Rhode Island General Laws Title 17. Elections § 17-20-21. Certifying envelopes

The secretary of state shall cause to be prepared and printed and shall furnish with each mail ballot an envelope for sealing up and certifying the ballot when returned. The envelope shall be printed in substantially the following form:

“After marking ballot or ballots, fold and enclose in this envelope and seal it. Certify to statement hereon. Enclose in envelope addressed to board of elections, which must receive the envelope not later than the time prescribed by § 17-18-11 for the closing of polling places on the day of election.”

Print Name of Voter

I swear or affirm, under penalty of perjury, that I am:

• I am a United States citizen;

• I am a resident and qualified voter of the State of Rhode Island;

• I am eligible to cast a mail ballot under the provisions of § 17-20-2; and

• I am not qualified to vote elsewhere.

Voter must sign full name here: ________________________________________

(If unable to sign name because of physical incapacity or otherwise, voter shall make his or her mark “(X)”).

I hereby attest under penalty of perjury that the enclosed voted ballot was cast, and the signature or mark on this certifying envelope was made by the voter whose name appears on the label above.

Before me the _____________ day of ______________ 20________, at ________________(city or town), county of ________________, state of ____________________, personally appeared the above named voter, to me known and known by me to be the person who affixed his or her signature to this ballot envelope.

____________________________________________

Notary Public

Notary must also print his or her name

Note: Mail ballots must either be sworn to before a notary public or before two (2) witnesses who must sign their names and addresses.