(a) The elector must provide identification and must complete an Early Voting Voter Certificate in substantially the following form:
EARLY VOTING VOTER CERTIFICATE
I, ____, am a qualified elector in this election and registered voter of ____ County, Florida. I do solemnly swear or affirm that I am the person so listed on the voter registration rolls of ____ County and that I reside at the listed address. I understand that if I commit or attempt to commit fraud in connection with voting, vote a fraudulent ballot, or vote more than once in an election I could be convicted of a felony of the third degree and both fined up to $5,000 and imprisoned for up to 5 years. I understand that my failure to sign this certificate invalidates my ballot.
(Voter's Signature)
(Address)
(City/State)