State Absentee Registration And Voting Procedures Notify Your Local Election Official About Your Current Address. =========================================================== MASSACHUSETTS The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below before completing and signing your application. FEDERAL POST CARD APPLICATION REGISTRATION AND ABSENTEE BALLOT REQUEST - FEDERAL POST CARD APPLICATION (FPCA) Application For State Of_________ (Required field). County Of________ (Required field). City Or Township Of_______ (Required field). I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. APPLICANT INFORMATION: a. Typed or Printed Name (Last, First, Middle Initial) (Required field) b. Sex. c. Race. d. Date of Birth. MM/DD/YY (Month, Day, Year) (Required field). e. Social Security Number. f. Other Identification Number (passport, ID card) 2. I LAST VOTED OR PLACE OF LAST REGISTRATION: (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. (Required field) b. County, City, or Township. (Required field) c. State. (Required field) d. Voter Registration Number(if known). 3. VOTING RESIDENCE: (For military: legal residence. For overseas civilians: last residence in U.S. If Using Rural Route: Provide the complete street address of your Massachusetts voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the city or town where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box). (Required field) c. City, Town or Village. (Required field) d. State. (Required field) e. County or Parish. (Required field) f. Zip Code (9 digit, if known). (Required field) 4. MAIL ABSENTEE BALLOT TO: (Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address provided in Item 3) (Required field) 5. YOUR FAX NUMBER: (If this application is faxed, include all international prefixes.) 6. POLITICAL PARTY AFFILIATION: (This information is required to send you a ballot for primary elections. If you are applying for an absentee ballot for a party primary, please indicate the party ballot you wish to receive. In Massachusetts, there are currently four political parties: Democratic, Republican, Libertarian and Massachusetts Green Party.) 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d (Required field). Read e through h.) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. (You must sign the FPCA. By signing, you are swearing or affirming the information is true and correct) (Required field) j. Date MM/DD/YY (Month, Day, Year) (Required field) 9. WITNESS/NOTARY ADDRESS AND SIGNATURE: (Not required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Massachusetts and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use one FPCA or any other form of written communication to request ballots for all elections in a calendar year (for local, state and Federal offices). Registration is waived. To request an absentee ballot, the local registrar of voters must receive your FPCA or any other form of written communication with your name, former residence and present residence not later than noon the day before the election. C. Casting Your Vote Ballot Return Deadline: If you reside within the U.S., return your voted ballot to the local election official so that it arrives by the close of polls (8:00 p.m.) on election day. If you reside outside the U.S., your voted ballot must be returned to your local election official so that it arrives by the close of polls (8:00 p.m.) on election day to be counted for local and primary elections. Your voted ballot must be postmarked by election day and returned to the local election official so that it arrives not later than 10 days after the election to be counted for Federal elections. Local election officials mail ballots approximately 35 days before the primary and 21 days before a general election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Massachusetts