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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M01 October 2013 Subchapter Subject Page ending with Page M0110.000 GENERAL INFORMATION M0110.300 11

• the individual has previously indicated that he is currently registered to vote where he lives,

• there is a completed agency certification form in the individual’s case record indicating the same, and

• the individual has not moved from the address where he stated that he was registered to vote.

b. Prohibitions Local social services agencies and agency staff are prohibited from the following activities when providing voter registration application services: • seeking to influence an individual’s political preference;

• displaying any political preference or party affiliation;

• making any statement to the or taking any action the purpose or effect of which is to discourage the individual from applying to register to vote; or

• making any statement to an individual or taking any action the purpose of which is to lead the individual to believe that a decision to register or not register has any impact on the individual's eligibility for assistance or the benefit level that they may be entitled to receive. c. Voter Registration Services Each local social services agency must provide the following voter registration services: • distribution of voter registration application forms; • assistance to individuals in completing the registration application form, unless such assistance is refused, and ensuring that all spaces on the form are completed;

• ensuring that the certification statement on the application for benefits or statement of facts is completed; and • acceptance of voter registration application forms for transmittal to the local general registrar.

1) Each completed registration application must be submitted to the local general registrar every Friday (if Friday is a holiday, the forms must be forwarded to the local registrar on the last working day before Friday.) Completed forms are to be forwarded to the local registrar in an envelope, notated with an "A" in the upper left-hand corner and listing the number of completed registration applications included in the envelope.