(10 ILCS 5/20-13.1) (from Ch. 46, par. 20-13.1)

Sec. 20-13.1. Any person not covered by Sections 20-2, 20-2.1 or 20-2.2 of this Article who is registered to vote but who is disqualified from voting because he moved outside his election precinct during the 30 days preceding a presidential election may make special application to the election authority having jurisdiction over his precinct of former residence by mail, not more than 30 nor less than 5 days before a Federal election, or in person in the office of the election authority, not more than 30 nor less than 1 day before a Federal election, for a vote by mail ballot to vote for the president and vice-president only. Such application shall be furnished by the election authority and shall be in substantially the following form: SPECIAL VOTER APPLICATION (For use by registered Illinois voters disqualified for having moved outside their precinct on or after the 30th day preceding the election, to vote for president and vice-president only.)

1. I hereby request a ballot to vote for president and vice-president only on .......... (insert date of general election).

2. I am a citizen of the United States and my present address is: .................... (Residence Number) .......... (Street) .................... (City/Village/Township) .......... (County) .......... (State).

3. As of .......... (Month), .......... (Day), .......... (Year) I was a registered voter at .......... (Residence Number) .......... (Street) .................... (City/Village/Township).

4. I moved to my present address on .......... (Month) .......... (Day) .......... (Year).

5. I have not registered to vote from nor have I requested a ballot in any other election jurisdiction in this State or in another State.

6. (If vote by mail request), I request that you mail the ballot to the following address:

Print name and complete mailing address.

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Under the penalties as provided by law pursuant to Article 29 of The Election Code, the undersigned certifies that the statements set forth in this application are true and correct. ........................ (Signature of Applicant) 7. Subscribed and sworn to before me on .......... (Month) .......... (Day) .......... (Year) ........................ (Signature of Official Administering Oath) The procedures set forth in Sections 20-4 through 20-12 of this Article, insofar as they may be made applicable, shall be applicable to vote by mail voting under this Section.

(Source: P.A. 98-1171, eff. 6-1-15.)