State Codes and Statutes

Statutes > New-york > Eln > Article-5 > Title-2 > 5-211

§  5-211.  Agency assisted registration.   Each agency designated as a  participating  agency  under  the  provisions  of  this  section   shall  implement and administer a program of distribution of voter registration  forms  pursuant to the provisions of this section. The following offices  which provide public assistance and/or  provide  state  funded  programs  primarily engaged in providing services to persons with disabilities are  hereby  designated  as  voter registration agencies:   designated as the  state agencies which provide public assistance  are  the  department  of  social services and the department of health.  Also designated as public  assistance  agencies  are  all agencies of local government that provide  such assistance. Designated as  state  agencies  that  provide  programs  primarily  engaged in providing services to people with disabilities are  the department of labor, office for the  aging,  division  of  veterans'  affairs,  office  of mental health, office of vocational and educational  services for individuals with disabilities,  commission  on  quality  of  care  for  the  mentally  disabled,  office  of  mental  retardation and  developmental  disabilities,  commission  for  the  blind  and  visually  handicapped,  office  of  alcoholism  and  substance abuse services, the  office of the advocate for the disabled and all offices which administer  programs established  or  funded  by  such  agencies.  Additional  state  agencies  designated as voter registration offices are the department of  state and the division of workers' compensation. Such agencies shall  be  required  to  offer  voter  registration  forms  to persons upon initial  application for services, renewal or recertification  for  services  and  change of address relating to such services. Such agencies shall also be  responsible  for  providing assistance to applicants in completing voter  registration forms, receiving and transmitting the completed application  form from all applicants who wish to have such form transmitted  to  the  appropriate  board  of  elections.  The  state board of elections shall,  together with representatives of the department of defense, develop  and  implement  procedures  for  including  recruitment  offices of the armed  forces of the United States as  voter  registration  offices  when  such  offices  are  so  designated by federal law.  The state board shall also  make request of the United States Immigration and Naturalization Service  to include applications for registration  by  mail  with  any  materials  which  are  given  to  new  citizens.    All  institutions  of the state  university of New York and the city university of New  York,  shall,  at  the  beginning  of  the  school  year, and again in January of a year in  which the president of the United States is to be  elected,  provide  an  application  for  registration to each student in each such institution.  The state board of elections may, by regulation, grant a waiver from any  or all of the requirements of this section to any office or  program  of  an  agency,  if it determines that it is not feasible for such office or  program to administer such requirement.    1. The state board of elections shall adopt such rules and regulations  as may be necessary to carry out the requirements of  this  section  and  shall   prepare   and   distribute  to  participating  agencies  written  instructions as to the  implementation  of  the  program  and  shall  be  responsible   for   establishing  training  programs  for  employees  of  participating agencies involved in such  program.  The  state  board  of  elections  shall  provide  a  toll free telephone to answer registration  questions.    2. Strict neutrality with respect to a person's party enrollment shall  be maintained and all  persons  seeking  voter  registration  forms  and  information   shall   be   advised  that  government  services  are  not  conditioned on being registered to vote. No statement shall be made  nor  any action taken to discourage the applicant from registering to vote.3.  If  a  participating  agency  provides services to a person with a  disability at the person's place of residence, the  agency  shall  offer  the  opportunity  to complete a voter registration form at such place of  residence.    4.  Each participating agency shall provide to each applicant who does  not decline to register to vote  the  same  degree  of  assistance  with  regard  to  the  completion  of  the registration application form as is  provided by the agency with regard to the completion  of  its  own  form  unless the applicant refuses such assistance.    5.  Employees  of  a  voter  registration  agency  who  provide  voter  registration assistance shall not:    (a) seek to influence an applicant's  political  preference  or  party  designation;    (b) display any political preference or party allegiance;    (c)  make any statement to an applicant or take any action the purpose  or effect of which is to discourage the applicant  from  registering  to  vote; or    (d)  make any statement to an applicant or take any action the purpose  or effect of which is to lead the applicant to believe that  a  decision  to  register  or  not to register has any bearing on the availability of  services or benefits.    6. The state board of  elections  shall  coordinate  and  monitor  the  distribution  of  voter  registration  forms  by  those  state agencies,  departments, divisions  and  offices  selected  to  participate  in  the  program to maximize the efficient and non partisan distribution of voter  registration  information  and  forms.  