Affirmation

The following affirmation (FVA) accompanies the student’s voter registration form (VRF). 

I affirm that, to the best of my knowledge and belief, the voter registration form which I am providing to Forward Voice was completed truthfully.

I authorize Forward Voice to submit my voter registration form to the Nassau County Board of Elections.

______________________________________ 

Name

______________________________________ 

Signature

______________________________________ 

Date