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Absentee Ballot Request

 

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WWW.SJCVOTES.US | VOTE BY MAIL | ABSENTEE BALLOT REQUEST

 

Absentee Ballot Request

 
 
 

ABSENTEE BALLOTS CANNOT BE FORWARDED

* Required Field

 

VOTER REQUESTING ABSENTEE BALLOT

     
* Voter Name  
Voter ID Number  
* Date of Birth  
* Residence Address  
   
* Daytime Phone Number  
Email Address  
     

REQUESTED ABSENTEE BALLOT(S)

Check Ballots Requested Below.
Dates subject to change by Legislature.

 
Primary Election - (August 24, 2010)
General Election - (November 2, 2010)
ALL Elections through the year 2010
   

MAIL ABSENTEE BALLOTS TO THE FOLLOWING ADDRESS

Mailing Addresses must be kept current.  Ballots cannot be forwarded.
 
* Mailing Address  
   
   

 

REQUESTER INFORMATION

 
* Requester Name  
* Requester Address  
   
* Requester Daytime Phone Number  
* Relationship to Voter  
 

ABSENTEE BALLOTS CANNOT BE FORWARDED