The  board shall also adopt such  rules and regulations as may be necessary to require county  boards  and  participating  agencies to provide the state board with such information  and data as the board deems necessary to  assess  compliance  with  this  section and to compile such statistics as may be required by the federal  elections commission.    7.  Each  participating  agency,  department, division and office that  makes available  voter  registration  forms  shall  prominently  display  promotional  materials  designed  and  approved  by  the  state board of  elections, informing the public of the existence of  voter  registration  services.    8.  Each  participating  agency,  department,  division or office that  makes available voter registration forms pursuant to this section  shall  offer  with  each  application  for  the  services or assistance of such  agency, department, division or office and  with  each  recertification,  renewal   or  change  of  address  form  relating  to  such  service  or  assistance, a registration form together with instructions  relating  to  eligibility  to  register  and for completing the form except that forms  used by the department of social services for  the  initial  application  for  services,  renewal  or  recertification  for services and change of  address relating to such services shall physically incorporate  a  voter  registration   application   in   a   fashion  that  permits  the  voter  registration portion of the agency form to be detached  therefrom.  Such  voter  registration  application  shall  be designed so as to ensure the  confidentiality of the source of the  application.    Included  on  each  participating  agency's  application  for services or assistance or on a  separate form shall be:    (a) the question, "If you are not registered to vote  where  you  live  now, would you like to apply to register here today?"    (b)  The  statement, "applying to register or declining to register to  vote will not affect the amount of assistance that you will be  provided  by this agency."(c) boxes for the applicant to check to indicate whether the applicant  would like to register or decline to register to vote.    (d)  the statement in prominent type, "IF YOU DO NOT CHECK EITHER BOX,  YOU WILL BE CONSIDERED TO HAVE DECIDED NOT TO REGISTER TO VOTE  AT  THIS  TIME."    (e)  the  statement,  "If you would like help in filling out the voter  registration application form, we will help you. The decision whether to  seek or accept help is yours.  You may fill out the application form  in  private."    (f)  the  statement,  "If you believe that someone has interfered with  your right to register or decline to register to  vote,  your  right  to  privacy  in  deciding  whether to register or in applying to register to  vote, or your  right  to  choose  your  own  political  party  or  other  political  preference,  you may file a complaint with the state board of  elections (address and toll free telephone number)."    (g) a toll free number at the state board of  elections  that  can  be  called for answers to registration questions.    9.   Disclosure   of   voter  registration  information,  including  a  declination to register,  by  a  participating  agency,  its  agents  or  employees,  for  other than voter registration purposes, shall be deemed  an unwarranted invasion of personal privacy pursuant to  the  provisions  of subdivision two of section eighty-nine of the public officers law and  shall constitute a violation of this chapter.    10.  The  form containing the declination to register to vote shall be  retained by the recipient agency for the same period  of  time  as  such  agency  retains  the  accompanying  application for services or for such  shorter period of time  as  may  be  approved  by  the  state  board  of  elections.    11. The participating agency shall transmit the completed applications  for registration and change of address forms to the appropriate board of  elections  not  later  than  ten days after receipt except that all such  completed applications and forms received  by  the  agency  between  the  thirtieth  and  twenty-fifth day before an election shall be transmitted  in such manner and at such time as to assure their receipt by such board  of elections not later than the twentieth day before such election.    12. Completed application forms,  when  received  by  a  participating  agency  not  later  than  the  twenty-fifth  day before the next ensuing  primary, general or special election and transmitted by such  agency  to  the  appropriate  board  of  elections so that they are received by such  board not later than  the  twentieth  day  before  such  election  shall  entitle  the  applicant  to  vote  in  such  election provided the board  determines that the applicant is otherwise qualified.    13. The state board of elections shall provide application  forms  for  use  pursuant  to  this section except that any agency which uses a form  other than such registration form shall  be  responsible  for  providing  such  form.  Forms  which  vary  in  design and or content from the form  approved by the state board of elections  may  only  be  used  with  the  approval of such board.    14.  Applications  shall be processed by the board of elections in the  manner prescribed by section 5-210 of this title or, if the applicant is  already registered to vote from another address in the county  or  city,  in  the  manner  prescribed  by  section 5-208 of this title.  