________________________________________________________________________
Prescribed by the Secretary of State
Section 61.012, 61.013
All information is required to be provided unless indicated as optional. (Se requiere toda la información, a menos que haya alguna
indicación que no es obligatoria.)
APPLICATION OF UNDUE BURDEN STATUS
To: Office of the Secretary of State
1. From: ________________________________________________________________
(Name of County or Other Political Subdivision)
Contact Information: _____________________________________________________
(Name, title, address, and telephone number)
2. On behalf of the above-named political subdivision, I make this Application of Undue
Burden Status to provide a showing that compliance with Section 61.012(a)(1)(C) of the
Election Code creates an undue burden on our political subdivision by increasing the costs of
holding our election by at least 25% as compared to the costs of the last general election held
by our county or political subdivision before January 1, 2006.
Our political subdivision intends to provide fewer voting stations than required by Section
61.012(a)(1)(C) that meet the requirements for accessibility under 42 U.S.C. Section
15481(a)(3).
For purposes of the Application: 3.
_____ Our county has a population of 10,000 or more but less than 20,000 (or we are a
political subdivision located in a county with such population) according to the 2000
Federal Census.
_____ Our political subdivision lies in more than one county and one or more of the counties
have a population of 10,000 or more but less than 20,000 according to the 2000
Federal Census. Below are the counties which fall into my political subdivision.
Please attach additional pages if space is inadequate.
________________________________
________________________________
