New York Laws
Title 1 - Form of Ballots
7-124 - Ballots; Special Federal Voters.

(a) I am a United States citizen residing outside the United States,
and
(b) I am at least eighteen years of age (or will be by the day of the
election), eligible to vote in the requested jurisdiction, and
(c) I have neither been convicted of a felony or other disqualifying
offense nor been adjudicated mentally incompetent, or if so, my voting
rights have been reinstated, and
(d) I am not qualified to register, request a ballot, or vote in any
other jurisdiction in the United States, and
(e) My signature and date below indicate when I completed this
document, and
(f) The information on this form is true and complete to the best of
my knowledge.
I understand that a material misstatement of fact in the completion of
this document may constitute grounds for conviction of a crime.

Date.................20..... .....................................
Signature or mark of voter

.....................................
Signature of Witness (required only
if voter does not sign his or her own
name)

.....................................
Address of Witness

3. On the reverse side of the inner affirmation envelope shall be
printed:

TO BE FILLED IN BY THE BOARD OF ELECTIONS

FOR..........ELECTION......... 20......

Name of voter ..........................................................
Residence from which vote is being cast:
Street and number ....................................................
City or town .........................................................

County ...............................................................
Assembly District or Ward ............................................
Election District ....................................................
Party Enrollment (in case of primary election) .......................

IMPORTANT TO SPECIAL FEDERAL VOTER: YOU MUST SIGN THE AFFIRMATION ON
THIS ENVELOPE.
4. The information in subdivision three of this section shall be
filled in by the board of elections prior to the mailing of any special
federal ballot and envelopes if the special federal voter's preferred
method of transmission with the board of elections is by mail, or it may
be filled in by the board of elections upon receipt of the returned
special federal ballot and envelope when the ballot and envelope have
been transmitted to the special federal voter other than by mail or in
person.
5. The inner affirmation envelope, if delivered by mail or in person,
shall be gummed and ready for sealing. Such envelope, or any created by
the special federal voter whose ballot was delivered by facsimile
transmission or electronic mail in accordance with subdivision six of
this section, shall have printed thereon, on the side opposite the
affirmation, instructions as to the duties of the voter after the
marking of the ballot. Such instructions shall include specific
directions stating that the ballot must be returned in person or mailed
to the appropriate board of elections, when the outer envelope must be
postmarked, if mailed, and when such envelope, whether returned in
person or mailed, must reach such board of elections in order to be
canvassed. Such inner affirmation envelope shall also include a
direction that an application for a special federal ballot should not be
enclosed in the inner affirmation envelope containing such ballot.
6. If a special federal voter has designated a preference to receive
his or her ballot by facsimile transmission or electronic mail pursuant
to section 11-203 of this chapter, the transmission of the special
federal voter's ballot shall include, together with all information and
instructional materials that accompany ballot materials sent by the
board of elections to other absentee voters, appropriate instructions as
to the folding of same so as to create an envelope containing all of the
information set forth in subdivisions two, three and five of this
section.
7. Such inner affirmation envelope containing the special federal
ballot shall be enclosed in an outer envelope addressed to the
appropriate board of elections, and bearing on it the words "Official
Election Ballot--Via Air Mail". The outer envelope shall include
specific directions that if an original completed application for a
special federal ballot has not already been delivered or mailed to the
special federal voter's board of elections, such application must be
completed by the special federal voter and returned in the outer
envelope with the sealed inner affirmation envelope containing the
special federal ballot within the time limits for the receipt of the
special federal ballot itself. Such envelope shall provide lines in the
upper left corner for the special federal voter to write his or her name
and complete special federal address.
8. The outer envelope addressed to the appropriate board of elections
and the inner affirmation envelope which contains the ballot shall be
mailed to the special federal voter in a third envelope on which is
printed the words "Official Election Ballot--Via Air Mail".
9. If the special federal voter's preferred method of transmission is
facsimile transmission or electronic mail, the electronic transmittal of
the special federal voter's ballot materials shall include appropriate

instructions as to the folding of same so as to create an outer envelope
containing all of the information set forth in subdivision eight of this
section.