Connecticut General Statutes 9-31b – Application form
Such application shall be in form substantially as follows:
APPLICATION OF PERMANENTLY PHYSICALLY DISABLED
PERSON FOR ADMISSION AS AN ELECTOR
Terms Used In Connecticut General Statutes 9-31b
- Conviction: A judgement of guilt against a criminal defendant.
- Elector: means any person possessing the qualifications prescribed by the Constitution and duly admitted to, and entitled to exercise, the privileges of an elector in a town. See Connecticut General Statutes 9-1
- Voters: means those persons qualified to vote under the provisions of §. See Connecticut General Statutes 1-1
To the Town Clerk of the town of …. or to the registrar of voters of the …. Party of the town of …. I hereby apply for admission as an elector:
(1) My name is …. (last name) (first name) (initial).
(2) My bona fide residence is …. (street and number), but I am presently residing at …. (street, number and town if different from residence above).
(3) I am a permanently physically disabled person and my permanent physical disability prevents me and will continue to prevent me from appearing in person at your office.
(4) I am a United States Citizen who has attained the age of eighteen and my electoral privileges are not forfeited by reason of conviction of any disfranchising crime.
Dated at …., Connecticut, this …. day of …., 20…
…. (Signature of Applicant)