Ala. Admin. Code r. 820-2-2-.19
The following form ("Form C-2") shall be used in instances where evidence of U.S. citizenship is deemed to be unsatisfactory due to an inconsistency between the document submitted as evidence of U.S. citizenship and the name or sex provided on the voter registration application.
CITIZENSHIP DOCUMENT INCONSISTENCY AFFIDAVIT (Form C-2)
THIS AFFIDAVIT IS TO BE USED IN INSTANCES WHERE EVIDENCE OF U.S. CITIZENSHIP IS DEEMED TO BE UNSATISFACTORY DUE TO AN INCONSISTENCY BETWEEN THE DOCUMENT SUBMITTED AS EVIDENCE OF U.S. CITIZENSHIP AND THE NAME OR SEX PROVIDED ON THE VOTER REGISTRATION APPLICATION.
THERE SHALL BE NO INCONSISTENCY BETWEEN THE DATE OF BIRTH ON THE DOCUMENT PROVIDED AS EVIDENCE OF CITIZENSHIP AND THE DATE OF BIRTH PROVIDED ON THE APPLICATION FOR REGISTRATION. IF SUCH AN AFFIDAVIT IS SUBMITTED BY THE APPLICANT, THE REGISTRARS SHALL ASSESS THE ELIGIBILITY OF THE APPLICANT WITHOUT REGARD TO ANY INCONSISTENCY REGARDING DATE OF BIRTH STATED IN THE AFFIDAVIT.
STATE OF ALABAMA
________________COUNTY
Before me, a notary public, personally appeared___________________(print name) who, being duly sworn, says as follows:
There is an inconsistency between the document I have submitted as evidence of U.S. citizenship and the (check one)____name or_____sex provided on my voter registration application. The inconsistency is as follows:
(Attach additional sheets if necessary)
I swear and affirm under oath and under penalty of perjury that despite the inconsistency, I am the individual reflected in the document I have provided as evidence of U.S. citizenship.
___________________________(Signature of Voter Registration Applicant)
Sworn to and subscribed before me this_______day of________________, 2_______
I certify that the affiant is known (or made known) to me to be the identical party he or she claims to be.
_______________________________(Signature of Notary Public)
_______________________________(Printed name of Notary Public)
Ala. Admin. Code r. 820-2-2-.19
Authors: Jean Brown; Edward Packard; Julie Sinclair
Statutory Authority:Code of Ala. 1975, §§ 31-13-28 (2012), 17-3-1 (2006).