allows you to send the FPCA for absentee ballot requests by fax. After faxing, you must submit the FPCA by mail in order to have your ballot counted. Massachusetts does not allow you to receive the blank ballot by fax. Massachusetts does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy Your spouse, or person residing in the same household, parent, in-laws, brother, sister, son, daughter, stepparent, stepchild, half-sister, half-brother, uncle, aunt, niece, nephew, grandparent or grandchild may request that a ballot be sent to you. Necessary forms may be obtained at the clerk's office in the city or town of voting residence. Any form of written communication containing the required information may also be sent to the clerk's office. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Massachusetts, and "specially qualified voters." The term "specially qualified voter" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Massachusetts (for local, state and Federal office ballots). B. How to Register Vote and Request an Absentee Ballot You may use one FPCA or any other form of written communication to request ballots for all elections in a calendar year. Registration is waived. To request an absentee ballot, the local registrar of voters must receive your FPCA or any other form of written communication with your name, age, former residence and present residence not later than noon the day before the election. C. Casting Your Vote Ballot Return Deadline: If you reside outside the U.S., your voted ballot must be returned to your local election official so that it arrives by the close of polls (8:00 p.m.) on election day to be counted for local and primary elections. Your voted ballot must be postmarked by election day and returned to the local election official so that it arrives not later than 10 days after the election to be counted for Federal elections. Local election officials mail ballots approximately 35 days before the primary and 21 days before a general election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Massachusetts allows you to send the FPCA for absentee ballot requests by fax. After faxing, you must submit the FPCA by mail in order to have your ballot counted. Massachusetts does not allow you to receive the blank ballot by fax. Massachusetts does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy Your spouse, or person residing in the same household, parent, in-laws, brother, sister, son, daughter, stepparent, stepchild, half-sister, half-brother, uncle, aunt, niece, nephew, grandparent or grandchild may request that a ballot be sent to you. Necessary forms may be obtained at the clerk's office in the city or town of voting residence. Any form of written communication containing the required information may also be sent to the clerk's office. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons under a legal guardianship which specifically prohibits voting may not register or vote. B. Late Registration Any of the above persons not in their city or town of residence during the 7 days before the last day to register (the last day to register is 20 days before the election) may register in person until 4 p.m. on the day before the election. C. Action If Registration Is Denied Written notice of denial is sent. You have the option to be heard and/or appeal. D. Where To Send It Mail the FPCA to the City or Town Clerk in your city or town of voting residence. If "EC" appears on list, mail FPCA to the local Election Commission, not the City or Town Clerk. City or Town Mailing Address Zip Code Abington Town Hall, 500 Gliniewicz Way 02351 Acton Town Hall, 472 Main Street 01720 Acushnet PO Box 30122, Town Hall, 122 Main St. 02743 Adams Town Hall, 8 Park St. 01220 Agawam Town Hall, 36 Main St. 01001 Alford Town Hall, 5 