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If on election day an individual wishes to report a deceased voter to an election judge, the individual reporting the deceased voter must complete notification of death of the registered voter in accordance with Minnesota Statutes, section 201.13. The notification of death must be in substantially the following form:

In accordance with Minnesota Statutes, section 201.13, I am a registered voter and I have personal knowledge that __________________________ is deceased.

Name of Registered Voter
. .
Signature of Registered Voter Date
Deceased's Date of Birth: . Date of Death: .
Deceased's Last Known Address: .

Statutory Authority:

MS s 201.221


38 SR 1368

Published Electronically:

May 1, 2014