§ Ind. Code § 3-7-14-11Written acknowledgment of application; format

Whenever an applicant completes a voter registration application under section
4 of this chapter, the bureau of motor vehicles commission shall provide the applicant with
a written acknowledgment that the applicant has completed a voter registration application
at a license branch. The acknowledgment:
(1) may be:
(A) a detachable part; or
(B) an electronic version;
of the registration form prescribed under section 4 of this chapter; and
(2) must set forth the name and residential address of the applicant and the date that the
application was completed.