Alford Center Rd. 01230 Amesbury Town Hall, 62 Friend St. 01913 Amherst Town Hall, 4 Boltwood Ave. 01002 Andover Town Hall, 36 Bartlet St. 01810 Aquinnah PO Box 128, Town Hall, 65 State Rd., RR1 02535 Arlington Town Hall, 730 Massachusetts Ave 02476 Ashburnham 54 Willard Road 01430 Ashby 895 Main Street 01431 Ashfield Town Hall, 412 Main St., PO Box 595 01330 Ashland Town Hall, 101 Main St. 01721 Athol Town Hall, 584 Main St. 01331 Attleboro City Hall, 77 Park St. 02703 Auburn Town Hall, 104 Central St. 01501 Avon Buckley Center, 65 E. Main St. 02322 Ayer Town Hall, One Main St., PO Box 308 01432 Barnstable Town Hall, 367 Main St., Hyannis, MA 02601 Barre Town Hall, 2 Exchange St., PO Box 418 01005-0418 Becket Town Hall, 557 Main St. 01223 Bedford Town Hall, 10 Mudge Way 01730 Belchertown Town Hall, 2 Jabish St., PO Box 607 01007 Bellingham Town Hall, 2 Mechanic St., PO Box 367 02019 Belmont Town Hall, 455 Concord Ave. 02478 Berkley Town Hall, One North Main St 02779 Berlin 23 Linden Street, Box 8 01503 Bernardston Town Hall, 38 Church St., PO Box 435 01337 Beverly City Hall, 191 Cabot St 01915 Billerica Town Hall, 365 Boston Rd. 01821 Blackstone Town Hall, Municipal Center, 15 St. Paul Center 01504-2295 Blandford Town Hall, 102 Main St., PO Box 101 01008 Bolton Town Hall 663, Main St., PO Box 278 01740 Boston (EC) Boston City Hall, One City Hall Square 02201 Bourne Town Hall, 24 Perry Ave.,Buzzards Bay 02532 Boxborough Town Hall, 29 Middle Road 01719 Boxford Town Hall, 28 Middleton Rd. 01921 Boylston Town Hall, 221 Main St. 01505 Braintree Town Hall, 1 JFK Memorial Dr. 02184 Brewster Town Hall, 2198 Main St. 02631-1898 Bridgewater Town Hall, Central Square 02324 Brimfield Town Hall, PO Box 508, US Rte. 20, Main St. 01010 Brockton City Hall, 45 School St. 02301 Brookfield Town Hall, 6 Central St., PO Box 397 01506 Brookline Town Hall, 333 Washington St. 02445 Buckland 17 State Street 01338 Burlington Town Hall, 29 Center St. 01803 Cambridge (EC) City Hall, 795 Massachusetts Ave. 02139 Canton Town Hall, Memorial Hall, 801 Washington St. 02021 Carlisle Town Hall, 66 Westford St., P.O Box 827 01741 Carver Town Hall, 108 Main St., PO Box 67 02330 Charlemont Town Hall, 157 Main St., PO Box 605 01339 Charlton 37 Main Street 01507 Chatham 549 Main Street 02663 Chelmsford Town Hall, 50 Billerica Rd. 01824 Chelsea City Hall, 500 Boradway, Rm. 209 02150 Cheshire Town Hall, 80 Church St., Box S 01225 Chester Town Hall, 15 Middlefield Rd., PO Box 9 01011 Chesterfield Town Hall, 422 Main Road, PO Box 33, 01012 Chicopee City Hall, 17 Springfield St. 01013 Chilmark Town Hall, 401 Middle Road, P O Box 119 02535 Clarksburg Town Hall, 111 River Rd. 01247 Clinton Town Hall, 242 Church St. 01510 Cohasset Town Hall, 41 Highland Ave. 02025 Colrain Town Hall, 9 Jacksonville Rd., PO Box 31 01340 Concord Town Hall, 22 Monument Square, PO Box 535 01742 Conway Town Hall, 32 Main St., PO Box 240 01341 Cummington Town Hall, 33 Main St., PO Box 128 01026 Dalton Town Hall, 462 Main St. 01226 Danvers Town Hall, One Sylvan St. 01923 Dartmouth Town Hall, 400 Slocum Rd., PO Box 79399 02747 Dedham 26 Bryant Street 02027 Deerfield 8 Conway Street, South Deerfield, MA 01373 Dennis Town Hall, 485 Main St. Box 1419, South Dennis, MA 02660 Dighton Town Hall, 979 Somerset Ave. 02715 Douglas Town Hall, 29 Depot St. 01516 Dover Town Hall, 5 Springdale Ave., PO Box 250 02030 Dracut Town Hall, 62 Arlington St. 01826 Dudley Town Hall, 40 Schofield Ave. 01571 Dunstable Town Hall, 511 Main St. 01827 Duxbury Town Hall, 878 Tremont St. 02332 East Bridgewater, Town Hall, 175 Central St., PO Box 387 02333 East Brookfield Town Hall, Depot Square., PO Box 568 01515 East Longmeadow Town Hall, 60 Center Sq. 01028 Eastham Town Hall, 2500 State Hwy. 02642 Easthampton Town Hall, 43 Main St. 01027 Easton Town Hall, 