2006 New York Code - 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.