The board  shall send the appropriate notice of approval or rejection  as  required  by  either subdivision nine of such section 5-210 or subdivision five of  such section 5-208.    15. The head of each participating agency shall take all actions which  are necessary and proper for the implementation of  this  section.  Each  agency  head  shall designate one person within the agency as the agencyvoter registration coordinator who will,  under  the  direction  of  the  state  board  of  elections,  be  responsible for the voter registration  program in such agency.    16.  The  state  board shall develop and distribute public information  and promotional materials relating to the purposes and implementation of  this program.    17. Each agency  designated  as  a  participating  agency  under  this  section  shall  conduct  a  study  and prepare a report to determine the  feasibility, practicality  and  cost-effectiveness  of  designing  their  agency  intake  forms  to  serve  also  as voter registration forms that  comply with state and federal  law.  Such  study  and  report  shall  be  completed  by December 1, 1996. Copies of such reports shall be provided  to the governor, the temporary president of the senate, the  speaker  of  the  assembly  and the state board of elections. After submission of the  report, participating agencies  that  determine  that  it  is  feasible,  practical  and  cost-effective  to  have  such forms also serve as voter  registration forms shall do so upon the approval of the state  board  of  elections.    For  each agency that determines it is feasible, practical  and cost effective to use agency intake forms that serve also  as  voter  registration  forms,  the  state  board  of  elections  shall approve or  disapprove such use within six months of the submission of the report by  the agency.

State Codes and Statutes

Statutes > New-york > Eln > Article-5 > Title-2 > 5-211

§  5-211.  Agency assisted registration.   Each agency designated as a  participating  agency  under  the  provisions  of  this  section   shall  implement and administer a program of distribution of voter registration  forms  pursuant to the provisions of this section. The following offices  which provide public assistance and/or  provide  state  funded  programs  primarily engaged in providing services to persons with disabilities are  hereby  designated  as  voter registration agencies:   designated as the  state agencies which provide public assistance  are  the  department  of  social services and the department of health.  Also designated as public  assistance  agencies  are  all agencies of local government that provide  such assistance. Designated as  state  agencies  that  provide  programs  primarily  engaged in providing services to people with disabilities are  the department of labor, office for the  aging,  division  of  veterans'  affairs,  office  of mental health, office of vocational and educational  services for individuals with disabilities,  commission  on  quality  of  care  for  the  mentally  disabled,  office  of  mental  retardation and  developmental  disabilities,  commission  for  the  blind  and  visually  handicapped,  office  of  alcoholism  and  substance abuse services, the  office of the advocate for the disabled and all offices which administer  programs established  or  funded  by  such  agencies.  Additional  state  agencies  designated as voter registration offices are the department of  state and the division of workers' compensation. Such agencies shall  be  required  to  offer  voter  registration  forms  to persons upon initial  application for services, renewal or recertification  for  services  and  change of address relating to such services. Such agencies shall also be  responsible  for  providing assistance to applicants in completing voter  registration forms, receiving and transmitting the completed application  form from all applicants who wish to have such form transmitted  to  the  appropriate  board  of  elections.  The  state board of elections shall,  together with representatives of the department of defense, develop  and  implement  procedures  for  including  recruitment  offices of the armed  forces of the United States as  voter  registration  offices  when  such  offices  are  so  designated by federal law.  The state board shall also  make request of the United States Immigration and Naturalization Service  to include applications for registration  by  mail  with  any  materials  which  are  given  to  new  citizens.    All  institutions  of the state  university of New York and the city university of New  York,  shall,  at  the  beginning  of  the  school  year, and again in January of a year in  which the president of the United States is to be  elected,  provide  an  application  for  registration to each student in each such institution.  The state board of elections may, by regulation, grant a waiver from any  or all of the requirements of this section to any office or  program  of  an  agency,  if it determines that it is not feasible for such office or  program to administer such requirement.    1. The state board of elections shall adopt such rules and regulations  as may be necessary to carry out the requirements of  this  section  and  shall   prepare   and   distribute  to  participating  agencies  written  instructions as to the  implementation  of  the  program  and  shall  be  responsible   for   establishing  training  programs  for  employees  of  participating agencies involved in such  program.  