136 Elm St., North Easton, MA 02356 Edgartown Town Hall, 70 Main St., P.O. Box 35 02539-0035 Egremont Town Hall, 171 Egremont Plain Rd., P.O. Box 656, S. Egremont, MA 01258 Erving Town Hall, 12 East Main St., P.O. Box 202 01344 Essex Town Hall, 30 Martin St. 01929 Everett City Hall, 484 Broadway 02149 Fairhaven Town Hall, 40 Center St. 02719 Fall River (EC) City Hall, One Government Ctr. 02722 Falmouth Town Hall, 59 Town Hall Square, PO Box 904 02541 Fitchburg City Hall, 718 Main St. 01420 Florida Post Office, 20 South St., Drury, MA 01343 Foxborough Town Hall, 40 South St. 02035 Framingham Town Hall, 150 Concord St. 01702 Franklin Town Hall, Municipal Bldg., 150 Emmons St. 02038 Freetown Town Office Bldg.,P.O. Box 438, 3 No. Main St., Assonet, MA 02702 Gardner City Hall, 95 Pleasant St. 01440 Georgetown Town Hall, One Library St. 01833 Gill Town Hall, 325 Main St. 01376 Gloucester City Hall, 9 Dale Ave. 01930 Goshen Town Hall, 42 Main St., PO Box 124 01032 Gosnold Town Hall, Box 28, Tower Hill Rd., Cuttyhunk, MA 02713 Grafton Town Hall, 30 Providence Rd. 01519 Granby Town Hall, 250 State St 01033 Granville Town Hall, 707 Main Rd, PO Box 247 01034 Great Barrington, Town Hall, 334 Main St. 01230 Greenfield Town Hall, 14 Court Sq. 01301 Groton Town Hall, 173 Main St. 01450 Groveland Town Hall, 183 Main St. 01834 Hadley Town Hall, 100 Middle St. 01035 Halifax Town Hall, 499 Plymouth St. 02338 Hamilton Town Hall, 577 Bay Rd., PO Box 429 01936 Hampden 625 Main Street, Box 251 01036 Hancock Town Hall, 3650 Hancock Rd. 01237 Hanover Town Hall, 550 Hanover St. 02339 Hanson Town Hall, 542 Liberty St. 02341 Hardwick Town Hall, 307 Main St., PO Box 575, Gilbertville, MA 01031 Harvard Town Hall, 13 Ayer Rd. 01451 Harwich Town Hall, 732 Main St. 02645 Hatfield Memorial Town Hall, 59 Main St 01038 Haverhill City Hall, 4 Summer St. 01830 Hawley Town Hall, 8 Pudding Hollow Rd. 01339 Heath Town Hall, One East Main St. 01346 Hingham Town Hall, 210 Central St. 02043 Hinsdale Town Hall, P.O. Box 803, 95 Maple St., Youth Center Bldg. 01235 Holbrook Town Hall, 50 North Franklin St . 02343 Holden Town Hall, 1196 Main St. 01520 Holland 27 Sturbridge Road 01521 Holliston Town Hall, 703 Washington St. 01746 Holyoke City Hall, 536 Dwight St. 01040 Hopedale Town Hall, 78 Hopedale St, PO Box 7 01747 Hopkinton Town Hall, 18 Main St. 01748 Hubbardston Town Hall, 7 Main St., P.O. Box H 01452 Hudson Town Hall, 78 Main St. 01749 Hull Town Hall, 253 Atlantic Ave. 02045 Huntington Town Hall, 24 Russell Road, PO Box 430 01050 Ipswich Town Hall, 30 South Main St. 01938 Kingston Town Hall, 23 Green St., PO Drawer E 02364 Lakeville Town Hall, 346 Bedford St. 02347 Lancaster Town Hall, 695 Main St., PO Box 97 01523 Lanesborough Newton Memorial Town Hall, 83 North Main St., P.O. Box 1496 01237-1492 Lawrence City Hall, 200 Common St. 01840 Lee Town Hall, 32 Main St., PO Box 630 01238 Leicester Town Hall, Three Washburn Square 01524 Lenox Town Hall, 6 Walker St. 01240 Leominister City Hall, 25 West St. 01453 Leverett Town Hall, 9 Montague Rd., PO Box 178 01054 Lexington Town Hall, 1625 Mass Ave. 02420 Leyden Town Hall, 16 West Leyden Rd. 01337 Lincoln Town Hall, 11 Lincoln Center, Box 6353 01773 Littleton Town Hall, 37 Shattuck St., PO Box 37 01460 Longmeadow Town Hall, 20 Williams St. 01106 Lowell (EC) City Hall, 375 Merrimack St. 01852 Ludlow Town Hall, 488 Chapin St. 01056 Lunenburg Town Hall, 17 Main St, PO Box 135 01462 Lynn (EC) City Hall, 3 City Hall Square 01901 Lynnfield Town Hall, 55 Summer St. 01940 Malden City Hall, 200 Pleasant St., Rm. 323 02148 Manchester-by-the-Sea, Town Hall, 10 Central St. 01944 Mansfield Town Hall, 6 Park Row 02048 Marblehead Town Hall, Abbot Hall 01945 Marion Town Hall, 2 Spring St. 02738 Marlborough City Hall, 140 Main St. 01752 Marshfield Town Hall, 870 Moraine