Request an Absent Voter Ballot Application

Please complete the following form and then click the Generate Form button. An official Absent Voter Ballot Application form will appear with your information already typed in!

Simply print this form, sign and date it, and then either mail it to the City Clerk’s office our bring it in by hand during regular business hours.

 

Your Full Name:
Your Ward: Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Street Address where you’re registered to vote:
City where you’re registered to vote:
State where you’re registered to vote:
Street Address where your absent ballot should be sent:
City where your absent ballot should be sent:
State where your absent ballot should be sent:
Please select at least one statutory reason that you require an absent ballot:

I expect to be absent from the community on election day.

I am physically unable to attend the polls without the assistance of another.

I can not attend the polls because of the tenets of my religion.

I will be serving as an election precinct inspector at a precinct other than where I reside.

I am 60 years old or older

I am confined to jail awaiting arraignment or trial