information. (1) As used in this section, "qualifying form" means: (a) a driver license application form; or (b) a state identification card application form. (2) The lieutenant governor and the Driver License Division shall design each qualifying form to include: (a) (i) the following question, which an applicant is required to answer: "Do you authorize the use of information in this form for voter registration purposes? YES____ NO____"; and (ii) the following: "Indicate below how you want to vote in upcoming elections: _____ Mail a ballot to me. _____ Do not mail a ballot to me. I will vote in person."; (b) the following statement: "PRIVACY INFORMATION Voter registration records contain some information that is available to the public, such as your name, address, and age range. Your date of birth, driver license number, state identification card number, and social security number are available only to an authorized government entity. Your email address and phone number are also only available to an authorized government entity, unless you have consented, above, to disclose them to the political party with which you choose to affiliate. REQUEST FOR ADDITIONAL PRIVACY PROTECTION In addition to the protections provided above, you may request that your voter registration record be withheld from public disclosure if you are, or reside with: an individual who is a victim of, or is threatened with, domestic violence or dating violence; a law enforcement officer; a member of the armed forces; a public figure; or an individual who is protected by a court order. To make this request for additional privacy protection, you must prove that you qualify by submitting an at-risk designation request form, and any required proof, to your county clerk. You may obtain the form, and information on the proof required, from your county clerk or at the following website [insert the website address specified by the lieutenant governor]."; and (c) a section in substantially the following form: "------------------------------------------------------------------------------------------------------------------ BALLOT NOTIFICATIONS Do you consent to receive communications about the status of your ballot and other official communications, by text, at the phone number you provided above? Yes No ------------------------------------------------------------------------------------------------------------------". (3) The lieutenant governor and the Driver License Division shall ensure that a qualifying form contains: (a) a place for an individual to affirm the individual's citizenship, voting eligibility, and Utah residency, and that the information provided in the form is true; (b) a records disclosure that is similar to the records disclosure on a voter registration form described in Section 20A-2-104; (c) a statement that if an applicant declines to register or preregister to vote, the fact that the applicant has declined to register or preregister will remain confidential and will be used only for voter registration purposes; (d) a statement that if an applicant does register or preregister to vote, the office at which the applicant submits a voter registration application will remain confidential and will be used only for voter registration purposes; (e) if the applicant answers "yes" to the question described in Subsection (2)(a)(i), a space where an individual may, if desired: (i) indicate the individual's desired political affiliation from a listing of each registered political party, as defined in Section 20A-8-101; (ii) specify a political party that is not listed under Subsection (3)(e)(i) with which the individual desires to affiliate; or (iii) indicate that the individual does not wish to affiliate with a political party; and (f) the following statement: "You must be a United States citizen to vote. If you fail to provide proof of United States citizenship, you will only be permitted to vote for federal offices. Information on how to provide proof of citizenship is included with this form." (4) The lieutenant governor and the Driver License Division shall ensure that the statement described in Subsection 20A-2-104(1)(c) is provided with a qualifying form.
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