N.Y. Election Law § 5-222: Statement of temporary absence

§ 5-222. Statement of temporary absence. 1. A voter who has removed

from his residence but who is still eligible to vote from that address

for any of the reasons enumerated in this chapter shall, at the time of

his registration, or at the time of his removal, or upon request of the

board of elections, file with such board, in person or by mail, a

statement of temporary absence.

2. Such statement shall set forth where the voter actually resides,

where he claims to be legally domiciled, the nature of his occupation or

employment, the name and address of his employer, or the school he

attends, or the institution at which he is resident, the class to which

he claims to belong and such other information as the board shall deem

appropriate.

3. When such a statement is filed, the board of elections shall enter

the words "Statement of temporary absence filed" in the "remarks" space

on the face of such voter's registration poll record. The registration

serial number of the voter shall be placed on such statement and it

shall be preserved with the other records of the board of elections.

4. The state board of elections may prescribe a form of statement of

temporary absence.