The  state  board  of  elections  shall  provide  a  toll free telephone to answer registration  questions.    2. Strict neutrality with respect to a person's party enrollment shall  be maintained and all  persons  seeking  voter  registration  forms  and  information   shall   be   advised  that  government  services  are  not  conditioned on being registered to vote. No statement shall be made  nor  any action taken to discourage the applicant from registering to vote.3.  If  a  participating  agency  provides services to a person with a  disability at the person's place of residence, the  agency  shall  offer  the  opportunity  to complete a voter registration form at such place of  residence.    4.  Each participating agency shall provide to each applicant who does  not decline to register to vote  the  same  degree  of  assistance  with  regard  to  the  completion  of  the registration application form as is  provided by the agency with regard to the completion  of  its  own  form  unless the applicant refuses such assistance.    5.  Employees  of  a  voter  registration  agency  who  provide  voter  registration assistance shall not:    (a) seek to influence an applicant's  political  preference  or  party  designation;    (b) display any political preference or party allegiance;    (c)  make any statement to an applicant or take any action the purpose  or effect of which is to discourage the applicant  from  registering  to  vote; or    (d)  make any statement to an applicant or take any action the purpose  or effect of which is to lead the applicant to believe that  a  decision  to  register  or  not to register has any bearing on the availability of  services or benefits.    6. The state board of  elections  shall  coordinate  and  monitor  the  distribution  of  voter  registration  forms  by  those  state agencies,  departments, divisions  and  offices  selected  to  participate  in  the  program to maximize the efficient and non partisan distribution of voter  registration  information  and  forms.  The  board shall also adopt such  rules and regulations as may be necessary to require county  boards  and  participating  agencies to provide the state board with such information  and data as the board deems necessary to  assess  compliance  with  this  section and to compile such statistics as may be required by the federal  elections commission.    7.  Each  participating  agency,  department, division and office that  makes available  voter  registration  forms  shall  prominently  display  promotional  materials  designed  and  approved  by  the  state board of  elections, informing the public of the existence of  voter  registration  services.    8.  Each  participating  agency,  department,  division or office that  makes available voter registration forms pursuant to this section  shall  offer  with  each  application  for  the  services or assistance of such  agency, department, division or office and  with  each  recertification,  renewal   or  change  of  address  form  relating  to  such  service  or  assistance, a registration form together with instructions  relating  to  eligibility  to  register  and for completing the form except that forms  used by the department of social services for  the  initial  application  for  services,  renewal  or  recertification  for services and change of  address relating to such services shall physically incorporate  a  voter  registration   application   in   a   fashion  that  permits  the  voter  registration portion of the agency form to be detached  therefrom.  Such  voter  registration  application  shall  be designed so as to ensure the  confidentiality of the source of the  application.    Included  on  each  participating  agency's  application  for services or assistance or on a  separate form shall be:    (a) the question, "If you are not registered to vote  where  you  live  now, would you like to apply to register here today?"    (b)  The  statement, "applying to register or declining to register to  vote will not affect the amount of assistance that you will be  provided  by this agency."(c) boxes for the applicant to check to indicate whether the applicant  would like to register or decline to register to vote.    (d)  the statement in prominent type, "IF YOU DO NOT CHECK EITHER BOX,  YOU WILL BE CONSIDERED TO HAVE DECIDED NOT TO REGISTER TO VOTE  AT  THIS  TIME."    (e)  the  statement,  "If you would like help in filling out the voter  registration application form, we will help you. The decision whether to  seek or accept help is yours.  You may fill out the application form  in  private."    (f)  the  statement,  "If you believe that someone has interfered with  your right to register or decline to register to  vote,  your  right  to  privacy  in  deciding  whether to register or in applying to register to  vote, or your  right  to  choose  your  own  political  party  or  other  political  preference,  you may file a complaint with the state board of  elections (address and toll free telephone number)."    (g) a toll free number at the state board of  elections  that  can  be  called for answers to registration questions.    9.   Disclosure   of   voter  registration  information,  including  a  declination to register,  by  a  participating  agency,  its  agents  or  employees,  for  other than voter registration purposes, shall be deemed  an unwarranted invasion of personal privacy pursuant to  the  provisions  of subdivision two of section eighty-nine of the public officers law and  shall constitute a violation of this chapter.    10.  