If a paper ballot is necessary for an accommodation under the American with Disabilities Act, the clerk shall prepare the ballots as follows:

The ballots shall be numbered consecutively. A signature card bearing the same number shall accompany each ballot.

The ballots shall designate each office and term to be filled. The ballot shall contain the names, counties of residence, and the biographical sketches of all qualified persons who have been nominated for such office and term who have not, before the printing of the ballots, given written notice to the clerk of their withdrawal as candidates. The ballot shall also provide one blank line for each such office and term on which the voter may write the name of any qualified person for whom the voter desires to vote. A box or square shall be printed alongside each name and each such blank line for the use of the voter in indicating the voter's choice.

The signature cards shall contain a printed certification to the effect that the voter is a member of The Missouri Bar in good standing who resides in the court of appeals district or the circuit, as the case may be, in which the election is being held. The signature cards also shall contain blanks for the voter's signature and residence address.

The completed ballots and signature card shall be mailed to or deposited with the clerk in whose office the election is to be held. If a ballot is not accompanied by a signature card signed by the voter, it shall not be counted. Only those ballots received by the clerk before 5:00 p.m. on the final day of the voting period in Rule 10.12 shall be counted. Ballots shall be voted by placing a mark in the box alongside the name of the person for whom the voter desires to vote.