Ala. Code § 17-11-7 (1975) Form of Affidavit to Be Printed On Envelope - General, Special, Or Municipal Elections

• Library: Alabama Statutes
• Edition: 2023
• Currency: Current with legislation from the 2023 Regular and Special Sessions.
• Year: 2023
• Citation: Ala. Code § 17-11-7 (1975)

(a) Each absentee ballot shall be accompanied by an envelope upon which shall be printed an affidavit.

(b) With respect to an absentee ballot cast pursuant to Section 17-11-3, the affidavit shall read as follows:

"State of Alabama

County of ___________

I, the undersigned, do swear (or affirm) that:

<TABLE border="1"> <TR><TD> <para>My place of residence in Alabama is:</para></TD><TD> <para>________________</para></TD> </TR> <TR><TD> <para>(street)</para></TD> </TR> <TR><TD> <para>____________________</para></TD><TD> <para>Alabama __________</para></TD> </TR> <TR><TD> <para>(city or town)</para></TD><TD> <para>(zip code)</para></TD> </TR> </TABLE>

<TABLE border="1"> <TR><TD> <para>My date of birth is:</para></TD><TD> <para>__________</para></TD> </TR> <TR><TD> <para>month day year</para></TD> </TR> </TABLE>

I am entitled to vote an absentee ballot because:

Check at least one:

___ I expect to be out of the county or the state on election day.

___ I am physically incapacitated and will not be able to vote in person on election day.

___ I expect to work a required workplace shift which has at least 10 hours which coincide with the polling hours at my regular polling place.

___ I am a student at an educational institution located outside the county of my permanent residence and am therefore unable to vote at my usual polling place on election day.

___ I am a member of or a spouse or dependent of a member of the Armed Forces of the United States or am otherwise entitled to vote pursuant to the federal Uniformed and Overseas Citizens Absentee Voting Act, 42 U.S.C. 1973ff.

___ I have been appointed as an election officer at a polling place which is not my regular polling place.

___ I will be out of the county on election day responding to a state of emergency as declared by this state or any other state, or by the federal government.

___ I am a caregiver for a family member to the second degree of kinship by affinity or consanguinity and the family member is confined to his or her home.

___ I am currently incarcerated in prison or jail and I have not been convicted of a felony involving moral turpitude.

I further swear (or affirm) that I have not voted nor will I vote in person in the election to which this ballot pertains.

I have marked the enclosed absentee ballot voluntarily and I have read or had read to me and understand the instructions accompanying this ballot and I have carefully complied with such instructions.