The  form containing the declination to register to vote shall be  retained by the recipient agency for the same period  of  time  as  such  agency  retains  the  accompanying  application for services or for such  shorter period of time  as  may  be  approved  by  the  state  board  of  elections.    11. The participating agency shall transmit the completed applications  for registration and change of address forms to the appropriate board of  elections  not  later  than  ten days after receipt except that all such  completed applications and forms received  by  the  agency  between  the  thirtieth  and  twenty-fifth day before an election shall be transmitted  in such manner and at such time as to assure their receipt by such board  of elections not later than the twentieth day before such election.    12. Completed application forms,  when  received  by  a  participating  agency  not  later  than  the  twenty-fifth  day before the next ensuing  primary, general or special election and transmitted by such  agency  to  the  appropriate  board  of  elections so that they are received by such  board not later than  the  twentieth  day  before  such  election  shall  entitle  the  applicant  to  vote  in  such  election provided the board  determines that the applicant is otherwise qualified.    13. The state board of elections shall provide application  forms  for  use  pursuant  to  this section except that any agency which uses a form  other than such registration form shall  be  responsible  for  providing  such  form.  Forms  which  vary  in  design and or content from the form  approved by the state board of elections  may  only  be  used  with  the  approval of such board.    14.  Applications  shall be processed by the board of elections in the  manner prescribed by section 5-210 of this title or, if the applicant is  already registered to vote from another address in the county  or  city,  in  the  manner  prescribed  by  section 5-208 of this title.  The board  shall send the appropriate notice of approval or rejection  as  required  by  either subdivision nine of such section 5-210 or subdivision five of  such section 5-208.    15. The head of each participating agency shall take all actions which  are necessary and proper for the implementation of  this  section.  Each  agency  head  shall designate one person within the agency as the agencyvoter registration coordinator who will,  under  the  direction  of  the  state  board  of  elections,  be  responsible for the voter registration  program in such agency.    16.  The  state  board shall develop and distribute public information  and promotional materials relating to the purposes and implementation of  this program.    17. Each agency  designated  as  a  participating  agency  under  this  section  shall  conduct  a  study  and prepare a report to determine the  feasibility, practicality  and  cost-effectiveness  of  designing  their  agency  intake  forms  to  serve  also  as voter registration forms that  comply with state and federal  law.  Such  study  and  report  shall  be  completed  by December 1, 1996. Copies of such reports shall be provided  to the governor, the temporary president of the senate, the  speaker  of  the  assembly  and the state board of elections. After submission of the  report, participating agencies  that  determine  that  it  is  feasible,  practical  and  cost-effective  to  have  such forms also serve as voter  registration forms shall do so upon the approval of the state  board  of  elections.    For  each agency that determines it is feasible, practical  and cost effective to use agency intake forms that serve also  as  voter  registration  forms,  the  state  board  of  elections  shall approve or  disapprove such use within six months of the submission of the report by  the agency.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Eln > Article-5 > Title-2 > 5-211

§  5-211.  Agency assisted registration.   Each agency designated as a  participating  agency  under  the  provisions  of  this  section   shall  implement and administer a program of distribution of voter registration  forms  pursuant to the provisions of this section. The following offices  which provide public assistance and/or  provide  state  funded  programs  primarily engaged in providing services to persons with disabilities are  hereby  designated  as  voter registration agencies:   designated as the  state agencies which provide public assistance  are  the  department  of  social services and the department of health.  Also designated as public  assistance  agencies  are  all agencies of local government that provide  such assistance. Designated as  state  agencies  that  provide  programs  primarily  engaged in providing services to people with disabilities are  the department of labor, office for the  aging,  division  of  veterans'  affairs,  office  of mental health, office of vocational and educational  services for individuals with disabilities,  commission  on  quality  of  care  for  the  mentally  disabled,  office  of  mental  retardation and  developmental  disabilities,  commission  for  the  blind  and  visually  handicapped,  office  of  alcoholism  and  substance abuse services, the  office of the advocate for the disabled and all offices which administer  programs established  or  funded  by  such  agencies.  Additional  state  agencies  designated as voter registration offices are the department of  state and the division of workers' compensation. Such agencies shall  be  required  to  offer  voter  registration  forms  to persons upon initial  application for services, renewal or recertification  for  services  and  change of address relating to such services. Such agencies shall also be  responsible  for  providing assistance to applicants in completing voter  registration forms, receiving and transmitting the completed application  form from all applicants who wish to have such form transmitted  to  the  appropriate  board  of  elections.  