For immediate release: 08/10/2016
REASONABLE IMPEDIMENT DECLARATION
Instructions : If a voter appears on the official list of registered voters, but does not possess an acceptable form of photo identification-under Section 63 .0101 of the Texas Election Code (SB 14 ID) or SB 14 ID that has expired by no more than four years-due to a reasonable impediment,the following steps shall be taken by the election officer to allow the voter to cast a regular ballot:
1. Present this form to the voter, and ask the voter
to provide one of the following forms of
a. a valid voter registration certificate (if on
Election Day, the voter registration
certificate indicates that the voter is
appearing at the incorrect polling place,
the voter should be directed to the
correct polling place);
b. a certified birth certificate (must be an
c. a copy or original of a current utility
bill, bank statement, government check,
paycheck, or other government document
that shows the voter's name and an
address (with the exception that a
government document containing a
photograph must be an original).
NOTE : The address on this
document is not required to
match the address recorded
in the official list of registered
2. Ask the voter to complete this form by entering
their name, and then ask them to review the
"Voter's Declaration of Reasonable Impediment
or Difficulty," indicate their impediment or
difficulty,and sign their name.
3. Ask the voter to return the completed form to
you. You may not question the voter concerning
the reasonableness of any claimed impediment
or the truth of the declaration. The election judge
should enter the date and then sign on the space
provided on the declaration.
4. Either you or the election judge should indicate
on the "To Be Completed By Election Official"
form what type of document the voter provided
by checking the appropriate box. Either you or
the election judge should fill in the Date of
Election and Location fields.
5. Allow the voter to cast a regular ballot.