St. 02050 Mashpee Town Hall, 16 Great Neck Road North 02649 Mattapoisett Town Hall, 16 Main St., PO Box 89 02739 Maynard Town Hall, 195 Main St 01754 Medfield 459 Main Street 02052 Medford City Hall, 85 George P. Hassett Dr. 02155 Medway Town Hall, 155 Village St. 02053 Melrose City Hall, 562 Main St., P.O. Box C 02176 Mendon Town Hall, 20 Main St., P.O. Box 54 01756 Merrimac Town Hall, 2 School St. 01860 Methuen Town Hall, 41 Pleasant St. 01844 Middleborough 20 Centre Street 02346 Middlefield Town Hall, Skyline Trail, PO Box 265 01243 Middleton Memorial Town Hall, 48 South Main St. 01949 Milford Town Hall, 52 Main St 01757 Millbury Town Hall, 127 Elm St. 01527 Millis 900 Main Street 02054 Millville Town Hall, 8 Central St., PO Box 703 01529 Milton Town Hall, 525 Canton Ave. 02186 Monroe Town Hall, 3C, School Street 01350 Monson Town Hall, 110 Main St. 01057 Montague One Avenue A, Turners Falls, MA 01376 Monterey PO Box 356 01254 Montgomery Town Hall, Main Rd. 01085 Mount Washington, Town Hall, 118 East Street-116, RFD3, Box 67A 01258 Nahant Town Hall, 334 Nahant Rd. 01908-0075 Nantucket Town Hall, 16 Broad St. 02554 Natick Town Hall, 13 East Central St. 01760 Needham Town Hall, 1471 Highland Ave., PO Box 663 02492 New Ashford Town Hall, Mallery Road-188 01237-9604 New Bedford (EC), City Hall, 133 William St. 02740-6182 New Braintree Town Hall, 20 Memoridal Drive 01531-1548 New Marlborough Town Hall, Mill River, South Field Rd., PO Box 99, Mill River, MA 01244 New Salem Town Hall, 15 South Main St. 01355-9750 Newbury Town Hall, 25 High Rd. 01951-1298 Newburyport City Hall, 60 Pleasant St.,PO Box 550 01950 Newton (EC) City Hall, 1000 Commonwealth Ave. 02459 Norfolk Town Hall, One Liberty Lane, PO Box 216 02056 North Adams City Hall, 10 Main St. 01247 North Andover Town Hall, 120 Main St. 01845 North Attleborough, 43 South Washington St. 02761 North Brookfield, Town Hall, 185 North Main St. 01535 North Reading Town Hall, 235 North St. 01864 Northampton City Hall, 210 Main St. 01060 Northborough Town Hall, 63 Main St. 01532 Northbridge Town Hall, 7 Main St., Whitinsville, MA 01588 Northfield Town Hall, 69 Main St. 01360-1099 Norton Municipal Center, 70 East Main St., 02766-2320 Norwell Town Hall, 345 Main St., PO Box 295 02061 Norwood Town Hall, 566 Washington St., PO Box 40 02062 Oak Bluffs Oaks Bluff Ave., P.O. Box 2490 02557 Oakham Town Hall, Two Coldbrook Rd., PO Box 222 01068 Orange Town Hall, 6 Prospect St. 01364 Orleans Town Hall, 19 School Rd. 02653 Otis Town Hall, 70 So.Main St., PO Box 237 01253 Oxford Town Hall, 325 Main St. 01540 Palmer Town Administration Building, 4417 Main Street 01069 Paxton Town Hall, 697 Pleasant St. 01612 Peabody City Hall, 24 Lowell St. 01960 Pelham Town Hall, 351 Amherst Rd., RR 2 01002 Pembroke Town Hall, 100 Center St. 02359 Pepperell Town Hall, One Main Street 01463 Peru 4 North Road 01235 Petersham Town Hall, 3 South Main St., PO Box 486 01366 Phillipston Town Hall, 50 The Common 01331 Pittsfield City Hall, 70 Allen St. 01201 Plainfield Town Hall, 344 Main St 01070 Plainville Town Hall, 142 South St., PO Box 1717 02762 Plymouth Town Hall, 11 Lincoln St. 02360- Plympton Town Hall, 5 Palmer Rd., Box 153 02367-0153 Princeton Town Hall, 6 Town Hall Dr. 01541 Provincetown Town Hall, 260 Commercial St. 02657 Quincy City Hall, 1305 Hancock St. 02169 Randolph Town Hall, 41 South Main St. 02368 Raynham Town Hall, 53 Orchard St. 02767 Reading Town Hall, 16 Lowell St. 01867 Rehoboth Town Hall, 148R Peck St. 02769 Revere City Hall, 281 Broadway 02151 Richmond Town Hall, 1529 State Rd., PO Box 81 01254 Rochester Town Hall, 1 Constitution Way 02770 Rockland Town Hall, 242 Union St. 02370-1897 Rockport Town Hall, 34 Broadway, PO Box 429 01966 Rowe 62 Pond Road 01367 Rowley Town Hall, Main St., Route 1A, PO Box 351 01969 Royalston Town