The  state board of elections shall,  together with representatives of the department of defense, develop  and  implement  procedures  for  including  recruitment  offices of the armed  forces of the United States as  voter  registration  offices  when  such  offices  are  so  designated by federal law.  The state board shall also  make request of the United States Immigration and Naturalization Service  to include applications for registration  by  mail  with  any  materials  which  are  given  to  new  citizens.    All  institutions  of the state  university of New York and the city university of New  York,  shall,  at  the  beginning  of  the  school  year, and again in January of a year in  which the president of the United States is to be  elected,  provide  an  application  for  registration to each student in each such institution.  The state board of elections may, by regulation, grant a waiver from any  or all of the requirements of this section to any office or  program  of  an  agency,  if it determines that it is not feasible for such office or  program to administer such requirement.    1. The state board of elections shall adopt such rules and regulations  as may be necessary to carry out the requirements of  this  section  and  shall   prepare   and   distribute  to  participating  agencies  written  instructions as to the  implementation  of  the  program  and  shall  be  responsible   for   establishing  training  programs  for  employees  of  participating agencies involved in such  program.  The  state  board  of  elections  shall  provide  a  toll free telephone to answer registration  questions.    2. Strict neutrality with respect to a person's party enrollment shall  be maintained and all  persons  seeking  voter  registration  forms  and  information   shall   be   advised  that  government  services  are  not  conditioned on being registered to vote. No statement shall be made  nor  any action taken to discourage the applicant from registering to vote.3.  If  a  participating  agency  provides services to a person with a  disability at the person's place of residence, the  agency  shall  offer  the  opportunity  to complete a voter registration form at such place of  residence.    4.  Each participating agency shall provide to each applicant who does  not decline to register to vote  the  same  degree  of  assistance  with  regard  to  the  completion  of  the registration application form as is  provided by the agency with regard to the completion  of  its  own  form  unless the applicant refuses such assistance.    5.  Employees  of  a  voter  registration  agency  who  provide  voter  registration assistance shall not:    (a) seek to influence an applicant's  political  preference  or  party  designation;    (b) display any political preference or party allegiance;    (c)  make any statement to an applicant or take any action the purpose  or effect of which is to discourage the applicant  from  registering  to  vote; or    (d)  make any statement to an applicant or take any action the purpose  or effect of which is to lead the applicant to believe that  a  decision  to  register  or  not to register has any bearing on the availability of  services or benefits.    6. The state board of  elections  shall  coordinate  and  monitor  the  distribution  of  voter  registration  forms  by  those  state agencies,  departments, divisions  and  offices  selected  to  participate  in  the  program to maximize the efficient and non partisan distribution of voter  registration  information  and  forms.  The  board shall also adopt such  rules and regulations as may be necessary to require county  boards  and  participating  agencies to provide the state board with such information  and data as the board deems necessary to  assess  compliance  with  this  section and to compile such statistics as may be required by the federal  elections commission.    7.  Each  participating  agency,  department, division and office that  makes available  voter  registration  forms  shall  prominently  display  promotional  materials  designed  and  approved  by  the  state board of  elections, informing the public of the existence of  voter  registration  services.    8.  Each  participating  agency,  department,  division or office that  makes available voter registration forms pursuant to this section  shall  offer  with  each  application  for  the  services or assistance of such  agency, department, division or office and  with  each  recertification,  renewal   or  change  of  address  form  relating  to  such  service  or  assistance, a registration form together with instructions  relating  to  eligibility  to  register  and for completing the form except that forms  used by the department of social services for  the  initial  application  for  services,  renewal  or  recertification  for services and change of  address relating to such services shall physically incorporate  a  voter  registration   application   in   a   fashion  that  permits  the  voter  registration portion of the agency form to be detached  therefrom.  Such  voter  registration  application  shall  be designed so as to ensure the  confidentiality of the source of the  application.    