(a) Applicant shall use the form designed and published by the Secretary of State to request a verification of voter registration card.
(b)
(1) The office of Secretary of State shall:
(A) Post a copy of the application on its website; and
(B) Make a copy of the application available upon request.
(2) The Secretary of State shall also provide a copy of the application form to each of the seventy-five (75) county clerks in the State of Arkansas.
(c) The application for a verification of voter registration card may request the following information from an applicant:
(1) Full legal name;
(2) Residential street address where the applicant is registered to vote;
(3) Date of birth;
(4) Gender;
(5) Height; and
(6) Eye color.
(d)
(1) The application shall include an affidavit that he or she does not possess a card or document that would qualify as verification of voter registration as defined in the Arkansas Constitution, Amendment 51, § 13.
(2) The affidavit shall specifically include the definition of verification of voter registration.
(e) The application shall include sufficient space for the county clerk to record what type of document or documents were presented by the applicant to demonstrate his or her identity.