Specifications And Order Form For Voter List
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1
2State of Iowa
Specifications and Order Form for Voter List
Requests can be made with the Secretary of State’s Office or with a county auditor. Statewide and congressional lists must be
produced by the Secretary of State’s Office. Counties may only produce lists for districts of which their county is a part.
Data
Describe the voters to be included. Specify that which differentiates them from the ones you do not want included.
CAUTION: If you request “all voters,” you will receive and be charged for the whole state – over 2 million voters!
Registration records become “inactive” when evidence shows that a
Do you want inactive voters?
Yes
No
voter is has moved from the address where registered.
List Type
Check one or more of the boxes below.
Electronic List
Email
CD-ROM
Data is recorded as a delimited file with comma (CSV).
The records will include the registration address, mailing address, and the name and code of the precinct. Social Se-
curity numbers, driver license numbers, and non-operator ID numbers are not included in any list.
Do you want vote history?
Yes
No
Vote history is only available for electronic lists. Vote history
for the last 5 elections of every type will be included.
Paper (printed) List
In what sequence do you want the voters listed?
______________________________
(by last name, by jurisdiction, etc.)
Mailing Labels
One label per voter - This will produce one mailing label for each record requested.
One label per household - This will produce one mailing label for each unique address.
.
Delivery
Check one box below. Orders that are shipped will be charged an extra $5.00.
Send COD via UPS directly to me at the address I will provide.
NOTE: The address cannot be a PO Box for UPS delivery.
Hold at the Secretary of State’s Office, where I will pick up and pay for the list.
Hold at the _______________________ County Auditor’s Office, where I will pick up and pay for the list.
For Governmental Agencies Only: Send with invoice; payment will be made within 60 days.
Email the list to: ___________________________________________.
Secretary of State’s Office or the
____________________ County Auditor’s Office for payment.
I will contact the
Personal Information
Complete all blanks.
(
)
Name:
Daytime Phone:
_______
_______________
Address:
Intended Use of List:
Information from voter registration records can only be used:
To request a registrant’s vote at an election,
For bona fide political research, or
For a genuine political purpose,
For a bona fide official purpose by an elected official.
I am aware that information from voter registration records may be used lawfully for the reasons listed above. I understand that
using the information for any commercial purpose is a serious misdemeanor under Iowa law. I agree to pay the cost of
the above ordered list upon delivery.
Signature:
Date:
Prepared by the Iowa Secretary of State’s Office
Pa
Revised 8/2009
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