§ 84-a. Absentee ballots for special town elections; special\nprovisions. 1. Absentee ballots shall be provided for all special town\nelections for which personal registration is required.\n 2. a. An applicant for such an absentee ballot shall submit an\napplication setting forth (1) his name and residence address, including\nthe street and number, if any, or town and rural delivery route, if any;\n(2) that he is or will be, on the day of the election, a qualified voter\nof the town in which he resides; (3) that he is registered in the town;\n(4) that he will be unable to appear to vote in person on the day of the\nelection for which the absentee ballot is requested because he is, or\nwill be on such day (a) a patient in a hospital, or unable to appear\npersonally at the polling place on such day because of illness or\nphysical disability or (b) because his duties, occupation or business\nwill require him to be outside of the county of his residence on such\nday, (c) because he will be on vacation outside the county of his\nresidence on such day; or, (d) absent from his voting residence because\nhe is detained in jail awaiting action by a grand jury or awaiting trial\nor is confined in prison after conviction for an offense other than a\nfelony. Such application must be received by the town clerk at least\nseven days before the election if the ballot is to be mailed to the\nvoter, or the day before the election, if the ballot is to be delivered\npersonally to the voter or his agent.\n b. (1) Where such duties, occupation or business are of such a nature\nas ordinarily to require such absence, a brief description of such\nduties, occupation or business shall be set forth in such affidavit; and\n(2) where such duties, occupation or business are not of such a nature\nas ordinarily to require such absence, such application shall contain a\nstatement of the special circumstances on account of which such absence\nis required.\n c. Where the applicant expects in good faith to be absent on the day\nof the election because he will be on vacation elsewhere on such day,\nsuch application shall also contain the dates upon which he expects to\nbegin and end such vacation, the place or places where he expects to be\non such vacation, the name and address of his employer, if any, and if\nself-employed, a statement to that effect.\n d. Where the absence is because of detention or confinement to jail,\nsuch affidavit shall state whether the voter is detained awaiting action\nof the grand jury or is confined after conviction for an offense other\nthan a felony.\n e. Where a person is or would be, if he were a qualified voter,\nentitled to apply for the right to vote by absentee ballot under the\nprovisions of this section, his spouse, parent or child, if a qualified\nvoter and a resident of the same town, shall be entitled to vote as an\nabsentee voter upon personally making and signing an application in\naccordance with the preceding provisions of this subdivision and showing\nthat he expects to be absent from the town on the day of the special\ntown election by reason of accompanying or being with the spouse, child\nor parent who is or would be, if he were a qualified voter, so entitled\nto apply for the right to vote by absentee ballot, and, in the event no\napplication is made by such spouse, child or parent, such further\ninformation as the town shall require.\n f. Such application shall include the following statement to be\nsigned by the voter:\n I hereby declare that the foregoing is a true statement to the best of\nmy knowledge and belief, and I understand that if I make any material\nfalse statement in the foregoing statement of application for absentee\nballots, I shall be guilty of a misdemeanor.\n Date.................... Signature of Voter.............\n g. An applicant whose ability to appear personally at the polling\nplace of the town of which he is a qualified voter is substantially\nimpaired by reason of perman
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