Md. Code Regs. 33.04.02.03 - Applications

A. The following individuals may apply to participate in the Program:

(1) An individual acting on the individual's own behalf;

(2) A parent or guardian acting on behalf of a minor who resides with the parent or guardian;

(3) A guardian acting on behalf of a disabled person; or

(4) An individual who resides in the same household as an eligible applicant or Program participant.

B. Form.

(1) A person seeking to keep the person's residence address, telephone number, and email address of a record confidential shall apply in writing on a form approved by the State Administrator.

(2) The form shall be filed:

(a) At the appropriate local board if the applicant wishes to keep the applicant's residence address, telephone number, and email address provided on a voter registration application confidential; or

(b) At the State or local board at which the applicant filed the certificate of candidacy or statement of organization if the applicant wishes to keep the applicant's residence address, telephone number, or email address provided on a certificate of candidacy or statement of organization confidential.

C. Contents. In application, the applicant shall:

(1) Explain the basis for the request;

(2) Attach any documentation in support of the request, which may include:

(a) Proof of employment;

(b) Certified law enforcement, court, or other federal or State agency records or files;

(c) Documentation from a domestic violence, sexual assault, or human trafficking prevention or assistance program;

(d) Documentation from a religious, medical, or other professional from whom the applicant has sought assistance or treatment as a survivor of threatened, attempted, or actual domestic violence, sexual assault, stalking, harassment, or human trafficking; or

(e) A statement from the applicant about the applicant's subjective fear;

(3) Acknowledge that, notwithstanding approval of the request for confidentiality, the information will be made available:

(a) To the jury commissioner;

(b) To other public officials as required by law; or

(c) Otherwise as may be required by subpoena or other court order;

(4) Waive any right of action against the State, the county, the State Board, the local board, or their employees for failing to keep the information confidential; and

(5) Swear or affirm, under the penalties of perjury, that the information in and accompanying the request is true.

Notes

Md. Code Regs. 33.04.02.03

Regulations .03 adopted as an emergency provision effective February 1, 2000 (27:5 Md. R. 580); adopted permanently effective April 17, 2000 (27:7 Md. R. 708)
Regulation .03A amended as an emergency provision effective October 4, 2004 (31:20 Md. R. 1483); amended permanently effective January 6, 2005 (31:26 Md. R. 1867)
Regulation .03A amended as an emergency provision effective July 23, 2008 (35:17 Md. R. 1483); amended permanently effective September 22, 2008 (35:19 Md. R. 1718)
Regulation .03A amended effective June 25, 2012 (39:12 Md. R. 746); amended effective 51:26 Md. R. 1187, eff. 1/6/2025.