Texas Election Code
Sec. § 102.002
Contents of Application

An application for a late ballot must comply with the applicable provisions of Section 84.002 (Contents of Application) and must include or be accompanied by a certificate of a licensed physician or chiropractor or accredited Christian Science practitioner in substantially the following form:
"This is to certify that I know that __________ has a sickness or physical condition that will prevent him or her from appearing at the polling place for an election to be held on the __________ day of __________, 19___, without a likelihood of needing personal assistance or of injuring his or her health and that the sickness or physical condition originated on or after __________.
"Witness my hand at __________, Texas, this __________ day of __________, 19___.
chiropractor, or practitioner)"
Acts 1985, 69th Leg., ch. 211, Sec. 1, eff. Jan. 1, 1986. Amended by Acts 1991, 72nd Leg., ch. 203, Sec. 2.26; Acts 1991, 72nd Leg., ch. 554, Sec. 1, eff. Sept. 1, 1991.
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Aug. 13, 2020