Conn. Agencies Regs. § 9-32-3

Current through December 27, 2024

Section 9-32-3 - Notice of canvass - form

(a)Notice of canvass form. The notice of canvass shall be in both the English and Spanish languages in affected municipalities; in nonaffected municipalities the notice of canvass may be in the English language only. For purposes of this section, affected municipalities shall mean all municipalities in which 1% or more of their total population, but no less than 500 persons, as reflected on the latest known extrapolations from the Director of the Census, are Hispanic-Americans, including all persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. The notice of canvass in affected municipalities shall be in substantially the following form:

Notice of Canvass

Date:_____________________________

Name_________________________________________________________________

Address_______________________________________________________________

Post Office Box________________________________________________(optional)

Date of Birth__________________________________________________ (optional)

Important! This Concerns Your Right to Vote

The registrars of voters are conducting a canvass of voters as required by law. Please check the statement or statements which apply to you, sign in the space provided below, and immediately return this form.

()

My residence is at the address shown above.

()

I have moved. The address of my new residence is: _____________________ _______________________________________________________________

(If this new residence is in another town, you must register to vote in that town in order to be entitled to vote in the next election.)

()

I am in military service.

()

My name has been changed to: _____________________________________.

Please record this change on the voter registry list.

_________________________________

Signature of Elector

Important

The Registrars of Voters must receive this form from you within thirty (30) days, completed and signed, so that the voter registry list will show your correct name and residence address. Failure to return this card may affect your right to vote in future elections. Please cooperate by returning this form within thirty (30) days. There is no need to put a stamp on the return form.

Aviso Importante

Dia: _____________________________

Nombre________________________________________________________________

Direccíon_______________________________________________________________

Apartado de Correo______________________________________________(optional)

Fecha de Nacimiento ____________________________________________ (optional)

!Importante! Esto Trata Sobre Su Derecho A Votar

Los registradores de votantes están llevando a cabo una campana de solicitud de votantes, segun requerida por ley. Por favor, indique la declaración o declaraciones que apliquen a usted, firme en el espacio provisto más adelante y devuelva este formulario inmediatamente.

()

Mi residencia está en la dirección arriba indicada.

()

Me he mudado. La dirección de me nueva residencia es: _________________ _______________________________________________________________

(Si esta nueva residencia es en otro pueblo, usted tiene que inscribirse para votar en ese pueblo para que sea elegible para votar en la próxima elección.)

()

Estoy en servicio militar.

()

Mi nombre ha sido cambiado a: _____________________________________.

Por favor registre este cambio en la lista de votantes escritos.

_________________________________

Firma del Elector

Importante

Los registradores de votantes deberán recibir este formulario de su parte dentro de treinta (30) dias, llenado y firmado, para que la lista de votantes inscritos refleje su nombre y residencia correctos. Dejar de devolver esta tarjeta puede afectar su derecho a votar en elecciones futuras.

Por favor coopere devolviendo este formulario dentro de treinta (30) dias. No hay necesidad de poner sello de correo en el formulario.

(b) The notice of canvass in nonaffected municipalities shall be in the form prescribed in subsection (a) or in the English language only prescribed in subsection (a).

Conn. Agencies Regs. § 9-32-3

Effective January 9, 1987