Hall, The Common, PO Box 118 01368 Russell Town Hall, Main St. 01071 Rutland Town Hall, 250 Main St. 01543 Salem City Hall, 93 Washington St. 01970 Sallisbury Town Hall, 5 Beach Rd., PO Box 5072 01952 Sandisfield Town Hall, Silverbrook Rd., PO Box 163 01255 Sandwich Town Hall, 145 Main St. 02563 Saugus Town Hall, 298 Central St. 01906 Savoy Town Hall, 720 Main Rd. 01256 Scituate Town Hall, 600 Chief Justice, Cushing Highway 02066 Seekonk Town Hall, 100 Peck St. 02771 Sharon Town Hall, 90 South Main St. 02067 Sheffield Town Hall, 21 Depot Square, PO Box 325 01257 Shelburne Town Hall, 51 Bridge St., Shelburne Falls, MA 01370 Sherborn Town Hall, 19 Washington St., PO Box 186 01770 Shirley Town Hall, 3 Lancaster Rd., PO Box 782 01464 Shrewsbury Town Hall, 100 Maple Ave. 01545 Shutesbury Town Hall, One Cooleyville Rd., PO Box 326 01072 Somerset Town Hall, 140 Wood St. 02726 Somerville (EC) City Hall, 93 Highland Ave. 02143 South Hadley Town Hall, 116 Main St. 01075 Southampton Town Hall, 8 East St., P.O. Box 276 01073 Southborough Town Hall, 17 Common St., PO Box 9109 01772 Southbridge Town Hall, 41 Elm St. 01550 Southwick Town Hall, 454 College Hwy. 01077 Spencer Town Hall, 157 Main St. 01562 Springfield (EC) City Hall, 36 Court St. 01103 Sterling Town Hall, 1 Park St. 01564 Stockbridge Town Hall, 6 Main St. 01262 Stoneham Town Hall, 35 Central St. 02180 Stoughton Town Hall, 10 Pearl St. 02072-2396 Stow Town Hall, 380 Great Road, PO Box 261 01775 Sturbridge Town Hall, 308 Main St., PO Box 645 01566 Sudbury Town Hall, 322 Concord Rd. 01776 Sunderland Town Offices, 12 School St. 01375 Sutton Town Hall, 4 Uxbridge Rd. 01590 Swampscott Town Hall, 22 Monument Ave. 01907 Swansea Town Hall, 81 Main St. 02777 Taunton CIty Hall, 15 Summer St. 02780 Templeton Town Hall, 9 Main St., Baldwinville, MA 01436 Tewksbury Town Hall, 1009 Main St. 01876 Tisbury Town Hall, 51 Spring St., Box 606, Vineyard Haven, MA 02568 Tolland Town Hall, 241 West Granville Rd. 01034 Topsfield Town hall, 8 West Common St. 01983 Townsend Memorial Hall, 272 Main St. 01469 Truro Town Hall, Town Hall Road, PO Box 2012 02666-2012 Tyngsborough Town Hall, 25 Bryants Lane, 01879 Tyringham Town Hall, 116 Main Rd., PO Box 271 01264 Upton Town Hall, One Main St., PO Box 857 01568 Uxbridge Town Hall, 21 South Main St. 01569 Wakefield William J. Lee Memorial Town Hall, One Lafayette St. 01880-2383 Wales Town Hall, Hollow Rd., PO Box 834 01081-0834 Walpole Town Hall, 135 School St. 02081 Waltham City Hall, 610 Main St. 02452 Ware Town Hall, 126 Main St. 01082 Wareham Town Hall, 54 Marion Rd. 02571 Warren Sheppard Municipal Bldg., 48 High St., P.O. Box 603 01083 Warwick Town Hall, 12 Athol Rd. 01378 Washington Town Hall, 8 Summit Hill Rd 01223 Watertown Town Hall, 149 Main St. 02472 Wayland Town Hall, 41 Cochituate Rd. 01778 Webster Town Hall, Main St., P.O. Box 193 01570 Wellesley 525 Washington St. 02482 Wellfleet Town Hall, 300 Main St. 02667 Wendell Town Hall, 270 Wendell Depot Rd. 01380 Wenham Town Hall, 138 Main St. 01984 West Boylston Mixter Municipal Office Building, 120 Prescott St. 01583 West Bridgewater, Town Hall, 65 North Main St. 02379 West Brookfield, Town Hall, 2 East Main St, PO Box 372 01585 West Newbury Town Hall, 381 Main St. 01985 West Springfield, Town Hall, 26 Central St. 01089 West Stockbridge, Town Hall, 9 Main St., PO Box 163 01266 West Tisbury Town Hall, State Road, PO Box 278 02575 Westborough Town Hall, 34 West Main St. 01581 Westfield City Hall, 59 Court Street 01085-3574 Westford Town Hall, 55 Main St. 01886 Westhampton Town Hall, One South Road 01027 Westminister Town Hall, 3 Bacon St., PO Box 456 01473 Weston Town Hall, Town House Rd., PO Box 378 02493 Westport Town Hall, 816 Main Road 02790 Westwood Town Hall, 580 High St. 02090 Weymouth Town Hall, 75 Middle St. 02189 Whately