Amend Amendment No. 5 by Goldman to SB 5 by adding the following SECTION to the amendment:

SECTION ____.  Section 84.002(a), Election Code, is amended to read as follows:

(a)  An early voting ballot application must include:

(1)  the applicant's name, [and] the address at which the applicant is registered to vote, the applicant's electronic mail address, if any, and the applicant's telephone number, if any;

(2)  for an application for a ballot to be voted by mail on the ground of absence from the county of residence, the address outside the applicant's county of residence to which the ballot is to be mailed;

(3)  for an application for a ballot to be voted by mail on the ground of age or disability, the address of the hospital, nursing home or other long-term care facility, or retirement center, or of a person related to the applicant within the second degree by affinity or the third degree by consanguinity, as determined under Chapter 573, Government Code, if the applicant is living at that address and that address is different from the address at which the applicant is registered to vote;

(4)  for an application for a ballot to be voted by mail on the ground of confinement in jail, the address of the jail or of a person related to the applicant within the degree described by Subdivision (3);

(5)  for an application for a ballot to be voted by mail on any ground, an indication of each election for which the applicant is applying for a ballot; and

(6)  an indication of the ground of eligibility for early voting.