Form Dl-14c - 2014 Application For Texas Election Identification Certificate
Download a blank fillable Form Dl-14c - 2014 Application For Texas Election Identification Certificate in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Dl-14c - 2014 Application For Texas Election Identification Certificate with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2DL-14C (Rev. 3/14)
APPLICATION FOR TEXAS ELECTION IDENTIFICATION CERTIFICATE
FOR DEPARTMENT USE
ONLY
FOR ELECTION PURPOSES ONLY; CANNOT BE USED AS AN IDENTIFICATION CARD
ASSIGNED # ____________
NOTICE: All information on this application must be completed in INK.
APPLICANT INFORMATION
CONTACT INFORMATION
LAST NAME:
HOME PHONE:
FIRST NAME:
OTHER PHONE:
MIDDLE NAME:
EMAIL:
SUFFIX:
MAIDEN NAME:
ADDRESS INFORMATION
RESIDENCE ADDRESS:
DATE OF BIRTH (mm/dd/yyyy):
-
-
SSN:
-
-
CITY:
STATE:
SEX: (Circle One)
Male
Female
ZIP CODE:
COUNTY:
EYE COLOR:
HAIR COLOR:
RACE/ETHNICITY:
MAILING ADDRESS:
(I) American Indian/Alaska Native
(A) Asian/Pacific Islander (B) Black (H) Hispanic (O) Other (W) White
HEIGHT: ft.
in.
WEIGHT: lbs.
CITY:
STATE:
UNITED STATES CITIZEN:
yes
no
ZIP CODE:
COUNTY:
If you are not a US citizen, you are not eligible for an Election Identification Certificate.
PLACE OF BIRTH: CITY:
COUNTY:
STATE:
COUNTRY:
FATHER’S LAST NAME:
MOTHER’S MAIDEN NAME:
INFORMATION REQUIRED FROM ALL APPLICANTS:
YES
NO
1.
Are you presenting a voter registration card today?
2.
If not, are you registering to vote?
By providing my electronic signature, I understand the personal information on my application form and my electronic signature
will be used for submitting my voter’s registration application to the Texas Secretary of State’s office. Wanting to register to vote,
I authorize the Department of Public Safety to transfer this information to the Texas Secretary of State.
3.
Do you have a Texas driver license or learner license (unexpired, or expired for no more than 60 days)?
4.
Do you have a Texas identification card (unexpired, or expired for no more than 60 days)?
5.
Do you have a Texas concealed handgun license (unexpired, or expired for no more than 60 days)?
6.
Do you have a US passport (unexpired, or expired for no more than 60 days)?
7.
Do you have a US citizenship certificate that contains your photograph?
8.
Do you have a US military identification card that contains your photograph (unexpired, or expired for no more than 60 days)?
If answering “yes” to questions 3 through 8, you are not eligible to receive a Texas Election Identification Certificate.
CERTIFICATION
I do solemnly swear, affirm, or certify that I am the person named herein and that the statements on this application are true and correct.
X_________________________________________________________
__________________________
Date:
VERIFICATION
Sworn to and subscribed before me this _________ day of _______________________________, __________
Notary Public in and for the State of Texas or Authorized Officer
FRONT
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Dnr 8477 - Notarized Application For Historic Watercraft Identification Plate Form - Ohio Department Of Natural Resources
Legal
Form Ap-228-1 - Application For Texas Agricultural And Timber Exemption Registration Number (ag/timber Number)
Financial
Form Oes-2 - 2004 - Application For Voluntary Election - Oklahoma Employment Security Commission
Legal
Related Categories
Parent category: Legal