Town Hall, 346 Haydenville Rd., Box 2 01093 Whitman Town Hall, 54 South Ave., PO Box 426 02382 Wilbraham Town Hall, 240 Springfield St. 01095 Williamsburg Town Hall, 141 Main St., PO Box 447, Haydenville, MA 01039-0447 Williamstown Town Hall, 31 North St. 01267 Wilmington Town Hall, 121 Glen Rd. 01887-3597 Winchendon Town Hall, 109 Front St. 01475 Winchester Town Hall, 71 Mt. Vernon St. 01890 Windsor Town Hall, 3 Hindsdale Rd., PO Box 225 01270-0225 Winthrop Town Hall, One Metcalf Sq. 02152 Woburn City Hall, 10 Common St. 01801 Worcester (EC) City Hall, 455 Main St. 01608 Worthington Town Hall, Huntington Rd., PO Box 247 01098 Wrentham Town Hall, 79 South St. 02093 Yarmouth Town Hall, 1146 Route 28, South Yarmouth, MA 02664 ================================= MARYLAND The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S. Provide the complete street address of your Maryland voting residence. A post office box is insufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county to which this application is being mailed.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent. Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections. Generally, you must list a party affiliation to vote in primary elections. If you do not list a party affiliation, you will be registered as a "decline to affiliate." Political party affiliation is not required if you are only requesting an absentee ballot for a general election. If you are currently registered and want to change your political party affiliation, you must submit a completed FPCA, including your new political party choice or "none," to the local election official not less than 84 days before the primary.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Maryland and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA to the local board of elections so that it is postmarked not later than the 21st day before the next election (the date on which registration closes). If you are already registered and only wish to request an absentee ballot, send a completed FPCA or other written correspondence to the local board of elections so that it arrives not later than the Tuesday before the election. Any written correspondence must contain your signature, your name and mailing address, any Maryland residential address and your date of birth, and must state that you will be out of the jurisdiction on election day. C. Casting Your Vote Ballot Return Deadline: Make sure your voted ballot is postmarked not later than the day before the election. Your voted ballot must arrive at the local board of elections according to the following timetable:  Non-presidential primary election or special primary election - not later than 4 p.m. on the Wednesday following election day.  General election or special election (ballot mailed from within the U.S.) - not later than 4 p.m. on the Wednesday following election day.  General election, Presidential primary election, or special election (ballot mailed from outside the U.S.) - not later than 4 p.m. on the second Friday following election day. Local election officials mail absentee ballots approximately 30 to 40 days before the election. You must sign an oath stating your eligibility to vote by absentee ballot when you return a voted absentee ballot. The oath states: "Under penalty of perjury, ... I have reason to believe that I will be unable to vote in person on the day of such election and am entitled to vote by absentee ballot under Article 33 of the Maryland Code or the Uniformed and Overseas Citizens Absentee Voting Act; that I have not voted nor do I intend to vote elsewhere in this election." If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements Registration and voting materials need not be notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Maryland allows you to send the FPCA for absentee ballot by fax. After faxing, submit the FPCA by mail. You may not submit the FPCA for registration by fax.  