Absentee Ballot Request

You must be registered to vote before you submit your Absentee Ballot Request.
To check if you are a registered voter: go to State Voting Requirements / “State Lookup Tools” for a link to your state’s voter registration lookup tool.

Name

Title

First *

Middle

Last *

Suffix

Contact Information

Primary Email * (used for login if applicable)

Please Confirm Your Email *

Phone * (select country flag first)

Phone Type *

Previous Name

(Use this option if you want to update your name)

Title

First

Middle

Last

Suffix

Alternate Contact Information

Alternate Email

Alternate Phone (work phone, cell phone)

Phone Type

Birth Date

Month *

Day *

Year *

Personal Details

Sex *

Home Address
Where you are registering to vote
Your legal address used for voting purposes

Use Rural Route

Use Address Description

Address 1 * (Cannot be a P.O. Box)

Address Description *

Address 2 (Apt, Suite, Building, Floor, etc.)

City/Town *

County

State *

ZIP Code *

ZIP+4

Voting Region * (Select state to see options)

Ballot Mail-to Address

Enter address information ONLY if it is different from your Home Voting Address

Address 1

Address 2 (Apt, Suite, Building, Floor, etc.)

City/Town

County

State/Province/Region

Zip/Postal Code

Voters Alert / Mailing List Opt-In

Stay Informed of Upcoming Elections

Yes, I would like to receive Voter Alerts