New Jersey § 30:4d-19

§ 30:4d-19.

The director or other chief administrative officer of each agency or office providing

or administering assistance under the “New Jersey Medical Assistance and Health Services

Program” shall: a. cause copies of the voter registration forms and instructions provided for under

subsections e. and f. of section 16 of P.L.1974, c. 30 ( C.19:31-6.4 ) and the declination form provided for in subsection b. of section 26 of P.L.1994, c. 182 ( C.19:31-6.11 ) to be distributed at each such agency or office to each person appearing in person

thereat to apply for services or assistance provided thereby or to seek a recertification,

renewal or change of address relative to the assistance provided at such office. An employee of the agency or office shall inquire of every such person whether the

person, if not already registered to vote from the place of his or her present residence,

wishes to be so registered and shall inform the person that whether or not the applicant

chooses to register will not affect the person's eligibility for those services. The employee shall subsequently review the forms to determine whether or not the

person wishes to register to vote. If the person does not wish to register, the employee shall provide the person with

any assistance necessary to complete the declination form and then inform the person

that the form will be retained by the employee. If the person wishes to register, the employee shall provide the person with any

assistance necessary in completing the voter registration form; shall inform the

applicant that the applicant may leave the completed form with the employee or mail

it personally to the Secretary of State; and if the applicant chooses to leave the

form, shall accept the completed form, stamp or otherwise mark the lower right hand

corner of the document with the date on which it was so received, and forward it to

the Secretary of State. The employee shall provide to each applicant who does not decline to register to

vote the same degree of assistance with regard to the completion of the voter registration

form as is provided by the office with regard to the completion of its own forms,

unless the applicant refuses such assistance; b. provide for the continuous supply of the forms and instructions specified in subsection

a. of this section to every agency and office which provides assistance under P.L.1968,

c. 413 ( C.30:4D-1 et seq. ) and 42 U.S.C. § 1395 et seq. ; c. provide the forms and instructions specified in subsection a. of this section in

both the English and Spanish languages to the agencies and offices which are located

in any county in which bilingual sample ballots must be provided pursuant to R.S.19:14-21 , R.S.19:49-4 or section 2 of P.L.1965, c. 29 ( C.19:23-22.4 ); d. provide for the collection of completed voter registration forms by any employee

of the agency or office for the transmittal of the forms to the Secretary of State; e. provide that the forms, instructions and assistance specified in subsection a.

of this section shall be provided to any person with a disability who receives assistance

or services at that person's home from an employee of the agency or office; f. inform each employee of the agency or office who assists in registering a person

to vote that that employee shall not: (1) seek to influence an applicant's political preference or party registration; (2) display any such political preference or party allegiance; (3) make any statement to an applicant or take any action the purpose or effect of

which is to discourage the applicant from registering to vote; or (4) make any statement to an applicant or take any action the purpose or effect of

which is to lead the applicant to believe that a decision to register or not to register

has any bearing on the availability of services or benefits; and g. make certain that no information relating to a declination to register to vote

by an individual in connection with any type of application for service made by that

individual at any agency or office is used for any purpose other than voter registration.