THE LEAGUE OF WOMEN VOTERS OF SOUTH CAROLINA

PO Box 8453, Columbia, SC, 29202, (803) 251-2726,

SOUTH CAROLINA VOTER ID QUESTIONNAIRE

U.S. Department of Justice File # 2011-2495

Local League:______Interviewer:______

Voter’s name (printed): ______

Address:______

Phone:______Year of birth: _____

Race: ___ Caucasian___ Hispanic___African American

___ Asian___ Native American___ Other (please specify)

___ I am registered to vote in SC in the county of ______

(Check registration online at

___I am not currently registered to vote in S.C., but would like to register to vote in the S.C. county of

______.

I am concerned about the burden of the “South Carolina Voter Photo ID” law on my ability to vote. Because of circumstances indicated below it would be difficult for me to comply with the requirement. I do not have:

______Current and valid S.C. Driver's License

______Current and valid photo ID issued by the S.C. Dept. of Motor Vehicles (DMV)

______Current and valid U.S. Passport

______Current and valid U.S. Federal Military or other photo ID issued by the federal government

______Documentation of a name change from my birth certificate due to adoption, marriage, or divorce

______Certified copy of my birth certificate

It would be a hardship for me to obtain a certified copy of my birth certificate or other documentation because:

____ I have very limited income

____ I have limited access to transportation

____ I have limited physical mobility or other disability

Please describe other barriers or disabilities that make it difficult to obtain a S.C. photo ID that meets the new voting requirements. (May continue on back of sheet) ______

______

______

______

______

SignatureDate

Instruction sheet for questionnaire/comments to U.S. Department of Justice on South Carolina Voter Photo ID Law

Background--Voting Rights Act--No citizen will have a violation of their right to vote due to their race, color, religion, sex, age, disability, national origin, or because of fraudulent practices.

The Department of Justice (DOJ) encourages anyone with a complaint about voter discrimination to inform them of the problem, where it is, and how it affects voters. There are no special forms to use or procedures to follow. If you feel that your rights have been violated you can file a complaint under the Voting Rights Act.

Interview Procedures

  • Present the talking points to the concerned citizen and give her/him a copy.
  • Assist, as needed, the person completing the questionnaire.
  • Questionnaire may be submitted to the Department of Justice by the interviewer or by the concerned citizen making comment in the questionnaire.
  • South Carolina File # 2011-2495 must be included on comment.
  • Submit questionnaire/comments to Department of Justice in one of three ways.
  1. Fax to: 202-616-9514 (Keep copy for records)
  2. Postal mail to:

Chief, Voting Section
Civil Rights Division
Room 7254 - NWB
Department of Justice
950 Pennsylvania Ave., N.W.
Washington, DC 20530
(Keep copy for records)

  1. Email to:
    Must put file # 2011-2495 in subject line of email
    (Print a copy of email, if possible)