DECLARATION OF COVERED VOTER
I am a uniformed-service voter, a spouse or dependent of a uniformed-service voter, or an overseas voter pursuant to the provisions of chapter 293D of NRS.
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 have not been convicted of treason or a felony, 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 the 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 COVERED VOTER
I am a uniformed-service voter, a spouse or dependent of a uniformed-service voter, or an overseas voter pursuant to the provisions of chapter 293D of NRS.
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 have not been convicted of treason or a felony, 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 the 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 § 293D.020