Where did you send your first request for a corrected or missing ballot? Select all that are valid. *
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When did you send your first request? *
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If you sent a SECOND request for a missing ballot or a corrected one, where did you send this second request for a corrected or missing ballot? Select all that are valid. *
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When did you send your SECOND request? (verify dates in your records) *
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If you sent a THIRD request for a missing ballot or a corrected one, where did you send this THIRD request for a corrected or missing ballot? Select all that are valid. *
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If you sent a THIRD request when did you do so? (verify dates with your records) *
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Did you make more than 3 unsuccessful attempts to receive a missing or corrected ballot? *
Do you have any comments to make about not having received a missing ballot or corrected ballot in time for the voting deadline?
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A copy of your responses will be emailed to the address you provided.