Included  on  each  participating  agency's  application  for services or assistance or on a  separate form shall be:    (a) the question, "If you are not registered to vote  where  you  live  now, would you like to apply to register here today?"    (b)  The  statement, "applying to register or declining to register to  vote will not affect the amount of assistance that you will be  provided  by this agency."(c) boxes for the applicant to check to indicate whether the applicant  would like to register or decline to register to vote.    (d)  the statement in prominent type, "IF YOU DO NOT CHECK EITHER BOX,  YOU WILL BE CONSIDERED TO HAVE DECIDED NOT TO REGISTER TO VOTE  AT  THIS  TIME."    (e)  the  statement,  "If you would like help in filling out the voter  registration application form, we will help you. The decision whether to  seek or accept help is yours.  You may fill out the application form  in  private."    (f)  the  statement,  "If you believe that someone has interfered with  your right to register or decline to register to  vote,  your  right  to  privacy  in  deciding  whether to register or in applying to register to  vote, or your  right  to  choose  your  own  political  party  or  other  political  preference,  you may file a complaint with the state board of  elections (address and toll free telephone number)."    (g) a toll free number at the state board of  elections  that  can  be  called for answers to registration questions.    9.   Disclosure   of   voter  registration  information,  including  a  declination to register,  by  a  participating  agency,  its  agents  or  employees,  for  other than voter registration purposes, shall be deemed  an unwarranted invasion of personal privacy pursuant to  the  provisions  of subdivision two of section eighty-nine of the public officers law and  shall constitute a violation of this chapter.    10.  The  form containing the declination to register to vote shall be  retained by the recipient agency for the same period  of  time  as  such  agency  retains  the  accompanying  application for services or for such  shorter period of time  as  may  be  approved  by  the  state  board  of  elections.    11. The participating agency shall transmit the completed applications  for registration and change of address forms to the appropriate board of  elections  not  later  than  ten days after receipt except that all such  completed applications and forms received  by  the  agency  between  the  thirtieth  and  twenty-fifth day before an election shall be transmitted  in such manner and at such time as to assure their receipt by such board  of elections not later than the twentieth day before such election.    12. Completed application forms,  when  received  by  a  participating  agency  not  later  than  the  twenty-fifth  day before the next ensuing  primary, general or special election and transmitted by such  agency  to  the  appropriate  board  of  elections so that they are received by such  board not later than  the  twentieth  day  before  such  election  shall  entitle  the  applicant  to  vote  in  such  election provided the board  determines that the applicant is otherwise qualified.    13. The state board of elections shall provide application  forms  for  use  pursuant  to  this section except that any agency which uses a form  other than such registration form shall  be  responsible  for  providing  such  form.  Forms  which  vary  in  design and or content from the form  approved by the state board of elections  may  only  be  used  with  the  approval of such board.    14.  Applications  shall be processed by the board of elections in the  manner prescribed by section 5-210 of this title or, if the applicant is  already registered to vote from another address in the county  or  city,  in  the  manner  prescribed  by  section 5-208 of this title.  The board  shall send the appropriate notice of approval or rejection  as  required  by  either subdivision nine of such section 5-210 or subdivision five of  such section 5-208.    15. The head of each participating agency shall take all actions which  are necessary and proper for the implementation of  this  section.  Each  agency  head  shall designate one person within the agency as the agencyvoter registration coordinator who will,  under  the  direction  of  the  state  board  of  elections,  be  responsible for the voter registration  program in such agency.    16.  The  state  board shall develop and distribute public information  and promotional materials relating to the purposes and implementation of  this program.    17. Each agency  designated  as  a  participating  agency  under  this  section  shall  conduct  a  study  and prepare a report to determine the  feasibility, practicality  and  cost-effectiveness  of  designing  their  agency  intake  forms  to  serve  also  as voter registration forms that  comply with state and federal  law.  Such  study  and  report  shall  be  completed  by December 1, 1996. Copies of such reports shall be provided  to the governor, the temporary president of the senate, the  speaker  of  the  assembly  and the state board of elections. After submission of the  report, participating agencies  that  determine  that  it  is  feasible,  practical  and  cost-effective  to  have  such forms also serve as voter  registration forms shall do so upon the approval of the state  board  of  elections.    For  each agency that determines it is feasible, practical  and cost effective to use agency intake forms that serve also  as  voter  registration  forms,  the  state  board  of  elections  shall approve or  disapprove such use within six months of the submission of the report by  the agency.