.... Ward (Wards) (if any)
.... Aldermanic district (if any)
City (Village or Town) of ....
.... 19.. .... (year)
Ballot issued by
....
....
(Initials of inspectors)
Absent Elector's Ballot issued by
....
(Initials of municipal clerk or deputy clerk)
Certification of Elector Assistance
I certify that this ballot was marked or punched by me for an elector who is authorized under the law to have assistance, upon request and as directed by the elector.
....
(Signature of assisting individual)
250,2
Section
2. 6.15 (2) (a) (form) of the statutes is amended to read:
6.15 (2) (a) (form)
STATE OF WISCONSIN
County of ....
I, ...., do solemnly swear that I am a citizen of the United States; that prior to establishing Wisconsin residence, my legal residence was in the .... (town) (village) (city) of ...., state of ...., residing at .... (street address); that on the day of the next presidential election, I shall be at least 18 years of age and that I have been a legal resident of the state of Wisconsin since ...., 19.. .... (year), residing at .... (street address), in the [.... ward of the .... aldermanic district of] the (town) (village) (city) of ...., county of ....; that I have resided in the state less than 10 days, that I am qualified to vote for president and vice president at the election to be held November ....,
19.. .... (year), that I am not voting at any other place in this election and that I hereby make application for an official presidential ballot, in accordance with section 6.15 of the Wisconsin statutes.
Signed ....
P.O. Address ....
Subscribed and sworn to before me this .... day of ...., 19.. .... (year)
....(Name)
....(Title)
250,3
Section 3
. 6.18 (form) of the statutes is amended to read:
6.18 (form) This blank shall be returned to the municipal clerk's office. Application must be received in sufficient time for ballots to be mailed and returned prior to any presidential election at which applicant wishes to vote. Complete all statements in full.
APPLICATION FOR PRESIDENTIAL
ELECTOR'S ABSENT BALLOT.
(To be voted at the Presidential Election
on November ...., 19.. .... (year)
I, .... hereby swear or affirm that I am a citizen of the United States, formerly residing at .... in the .... ward .... aldermanic district (city, town, village) of ...., County of .... for 10 days prior to leaving the State of Wisconsin. I, .... do solemnly swear or affirm that I do not qualify to register or vote under the laws of the State of ....(State you now reside in) where I am presently residing. A citizen must be a resident of: State ....(Insert time) County ....(Insert time) City, Town or Village ....(Insert time), in order to be eligible to register or vote therein. I further swear or affirm that my legal residence was established in the State of ....(the State where you now reside) on .... Month .... Day .... Year.
Signed ....
Address ....(Present address)
....(City) ....(State)
Subscribed and sworn to before me this .... day of .... 19..,.... (year).
....(Notary Public, or other officer authorized to administer oaths.)
....(County)
My Commission expires
MAIL BALLOT TO:
NAME ....
ADDRESS ....
CITY .... STATE .... ZIP CODE ....
Penalties for Violations. Whoever swears falsely to any absent elector affidavit under this section may be fined not more than $1,000 or imprisoned not more than 6 months, or both. Whoever intentionally votes more than once in an election may be fined not more than $10,000 or imprisoned not more than 3 years, or both.
....(Municipal Clerk)
....(Municipality)
250,4
Section 4
. 10.02 (3) (form) (intro.) of the statutes is amended to read:
10.02 (3) (form) (intro.)
FACSIMILE BALLOT NOTICE
OF .... ELECTION
Office of .... [County] [Municipal] Clerk.
To the Electors of .... [County] [Municipality]:
Notice is hereby given of a .... election to be held in the several wards in the [county] [municipality] of ...., on the .... day of ...., 19.. .... (year), at which the officers named below shall be chosen. The names of the candidates for each office to be voted for, whose nominations have been certified to or filed in this office, are given under the title of the office and under the appropriate party or other designation, each in its proper column, together with the questions submitted to a vote, in the sample ballot below.
INFORMATION TO ELECTORS
Except where a different statement is prescribed by the board for use in whole or in part by municipalities using electronic voting systems under s. 5.95, the voting instructions shall be given substantially as follows:
250,5
Section 5
. 19.01 (1) (form) of the statutes is amended to read:
19.01 (1) (form)
State of Wisconsin,
County of ....
I, the undersigned, who have been elected (or appointed) to the office of ...., but have not yet entered upon the duties thereof, swear (or affirm) that I will support the constitution of the United States and the constitution of the state of Wisconsin, and will faithfully discharge the duties of said office to the best of my ability. So help me God.
.... ....,
Subscribed and sworn to before me this .... day of ...., 19.. .... (year)
....(Signature)....,
250,6
Section 6
. 19.01 (2) (a) (form) of the statutes is amended to read:
19.01 (2) (a) (form) We, the undersigned, jointly and severally, undertake and agree that ...., who has been elected (or appointed) to the office of ...., will faithfully discharge the duties of the office according to law, and will pay to the parties entitled to receive the same, such damages, not exceeding in the aggregate .... dollars, as may be suffered by them in consequence of the failure of .... to discharge the duties of the office.
Dated ...., 19.. .... (year)
....(Principal)....,
....(Surety)....,
250,7
Section 7
. 23.10 (4) (form) of the statutes is amended to read:
23.10 (4) (form)
state of Wisconsin
department of natural resources.
To all to whom these presents shall come, greeting:
Know ye, that reposing special trust and confidence in the integrity and ability of ...., of the county of ...., we do hereby appoint and constitute .... a conservation warden (or county, or special conservation warden) for the (county of ....), state of Wisconsin, and do authorize and empower .... to execute and fulfill the duties of that office according to law, during good behavior and the faithful performance of the duties of that office.
In testimony whereof, the secretary has hereunto affixed the secretary's signature and the official seal of the department, at its office in the city of Madison, Wisconsin, this .... day of ...., 19.. .... (year).
(Seal) state of wisconsin
department of natural resources.
By .... ....
250,8
Section 8
. 59.64 (1) (d) 1. (form) of the statutes is amended to read:
59.64 (1) (d) 1. (form)
State of Wisconsin
v.
....
In .... Court
Complaint for ....
