For citizens appearing to vote who are ignorant of the voter obligation:

“I, [name,] swear before God and/or upon my honor that, until this day, I was unaware of the voter education requirement for this election.  I hereby acknowledge notification of such requirement for all subsequent [state and/or national] elections as long as the existing law is in effect.  For the present election, I request that my obligation to conscientiously consider the voter education materials be waived.”

[By the terms of the affirmation, this waiver can be granted only once.]

For citizens unable to comply due to extenuating circumstances:

“I, [name,] swear before God and/or upon my honor that, because of extenuating circumstances, as I specify on the attached sheet, I was unable to comply with the voter education requirement.  On this basis, I request that, for present election, this requirement be waived.  I understand this request will be included in the public record.”

For citizens refusing to comply due to conscientious objection:

“I [name,] swear, before God and/or upon my honor, that while I recognize that the requirement of “conscientious consideration” of the voter education materials is contended to be based on the belief that such consideration may lead voters to make more informed and wiser choices, and so seeks to advance the public interest, I believe, for reason(s) stated in the attached sheet, that imposing such a requirement violates my constitutional rights.  Upon that basis, I refuse to comply.  I understand this refusal, and the reason(s) I give for it, will be a matter of public record.  I request a waiver from the requirement of conscientious consideration on the basis of such reason(s).”

For non-English-speaking citizens who have conscientiously considered translations of the voter education material issued by the DVE [or appropriate state agency:]

[In order to vote, such citizens must, attest (in their language) in the same manner as English-speaking voters – except that such (translated) attestation will also include the following:]

“…  I understand that, as an American citizen who wishes to participate in the governance of the nation that I have chosen to adopt, the people of this state, through our legislature, believe that, even while the voter educational materials may be translated for me, the political discussion extends beyond these materials, and, without a working mastery of the primary language in which it is conducted, I am likely to find it more difficult to participate in the broader political and cultural discussion upon which the governance of this democratic nation relies.  Consequently, the legislature has determined that, while I may continue to vote for a period of 8 years, if, after that time, I am still without an ability to  understand the voter educational materials in English, I will no longer be able to qualify to vote under this waiver.  If, at that time, however, I still wish to vote, I do understand that the alternative of a waiver under conscientious objection will remain as an option to me.”

[The foregoing passage may be precluded by the Voting Rights Act of 1965, in which case knowledge of English could not be required.]

For non-English speaking citizens speaking languages for whom the State does not provide translations:

[In order to vote, such citizens must, through a translator, affirm as follows:]

“Before God and/or upon my honor, I, [name,] swear that I am unable to comply with the Voter Education Act because the materials it requires me to conscientiously consider do not appear in a language that I understand, and have not been translated for me by the Division for Voter Education, and I have been unable to find anyone to translate it for me.  I understand that, as an American citizen who wishes to exercise my right to vote… [see preceding attestation section for non-English speaking citizens]”

[If no translator is available, the citizen will be permitted to vote, but will also be required to appear subsequently at the citizen’s voter registration office with a translator so that he or she will be able to make the foregoing affirmation.  Should, after 3 notifications, the citizen fail to appear, he or she will be removed from the voting rolls, and not be reinstated until such appearance and affirmation is made.]

[Again, such a provision as this may be precluded by the Voting Rights Act.]

For citizens who have conscientiously considered the voter educational materials:

“I, [name,] swear, in recognition of my duty to my fellow citizens and/or to the law of this state, that I have – giving equal attention to both sides presented – conscientiously considered the voter education materials.  I have also, to the best of my ability, answered or attempted to answer any questions based on such materials put forth by the contesting advocates.  Before God and/or upon my honor, I do so swear.”