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2. Electors wishing to vote by absentee ballot must submit an application to the Elections Office. 

   Complete this form to receive an Application that Requests an Absentee Ballot.  

4. Legal First Name
5. Last Name
7. Date of Birth
   Date of Birth
9. Physical Address Where You are Registered to Vote*
11. City*
12. State*
13. Zip Code*
15. Is this Your Mailing Address?*

    1. Yes

    1. No
17. Mailing Address
19. City
20. State
21. Zip Code
23. Contact Email if Necessary

25. The Elections office will begin mailing ballots out 29-25 days prior to the election date.

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field