The questionnaire to reidentify a voter shall be in substantially the following form:
VOTERS REIDENTIFICATION QUESTIONNAIRE
Date _____, 20
Name _________________________________________
(FIRST) (MIDDLE) (LAST)
Legal Residence Address __________________________________________
STREET
City or Town ___________________________________________________
State _________________________________________________________
Date of Birth _______ Sex _______
I now vote and I am a qualified elector in precinct or Beat No. _____, Box No. _____, Coosa County, and I have not been disqualified from voting in this county. I am not a qualified voter in any other county in the State of Alabama or in any other state in the United States.
I have resided in Precinct or Beat No. ____ for the past _____ months.
Signed _________
Signature of Worker
Sworn and subscribed before me this ____ day of ____, 20_.
Registrar - Judge of Probate
Structure Code of Alabama
Section 45-19-110 - Purging of Voter Registration Lists.
Section 45-19-110.01 - Removal From List of Qualified Electors.
Section 45-19-110.02 - Reidentification of Qualified Electors.
Section 45-19-110.03 - Per Diem Allowance for Registrars.
Section 45-19-110.04 - Methods of Voter Reidentification.
Section 45-19-110.05 - Meeting to Purge Registration Lists; Persons Not to Be Stricken.
Section 45-19-110.06 - Restoration of Names to List of Qualified Electors.
Section 45-19-110.07 - Materials Needed for Reidentification of Voters.
Section 45-19-110.08 - Voters Reidentification Questionnaire.
Section 45-19-110.09 - Penalties for Falsified Reidentification.