LSB Ballot Request Form
Please fill out this form to request a ballot to vote in the Pacifica local station board election. You are eligible to vote as a in the Listener member category if you donated a minimum of $25 between October 2nd, 2017 and November 19th, 2018 or if you performed a minimum of 3 hours volunteer work.

Only e-Ballots can be requested at this time and will be issued through March 5th, 2019. All votes must be received by March 5th 11:59 EST in order to be counted.

Paper ballots were fulfilled through 11:59 PM Feb. 18th, 2019. If you need assistance casting your e-ballot please contact

For e-Ballot requests before you fill out this form - search ALL your email inboxes for emails coming from or the word "ballot".

Please DO NOT fill out more than once. This slows down the process. If you have already submitted a request it is being processed. This is NOT an automated process. Each request is processed one by one by the NES and requires verification in multiple databases.

Email address *
Station / Election *
Please indicate the type of ballot request *
Last Name *
Your answer
First Name *
Your answer
Mailing address *
Your answer
Please indicate "Not Applicable" if the following does not apply to you. If you are looking to vote as a Listener and no ballot was received we need to verify your membership eligibility. To expedite the verification process please forward a proof of payment or description of volunteer work. In order to vote in this election you need to have donated a minimum of $25 between 10/02/2017 and 11/19/2018 OR volunteer for the station. If looking to vote as Staff we need to verify your staff status, please indicate the name(s) of the shows that you work on and their air times (for unpaid programmers). If you are part of a show collective, please send show collectives main host or other point person. For paid staff, please indicate your job title and when you were hired. *
Your answer
A copy of your responses will be emailed to the address you provided.
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