1.    Application for an absent voter’s or mail ballot must be made on a form, prescribed by the secretary of state, to be furnished by the proper officer of the county, city, or school    district in which the applicant is an elector, or any form, approved by the secretary of state, containing the following:

a.    The applicant’s name.

b.    The applicant’s current or most recent North Dakota residential address. c.    The applicant’s mailing address.

d.    The applicant’s current contact telephone number, if available. e.    The election for which the ballot is being requested.

f.    The date of the request.

g.    An affirmation that the applicant has resided, or will reside, in the precinct for at least thirty days next preceding the election and will be a qualified elector of the precinct.

h.    The applicant’s signature, a notification the signature on this affidavit will be compared to the signature on the affidavit on the envelope in which the absentee ballot must be placed.

i.    The designation of the individual‘s status as a citizen of this country and resident of this state living outside the United States, a uniformed service member living away from the individual’s North Dakota residence, or an immediate family member of the uniformed service member living away from the individual’s North Dakota residence.

j.    The applicant’s date of birth.

k.    The identification number from one of the applicant’s valid forms of identification, a copy of the applicant’s long-term care certificate, and, if necessary, a copy of the applicant’s supplemental identification under section 16.1-01-04.1.

2.    If the applicant is unable to sign the applicant’s name to the application, the applicant shall mark (X) or use the applicant’s signature stamp on the application in the presence of a disinterested individual. The disinterested individual shall print the name of the individual marking the X or using the signature stamp below the X or signature stamp and shall sign the disinterested individual’s own name following the printed name together with the notation “witness to the mark”.

3.    If the applicant does not possess or cannot secure an approved form of identification as provided for under section 16.1-01-04.1 due to a disability with which the individual lives and which prevents the individual from traveling to obtain, the application also must be signed by another qualified elector who, by signing, certifies that the applicant is a qualified elector. The secretary of state shall prescribe the form of the certification required under this subsection. An individual may not certify the qualifications of more than four applicants in an election.

4.    The application must include the following additional information if the individual desires to access the ballot by electronic means:

a.    Facsimile telephone number; or

b.    Electronic mail address.

5. An incomplete application must be returned to the applicant for completion and resubmission.

6.    Except for the applicant’s date of birth, identification card number, and any supplemental documentation provided under section 16.1-01-04.1, the application is an open record under section 44-04-18.