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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
ALL Elections through the year 2012
   

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