DECLARATION OF REGISTERED VOTER WHO IS A TRIBAL MEMBER AND WHO RESIDES ON AN INDIAN RESERVATION OR INDIAN COLONY
I am a registered voter who is a tribal member and who resides on an Indian reservation or Indian colony.
I am a citizen of the United States.
I will be at least 18 years of age on election day.
I have not been adjudicated mentally incompetent, or if so, my right to vote has been restored.
I am not registered to vote in any other jurisdiction in the United States.
I have not applied, nor do I intend to apply, for a ballot from any other jurisdiction for the same election.
The information on this form is true and complete to the best of my knowledge.
I acknowledge that if I return my voted ballot by approved electronic transmission, I have waived my right to have my ballot kept secret. Nevertheless, I understand that my signature will be permanently separated from my voted ballot to maintain its secrecy at the outset of the tabulation process and thereafter.
I understand that a material misstatement of fact in completing this document may be grounds for a conviction of perjury under the laws of the United States or this State.
I declare under penalty of perjury under the laws of the United States and this State that the foregoing is true and correct.
(Signed)
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YOUR BALLOT CANNOT BE COUNTED UNLESS YOU SIGN THE ABOVE DECLARATION AND INCLUDE IT WITH YOUR BALLOT.
DECLARATION OF REGISTERED VOTER IS A TRIBAL MEMBER AND RESIDES ON AN INDIAN RESERVATION OR INDIAN COLONY
I am a registered voter who is a tribal member and who resides on an Indian reservation or Indian colony.
I am a citizen of the United States.
I will be at least 18 years of age on election day.
I have not been adjudicated mentally incompetent, or if so, my right to vote has been restored.
I am not registered to vote in any other jurisdiction in the United States.
I have not applied, nor do I intend to apply, for a ballot from any other jurisdiction for the same election.
The information on this form is true and complete to the best of my knowledge.
I understand that a material misstatement of fact in completing this document may be grounds for a conviction of perjury under the laws of the United States or this State.
I declare under penalty of perjury under the laws of the United States and this State that the foregoing is true and correct.
(Signed)
...........................................................
YOUR BALLOT CANNOT BE COUNTED UNLESS YOU SIGN THE ABOVE DECLARATION AND INCLUDE IT WITH YOUR BALLOT.
Nev. Admin. Code § 293.Sec. 3.3
NRS 293.124, 293.247, 293.250, 293.269951, as amended by section 3.5 of Senate Bill No. 216, chapter 244, Statutes of Nevada 2023, at page 1530