2316                                Municipal Charters

(iv) That the voter expects in good faith to be unable to vote in per-
son for any of the reasons set out in subsection (a) of this Section.

(v) That the voter swears or affirms under penalty of perjury that the
facts set forth in the application are true.

[(2) Who may administer oaths. Only the members of the Board
and employees designated by it in writing for such purpose and any notary
public or other officer authorized to administer oaths, including any person
authorized by Federal law to administer oaths, shall have authority to ad-
minister the oath to any voter making the affidavit required in an applica-
tion for an absentee ballot.]

(e) Application forms.

(1)   Printed forms of applications for absentee ballots in accordance
with the requirements of this subsection shall be provided by the Board and
shall be available to anyone upon request.

(2)   (i) The application for an absentee voter who is absent from the
State of Maryland or who is unable to vote in person because of physical dis-
ability as defined in subsection (b) of this Section, either of whom is a
qualified voter, shall be in the following form:

Date
Board of Supervisors of Elections of the City of Rockville

I,.........................., hereby apply for a City of Rockville Absentee

(Print Name)

Ballot for the Election to be held on.......................................

(Date of Election)

My home address is .................................................., Rockville, Mont-

(No. and Street or RFD)
gomery County, Maryland.

I am not now registered and I will be 18 years old or older on

................. and

(Date of Election)
I desire that the ballot be sent to me at the following address:

I hereby swear or affirm under penalty of perjury that the facts set
forth in this application are true.

(Sign Name)
(Military Rank or Other Status if any, or the Spouse Of)

(Military Rank or Other Status)

[Subscribed and sworn to (or affirmed) before me this .............. day

of................................,19...............

(Notary Public or other person authorized to administer oaths; commis-
sioned officer, noncommissioned officer, not below the rank of sergeant,