S.D. Admin. R. 5:02:10:01.03
The application for an in-office absentee ballot shall be printed in the following form on an envelope used for sealing the voted ballot:
APPLICATION FOR IN-OFFICE ABSENTEE BALLOT
___________________ COUNTY, SOUTH DAKOTA
My printed name as it appears on the voter registration list is:____________________________
My voter registration residence address is: ___________________________________________
(address)
(city)
Check the election for which you are requesting an absentee ballot:
[] Primary If you are registered as an independent and are requesting a primary ballot, you may have a choice of ballots. Please check one of the following: G Non-political ballot or G Democratic Party ballot
[] General
[] Municipal
[] School
[] Special ___________________(specify jurisdiction)
If request is for a municipal or school election:
I have lived in that jurisdiction at least 30 days in the last year. Yes G No G
I am a full-time postsecondary student who resided in that jurisdiction immediately prior to leaving for postsecondary education. Yes G No G
I am on active duty military and my home of record is in that jurisdiction. Yes G No G
I, under penalty of impersonating a registered voter (5 years imprisonment and $10,000 fine), state that I am the person named above, these statements made by me are true and correct, and that I will vote the ballot which will be enclosed in this envelope.
______________________________________ ___________________
Voter Signature Date
INSTRUCTIONS TO THE VOTER
§ Mark your ballot privately.
§ Do not fold your ballot.
§ Place your ballot in this envelope and seal it securely.
§ Return the envelope immediately to the person in charge of the election.
Auditor Office Use Only:
Voter Precinct: ________
Type of ID: _________
Printers Note: When this form is printed for primary, general, or other county elections, reference to municipal and school elections may be omitted. The instruction to "not fold your ballot" may be changed if the ballot is to be folded.
S.D. Admin. R. 5:02:10:01.03
General Authority: SDCL 12-1-9(8), 12-19-2.5.
Law Implemented: SDCL 12-19-2, 12-19-2.1, 12-19-9.1, 12-19-2.5, 12-26-7, 22-6-1.