1. (a) In Cullman County, for petitions or in referendum elections, the judge of probate is authorized to use the following form to distinguish and identify signees:

   PETITION OR REFERENDUM ELECTION (Underline Whichever Applies)

   DATE:

   NAME:

   ADDRESS:

   CITY _____ COUNTY _____ STATE _____ ZIP CODE _____

   COMPLETE ONE OF THE FOLLOWING:

   DATE OF BIRTH ___________________________

   DRIVER’S LICENSE _________________________

   SOCIAL SECURITY NUMBER _________________

2. (b) The judge of probate shall void any form that is used for a petition or referendum election that does not include enough information to distinguish and identify the signee.

(Act 91-452, p. 826, §§1, 2.)