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Absentee Ballot Request Forms
Please fill out this form if you need an Absentee Ballot Request Form and cannot print from above. Forms will be delivered approx. 6 to 8 weeks before the November 3rd election.
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Name
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Phone number
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Email
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Voting Address
The address at which you are registered to vote.
Address
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City
Your answer
State
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Zip
Your answer
Delivery Address (If different than above)
The address where you would like to receive the form(s).
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Additional forms needed.
Are there other voters in your household that will need a form? If so, please tell us about them below.
Additional forms (Please tell us the number of forms required and the first and last names of the voters requesting them. )
Your answer
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