South Dakota Absentee Voter Registration File—Data Request Form
Name______________________________________________________ Phone #_______________________
Business or Organization Name_______________________________________________________________
Mailing address______________________________ City_______________ State________ Zip_________
E-mail address____________________________________________________________________________
A NEW FORM must be completed for EACH ELECTION.
The fee for an electronic (emailed) absentee voter list, per election, is determined by the number of registered voters and is as follows
(ARSD 05:04:06:09):
Statewide - $3,000
Legislative District - $150
County - $65 for up to 1,000 names
County - $100 for 1,001 to 10,000 names
County - $150 for 10,001 to 25,000 names
County - $300 for more than 25,000 names
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ELECTION requested (choose only one):
Primary
Statewide Secondary
General
JURISDICTION requested (choose only one):
Statewide
Legislative District:__________________________________
(list District number)
County:__________________________________
(print County name)
Please NOTE: the list that you will be provided is not retroactive. It includes the activity for that day only.
Once your request is received you will be contacted regarding the fee and payment.
Payment and the request form must be received prior to 2:00 PM Central in order to receive that day’s list at
6:30 PM Central.
List distribution via email will begin on the day absentee voting begins in South Dakota for the selected
election.
In accordance with SDCL 12-4-41, I understand that the voter registration data obtained from the statewide voter
registration database may not be used or sold for any commercial purpose and may not be placed for unrestricted
access on the Internet.
DATE_______________________ SIGNATURE________________________________________________
If you are purchasing a statewide list email this form to: elections@state.sd.us OR mail to
South Dakota Secretary of State, 500 East Capitol, Ste 204, Pierre, SD 57501; 605-773-3537.
If you are purchasing a county or legislative list you can purchase that from your county auditor.
