Sec. 33.04.02.03. Applications

A. Form.

(1) A person seeking to keep the person's residence address, telephone number, and email address of a record confidential shall apply in writing on a form approved by the State Administrator.

(2) The form shall be filed:

(a) At the appropriate local board if the applicant wishes to keep the applicant's residence address, telephone number, and email address provided on a voter registration application confidential; or

(b) At the State or local board at which the applicant filed the certificate of candidacy or statement of organization if the applicant wishes to keep the applicant's residence address, telephone number, or email address provided on a certificate of candidacy or statement of organization confidential.

B. Contents. In the application, the applicant shall:

(1) Explain the basis for the request;

(2) Attach any documentation in support of the request, such as proof of employment or a restraining order;

(3) Acknowledge that, notwithstanding approval of the request for confidentiality, the information will be made available:

(a) To the jury commissioner;

(b) To other public officials as required by law; or

(c) Otherwise as may be required by subpoena or other court order;

(4) Waive any right of action against the State, the county, the State Board, the local board, or their employees, for failing to keep the information confidential; and

(5) Swear or affirm, under the penalties of perjury, that the information in and accompanying the request is true.