05:02:05:20Emergency

voting card. The emergency voting card must be printed on two-part NCR paper, 3 inches by 5 inches in size, and in the following form: EMERGENCY VOTING CARD FOR __________ COUNTY ____________________ Ward ______________________ Precinct _________________ Party Name ________________________________________________________ Residence _____________________________________________________ The undersigned members of the precinct election board hereby certify that the above-named voter was permitted to vote in this precinct at the election held ______________________, 20_____, pursuant to instructions from the office of the county auditor. _________________________________ Signature of Voter _________________________________ Signature of precinct election board member calling office Authorized by: _________________________________ _________________________________ Precinct election board members Precinct election board member _________________________________ _________________________________ Precinct election board member Precinct election board member

Source: 6 SDR 25, effective September 24, 1979; 25 SDR 167, effective July 6, 1999.