| IDENTIFICATION CARD VOUCHER |
| To be completed by applicant: |
| Name: _____________________________________________ |
| Domicile Address: _____________________________________________ |
| Mailing Address: _____________________________________________ |
| I hereby swear or affirm that I require a photo identification for voting purposes and that I do not possess a form of identification that meets the requirements of the election laws of this state. |
| I hereby swear or affirm that I am the identical person whom I represent myself to be and that to the best of my knowledge and belief the information above is true and correct. |
| _______________________________________________________ |
| (Signature of applicant) |
| To be completed by town or city clerk: |
| I, the clerk of _________________________ (town or city), hereby swear or affirm that the person identified on this voucher presented proof of domicile in this city or town. |
| _________________________________________________________________ |
| (Signature of town or city clerk) |
| In accordance with RSA 659:34, the penalty for knowingly or purposefully providing false information when voting is a class A misdemeanor with a maximum sentence of imprisonment not to exceed one year and a fine not to exceed $2,000. Fraudulently registering to vote or voting is subject to a civil penalty not to exceed $5,000. |
Source. RSA 259:21. 1977, 194:1. 1979, 88:1; 469:2-4. 1981, 146:1. 1985, 303:6. 1990, 79:9; 140:2, X; 255:6. 1993, 117:2. 1994, 67:1. 1997, 336:3. 2002, 83:6. 2006, 216:3. 2008, 277:1-3. 2012, 127:1, eff. Aug. 4, 2012; 284:4, eff. June 27, 2012. 2016, 71:6, 7, eff. May 10, 2016; 188:1, eff. July 1, 2017. 2019, 205:1, eff. Jan. 1, 2020. 2021, 204:2, Pt. IV, Secs. 1 and 2, eff. Oct. 9, 2021. 2025, 141:231, eff. Jan. 1, 2026. 2026, 201:1, eff. Aug. 18, 2026.