§801G-3  Filing and certification of applications; authorization card.  (a)  A primary applicant may apply to participate in the address confidentiality program and shall be assisted by an application assistant; provided that:

     (1)  A parent or guardian may act on behalf of a minor who resides with the parent or guardian; and

     (2)  A guardian shall act on behalf of an incapacitated individual.

     (b)  The application shall be as prescribed by the program director and shall contain the following:

     (1)  The primary applicant's name;

     (2)  A statement by the primary applicant that the primary applicant is a victim of domestic abuse, a sexual offense, or stalking and that the primary applicant fears for the primary applicant's safety;

     (3)  Evidence that the primary applicant is a victim of domestic abuse, a sexual offense, or stalking, including any of the following:

          (A)  Records or files of a court or government agency including but not limited to police reports, valid restraining orders, injunctions against harassment, and documents from criminal cases;

          (B)  Documentation from a domestic abuse program, agency, or facility including a shelter or safe house for domestic abuse victims;

          (C)  Documentation from a sexual assault program;

          (D)  Documentation from a medical professional, mental health care provider, attorney, advocate, social worker, or member of the clergy from whom the primary applicant has sought assistance in dealing with the alleged domestic abuse, sexual offense, or stalking; or

          (E)  Documentation from a victim services organization;

     (4)  A statement by the primary applicant that disclosure of the primary applicant's actual address will endanger the primary applicant's safety;

     (5)  A statement by the primary applicant that the primary applicant has confidentially relocated to an address in the State or will relocate to an address in the State within thirty days of the date of application and will not disclose the location to assailants or known potential assailants;

     (6)  The primary applicant's written consent that the program shall serve as the agent for the primary applicant for purposes of service of process and receiving mail;

     (7)  The mailing address and telephone number where the primary applicant may be contacted by the program;

     (8)  The actual address of the primary applicant;

     (9)  A statement as to whether there is any existing court order or court action involving the primary applicant or an individual identified in paragraph (10) related to dissolution of marriage proceedings, child support, or the allocation of parental responsibilities or parenting time, including the court that issued the order or has jurisdiction over the action;

    (10)  The name of any person who resides with the primary applicant who may apply as a secondary applicant pursuant to section 801G-4 to ensure the safety of the primary applicant;

    (11)  The primary applicant's sworn statement that the information contained in the application is true;

    (12)  The application assistant's statement that the application assistant has met with and discussed the application with the primary applicant and that the application assistant recommends that the primary applicant be assigned a substitute address; and

    (13)  The date and signature of the primary applicant, the application assistant, and, if applicable, the primary applicant's parent or guardian.

     (c)  Upon the determination that an application has been properly completed, the program director may certify the primary applicant as a program participant and issue the program participant an address confidentiality program authorization card that shall include the participant's substitute address and remain valid for a period of time set forth by the program director; provided that the certification may be canceled pursuant to section 801G-6.

     (d)  A certification may be renewed by filing a renewal application with the program no more than thirty days, but at least five days, prior to the expiration of the existing certification. [L 2018, c 115, pt of §1; am L 2020, c 19, §11]