Form DDS-579 "Affidavit for Identification Card for Voting Purposes" - Georgia (United States)

What Is Form DDS-579?

This is a legal form that was released by the Georgia Department of Driver Services - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2008;
  • The latest edition provided by the Georgia Department of Driver Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DDS-579 by clicking the link below or browse more documents and templates provided by the Georgia Department of Driver Services.

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Download Form DDS-579 "Affidavit for Identification Card for Voting Purposes" - Georgia (United States)

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Affidavit for Identification Card for Voting Purposes
FOR DEPARTMENTAL USE ONLY
ID #:____________________________
SSN:____________________________
Applicant’s Name:
________________________________________
Street Address:
________________________________________
________________________________________
City:
_____________________ State: _______
Zip code: __________
Date of Birth: ________________
Sex: ________
I hereby swear or affirm that I am eligible for a free identification card for voting purposes
pursuant to O.C.G.A. §40-5-103(d). I am eligible for this card because:
1.
I desire an identification card in order to vote in a primary or election in Georgia;
2.
I do not have any other form of identification that is acceptable under O.C.G.A. § 21-2-
417 for identification at the polls in order to vote;
3.
I am registered to vote in Georgia, or I am applying to register to vote as part of my
application for an identification card; and
4.
I do not have a valid driver’s license issued by the State of Georgia due to one of the
following circumstances (please check all that are applicable):
I have never obtained a Georgia driver’s license;
My driver’s license has been seized by a court or law enforcement officer;
My driver’s license has been suspended, revoked, cancelled, disqualified or
otherwise withdrawn, and I have surrendered it to the Department of Driver
Services, a court or law enforcement officer;
I no longer wish to drive, and I have voluntarily surrendered my driver’s license
to the Department of Driver Services.
I have lost my Georgia driver’s license, and I prefer to obtain a free identification
card for voting purposes in lieu of replacement of my driver’s license for a fee. I
am aware that I will not be eligible to operate a motor vehicle in the State of
Georgia as a result of this decision.
_________________
_______________________________
Date
Signature
Notary:
Sworn to and subscribed before me this
________day of _____________20_____.
________________________________
Notary Public
Seal
DDS-579 (09/08)
Affidavit for Identification Card for Voting Purposes
FOR DEPARTMENTAL USE ONLY
ID #:____________________________
SSN:____________________________
Applicant’s Name:
________________________________________
Street Address:
________________________________________
________________________________________
City:
_____________________ State: _______
Zip code: __________
Date of Birth: ________________
Sex: ________
I hereby swear or affirm that I am eligible for a free identification card for voting purposes
pursuant to O.C.G.A. §40-5-103(d). I am eligible for this card because:
1.
I desire an identification card in order to vote in a primary or election in Georgia;
2.
I do not have any other form of identification that is acceptable under O.C.G.A. § 21-2-
417 for identification at the polls in order to vote;
3.
I am registered to vote in Georgia, or I am applying to register to vote as part of my
application for an identification card; and
4.
I do not have a valid driver’s license issued by the State of Georgia due to one of the
following circumstances (please check all that are applicable):
I have never obtained a Georgia driver’s license;
My driver’s license has been seized by a court or law enforcement officer;
My driver’s license has been suspended, revoked, cancelled, disqualified or
otherwise withdrawn, and I have surrendered it to the Department of Driver
Services, a court or law enforcement officer;
I no longer wish to drive, and I have voluntarily surrendered my driver’s license
to the Department of Driver Services.
I have lost my Georgia driver’s license, and I prefer to obtain a free identification
card for voting purposes in lieu of replacement of my driver’s license for a fee. I
am aware that I will not be eligible to operate a motor vehicle in the State of
Georgia as a result of this decision.
_________________
_______________________________
Date
Signature
Notary:
Sworn to and subscribed before me this
________day of _____________20_____.
________________________________
Notary Public
Seal
DDS-579 (09/08)