Maryland Code, Election Law § 3-506

(i) a written application; and

(ii) a statement, signed under oath, that the list is not intended to be used for:

(i) the time for a list to be provided under this subsection;

(ii) the authorization to be required for providing a list;

(iii) the fee to be paid for providing a list;

(iv) the information to be included on a list;

(v) that the residence address of an individual who is a participant in an address confidentiality program may not be disclosed;

(vi) that a participant in an address confidentiality program is not required to apply to the State Board to keep the individual's residence address confidential;

(vii) the format of the information; and

(viii) the medium or media on which the information is to be provided.