Kansas Statutes
Article 11 - Advance Voting
25-1122d Advance voting; application for ballot, form; identification, form of; rules and regulations.

25-1122d. Advance voting; application for ballot, form; identification, form of; rules and regulations. (a) The application for an advance voting ballot to be transmitted by mail shall be accompanied by an affirmation in substance as follows:

Affirmation of an Elector of the County of ______________ and State of Kansas Desiring to Vote an Advance Voting BallotState of ______________, County of ______________, ss:
I,______________________________________________
  (Please print name)do solemnly affirm under penalty of perjury that I am a qualified elector of the ______ precinct of the _______ ward, residing at number ________ on ____________ street, city of _________, or in the township of __________, county of __________, and state of Kansas. My date of birth is _______ (month/day/year).
I understand that a current and valid Kansas driver's license number or Kansas nondriver's identification card number must be provided in order to receive a ballot. If I do not have a current and valid Kansas driver's license number or Kansas nondriver's identification card number, I must provide one of the following forms of identification with this application in order to receive a ballot:
A copy of any one of the following types of photographic identification: A driver's license issued by Kansas or by another state or district of the United States, a state identification card issued by Kansas or by another state or district of the United States, a concealed carry of handgun license issued by Kansas or a concealed carry of handgun or weapon license issued by another state or district of the United States, a United States passport, an employee badge or identification document issued by a municipal, county, state, or federal government office or agency, a military identification document issued by the United States, a student identification card issued by an accredited post secondary institution of education in the state of Kansas, or a public assistance identification card issued by a municipal, county, state, or federal government office or agency.
I am entitled to vote an advance voting ballot and I have not voted and will not otherwise vote at the election to be held on ____________ (date). My political party is __________ (to be filled in only when requesting primary election ballots). I desire my ballots to be sent to the following address:


Signature of voter.
Note: False statement on this affirmation is a severity level 9, nonperson felony.

(b) The application for an advance voting ballot to be transmitted in person shall be accompanied by an affirmation in substance as follows:

Affirmation of an Elector of the County of ______________ and State of Kansas Desiring to Vote an Advance Voting Ballot State of ______________, County of ______________, ss:
I, ____________________________________________
  (Please print name)do solemnly affirm under penalty of perjury that I am a qualified elector of the _______ precinct of the _______ ward, residing at number ________ on ____________ street, city of _________, or in the township of __________, county of _______, and state of Kansas. My date of birth is __________ (month/day/year).
I am entitled to vote an advance voting ballot and I have not voted and will not otherwise vote at the election to be held on ____________ (date). My political party is ___________ (to be filled in only when requesting primary election ballots).


Signature of voter.
Note: False statement on this affirmation is a severity level 9, nonperson felony.

(c) An application for permanent advance voting status shall be on a form prescribed by the secretary of state for this purpose. Such application shall contain an affirmation concerning substantially the same information required in subsection (a) and in addition thereto a statement regarding the permanent character of such illness or disability.
(d) Any application by a former precinct resident shall state both the former and present residence, address, precinct and county of such former precinct resident and the date of change of residence.
(e) The secretary of state may adopt rules and regulations in order to implement the provisions of this section.
History: L. 1978, ch. 140, § 5; L. 1980, ch. 109, § 2; L. 1984, ch. 140, § 2; L. 1995, ch. 192, § 21; L. 1996, ch. 187, § 26; L. 2000, ch. 49, § 2; L. 2004, ch. 93, § 2; L. 2011, ch. 56, § 3; L. 2011, ch. 112, § 7; Jan. 1, 2012.

Structure Kansas Statutes

Kansas Statutes

Chapter 25 - Elections

Article 11 - Advance Voting

25-1114 Definitions.

25-1115 "General election" and "primary election" defined; dates for primary and general elections specified.

25-1116 Definitions; national, state, county, city and school elections.

25-1117 Advance voting; definitions.

25-1118 Definitions; national, state, county, city and school offices and officers.

25-1119 Advance voting; voters eligible; procedure.

25-1120 Advance voting; ballots and ballot envelopes; form and contents; numbering; declaration, form.

25-1121 Advance voting; ballots and instructions; forms; affidavit when voter unable to sign.

25-1122 Advance voting; ballot application identification requirements; provisional ballots; time for filing application; satellite advance voting sites; voters needing assistance; permanent advance voting status; records maintained by county electio...

25-1122a Advance voting; casting ballots upon voting machines.

25-1122b Special election board; appointment; duties.

25-1122c Advance voting; notice to applicants whose voting in county office on machines authorized.

25-1122d Advance voting; application for ballot, form; identification, form of; rules and regulations.

25-1122f Advance voting; replacement ballots.

25-1123 Advance voting; transmission of ballots; duties of election officer.

25-1124 Advance voting; marking and mailing or depositing ballots; signature match required, when; procedures for voters needing assistance; unlawful acts and penalties.

25-1125 Residence determination.

25-1126 Advance voting; voter lists available at voting place.

25-1128 Advance voting; return of ballots to county election officer; procedures for voters needing assistance; unlawful acts and penalties.

25-1129 Advance voting; multiple applications, determination of correct address.

25-1130 Advance voting; ballots for question submitted election; form and instructions; envelopes; procedures.

25-1131 Rules and regulations by secretary of state.

25-1132 Advance voting; delivery of ballots; deadline for receiving ballots.

25-1133 Special election boards; how established; when and where to meet.

25-1134 Advance voting; delivery of ballots to election boards; original canvass and final tabulation, when.

25-1135 Advance voting; canvass of ballots; procedure by board; 25 ballots to remain uncounted.

25-1136 Advance voting; advance voting ballots received by mail after polls close; time frame; provisional ballots; challenged and objected to ballots; procedures; rules and regulations.

25-1137 Certification of total votes; return of materials.

25-1138 Canvass in voting machine counties.

25-1139 Advance voting ballots to be marked and transmitted in compliance with statute; exceptions.

25-1140 Fees and powers of special election board members.