2021 Vote by Mail Application
Complete the form below with all required items. After you press submit, an application will be emailed to the email address you provide. Print out the application you receive. Sign and date it, and mail it to the address for the county elections department you select.
Email *
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Street address where you are registered to vote *
City/State/Zip where you are registered to vote *
Street address where you want your ballot mailed, if not your registered address
City/State/Zip where you want your ballot mailed, if not your registered address
Where is this located, if different than your registered address? *
Required
Reason for voting by mail *
Required
If absent from county, what dates are you expected to be gone?
Type of Election *
Required
Select your county *
Required
Submit
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