Declaration Of Religious Objection To Photographic Identification Form printable pdf download

Ofﬁce of the Kansas Secretary of State

Declaration of Religious Objection to Photographic Identiﬁcation

FORM

DRO

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1. Introduction

Kansas law requires each voter to provide photographic identiﬁcation before receiving a ballot. An exemption is provided

for persons whose religious beliefs prohibit photographic identiﬁcation. Any person seeking an exemption must complete

this form and submit it to the Secretary of State or to the county election ofﬁce in the county where the voter is registered.

2. Statement of Religious Beliefs

The nature of my religious beliefs is described below:

_________________________________________________________________________________________________

3. Voter Signature

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

I hereby declare that my religious beliefs prohibit me from participating in photographic identiﬁcation and that, due to my beliefs, I

seek exemption from the requirement to provide photographic identiﬁcation at the election to be held on __________________ .

Date (MM/DD/YY)

______________________________

___________________

Required

Signature of Voter

Name of Voter (please print)

Date (MM/DD/YY)

4. Contact Information

Contact the Kansas Secretary of State at 120 SW 10th Ave., Topeka, KS, 66612 by phone at 1-800-262-8683 (VOTE) or

fax at 1-785-291-3051. You can also email the Elections Division at election@sos.ks.gov, or visit

See the back side of this form for county election ofﬁce contact information.

Prepared by the Ofﬁce of Secretary of State Kris W. Kobach, 1st Floor, Memorial Hall, 120 S.W. 10th Avenue, Topeka, KS 66612-1594.

KSA 25-2908(i)(5). Rev 7/3/12 nr

Declaration Of Religious Objection To Photographic Identification Form