded voter registration form to the Division ofArchives and Records Service created under Section 63A-12-101.
(3) (a) Each county clerk shall retain lists of currently registered voters.
(b) The lieutenant governor shall maintain a list of registered voters in electronic form.
(c) If there are any discrepancies between the two lists, the county clerk's list is theofficial list.
(d) The lieutenant governor and the county clerks may charge the fees established underthe authority of Subsection 63G-2-203(10) to individuals who wish to obtain a copy of the list ofregistered voters.
(4) When political parties not listed on the voter registration form qualify as registeredpolitical parties under Title 20A, Chapter 8, Political Party Formation and Procedures, thelieutenant governor shall inform the county clerks about the name of the new political party anddirect the county clerks to ensure that the voter registration form is modified to include thatpolitical party.
(5) Upon receipt of a voter registration form from an applicant, the county clerk or theclerk's designee shall:
(a) review each voter registration form for completeness and accuracy; and
(b) if the county clerk believes, based upon a review of the form, that a person may beseeking to register to vote who is not legally entitled to register to vote, refer the form to thecounty attorney for investigation and possible prosecution.

Amended by Chapter 197, 2010 General Session