LL 2921 Absentee Ballot Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Reason for Requesting Ballot. Please select from the list below. You are eligible for an absentee ballot for any of the following reasons if you: *

(1) reside more than 40 Km (25 miles) from the designated nominating/balloting place set forth above; or

(2) are at work during the times of the local lodge nominations or balloting; or

(3) are confined because of illness or injury including concerns related to voting in person due to Covid 19; or

(4) are on leave qualifying under family leave law; or

(5) are working members on vacation or retirees more than 40 Km (25 miles) away from their residence on election day; or

(6) are on official IAM business; or

(7) are on employer travel assignment; or

(8) are on military leave, may nominate, participate in the endorsement vote, or vote in the election by absentee ballot, upon request.

I understand the cutoff date for an absentee ballot request will be January 7, 2020, at 23:59 *

Yes

Your Full Name (as recorded on your driver's licence or passport) *

Your Cell Number (REQUIRED) *

Employee Number *

Home Address (Street Number, Street Name, Apartment #) *

Home Address - CITY *

Home Address - Postal Code *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google.