821—3.3(48A) Contents of written request.

1. 1. The name of the requester.
2. 2. The address of the requester.
3. 3. The telephone number of the requester.
4. 4. A description of the records to be included in the list.
5. 5. A description of the sequence of the records on the list.
6. 6. A description of the output medium for the list.
7. 7. The date of the request.
8. 8. The date the list is desired.
9. 9. The intended use of the list.
10. 10. The following signed statement: “I am aware that information from voter registration records may be used lawfully only to request a registrant’s vote, for a genuine political purpose, for bona fide political research, or for a bona fide official purpose by an elected official. I understand that using the information for any commercial purpose is a serious misdemeanor under Iowa law. I agree to pay the cost of the above ordered list upon delivery.”

Each written request for a list of registered voters shall contain all of the following information: