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Code · Connecticut · Title 9 — Elections · CHAPTER 145* — Absentee Voting

Sec. 9-137. Inner envelope for return of ballot; statement under false statement penalty.

162 words·~1 min read·/ct/title-9/chapter-145-absentee-voting/9-137

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Each absentee ballot shall be returned to the municipal clerk, inserted in an inner envelope which shall be capable of being sealed and which shall have printed on its face a form containing the following statements:
“I hereby state under the penalties of false statement in absentee balloting that I am eligible to vote at the primary, election or referendum in the municipality in which this absentee ballot is to be cast and that I expect to be unable to appear at my polling place on the day of such primary, election or referendum for one or more of the following reasons:
(1)My active service in the armed forces;
(2)my absence from the town in which I am eligible to vote;
(3)sickness;
(4)physical disability;
(5)the tenets of my religion which forbid secular activity on the day of such primary, election or referendum; or
(6)my duties as a primary, election or referendum official.
Date ....
.... (Signature)”
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