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2. 

   
   

3. REQUEST AN ABSENTEE BALLOT REQUEST FORM
   **Please note: You are requesting an absentee ballot REQUEST FORM, not the actual ballot.
5. NOTE: An asterisk and pink text box indicates the information is required.
7. First Name*
8. Last Name*
10. Mailing Address*
12. City*
13. State*
14. Zip Code*
16. Phone Number*
    The Auditor's Office will only use this number to call you if there are questions related to your request.
17. Email Address
19. Number of Request Forms
    One (1) request form will be sent. Separate request forms are required for each family member requesting an absentee ballot. If someone else in your home would like to request an absentee ballot request form, they will need to complete this form, print and mail a form, or contact our office.
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field