43.43  Voter’s declaration of eligibility.
  Each person voting at a primary election shall sign a declaration of eligibility which shall be in substantially the following form:
  I do solemnly swear or affirm that I am a resident of the ............................................ precinct, .................................... ward or township, city of ........................, county of ........................, Iowa.

  I am a registered voter. I have not voted and will not vote in any other precinct in this election.

   I am affiliated with the ........................ party. If my current voter registration record indicates another party affiliation or no party affiliation, I swear or affirm that I have in good faith changed my previously declared party affiliation, or declared my party affiliation, and now desire to be a member of the party indicated above.

                       .....................................

                    Signature of voter

                       .....................................

                    Address

                       (........)..........................

                    Telephone (optional)

Approved:

....................................

Election board member

                       ......................

                    Date

91 Acts, ch 129, §5; 94 Acts, ch 1169, §64; 2010 Acts, ch 1033, §5