Application for Absent Voter's Ballot

Please Fill Out the form and print the pdf

You must click on the generate pdf button at the bottom of the page and print the form that is generated. You must then sign the printed applicaton and mail or deliver it to the board of elections office. Applications that are not signed will not be accepted.

If you are registered voter, click here to locate your name and prefill the form. Once found, you must click on the link to request absentee ballot.

Voter's Name Required
Home Address Required
City, Village, Office Required
County Required
Zip Code Required

Name
Care of/PO Box
Address
CityStateZip Code

Birthdate Required

You must specify/include 1 form of id:

 Required 
Required 

I wish to vote in the following election to be held on   Required You must select an election type or a party if the election is a primary.

1 . Primary Election

Required

2.

3.

Optional - daytime telephone number  
Optional - e-mail address  

DO NOT PRINT THIS PAGE

You must fill out the form and then click the Generate Printable PDF button.