(a) In Cullman County, for petitions or in referendum elections, the judge of probate is authorized to use the following form to distinguish and identify signees:
DATE:
NAME:
ADDRESS:
CITY _____ COUNTY _____ STATE _____ ZIP CODE _____
COMPLETE ONE OF THE FOLLOWING:
DATE OF BIRTH ___________________________
DRIVER'S LICENSE _________________________
SOCIAL SECURITY NUMBER _________________
(b) The judge of probate shall void any form that is used for a petition or referendum election that does not include enough information to distinguish and identify the signee.