§ Ind. Code § 3-11-10-29Affidavit on face of envelope

(a) The envelope required by section 28 of this chapter must bear upon its face
a printed affidavit containing the voter's affirmation under penalties of perjury that the
following information is true:
The voter must indicate the voter's precinct and township (or ward and city or town)
and indicate whether the voter is entitled to vote as a resident of the precinct or is
entitled to vote under IC 3-10-11 or IC 3-10-12.
(b) The voter must sign and date the affidavit. After the voter has signed and dated the
affidavit, the absentee voter board members each must sign the affidavit and print the
member's name.
(c) The absentee voter board must indicate on the affidavit if:
(1) the board visited the voter in the manner authorized under section 25(b) of this
chapter; and
(2) the voter was a voter with disabilities who was unable to make a voting mark on the
ballot or sign the absentee ballot secrecy envelope under section 24(d) of this chapter.