Maryland does not allow you to receive the blank ballot by fax.  Maryland does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy During the period beginning on the Wednesday before the election and ending with the closing of the polls on election day, a registered voter or the voter's duly authorized agent may apply in person for an absentee ballot at the office of the local board of elections if the voter may be absent from the voter's Maryland county of residence on election day. The application must be made under penalty of perjury and must specify the reason for absentee voting. A qualified applicant may designate an agent to pick up and deliver the absentee ballot. The agent:  must be at least 18 years old  may not be a candidate on the ballot  must be designated by the voter in writing and signed under penalty of perjury  must sign an affidavit under penalty of perjury Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Maryland and overseas citizens as defined in the following sentence. The term "overseas citizen," for purposes of the UOCAVA means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Maryland. The term includes:  civilian employees of the U.S. Government serving outside the U.S. and their spouses and dependents (who are eligible for local, state and Federal office ballots)  members of the American Red Cross, Society of Friends, or USO serving with the Armed Forces outside the U.S. and their spouses and dependents (who are eligible for local, state and Federal office ballots)  other overseas citizens (who are eligible for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year. To register and request an absentee ballot, send a completed FPCA to the local board of elections so that it is postmarked not later than the 21st day before the next election (the date on which registration closes). If you are already registered and only wish to request an absentee ballot, send a completed FPCA or other written correspondence to the local board of elections so that it arrives not later than the Tuesday before the election. Any written correspondence must contain your signature, your name and mailing address, any Maryland residential address and your date of birth, and must state that you will be out of the jurisdiction on election day. C. Casting Your Vote Ballot Return Deadline: Make sure your voted ballot is postmarked not later than the day before the election. Your voted ballot must arrive at the local board of elections according to the following timetable:  Non-presidential primary election or special primary election - not later than 4 p.m. on the Wednesday following election day.  General election, Presidential primary election, or special election - not later than 4 p.m. on the second Friday following election day. Local election officials mail absentee ballots out approximately 30 to 40 days before the election. You must sign an oath stating your eligibility to vote by absentee ballot when you return a voted absentee ballot. The oath states: "Under penalty of perjury, ... I have reason to believe that I will be unable to vote in person on the day of such election and am entitled to vote by absentee ballot under Article 33 of the Maryland Code or the Uniformed and Overseas Citizens Absentee Voting Act; that I have not voted nor do I intend to vote elsewhere in this election." If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements Registration and voting materials need not be notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Maryland allows you to send the FPCA for absentee ballot by fax. After faxing, submit the FPCA by mail. You may not submit the FPCA for registration by fax.  Maryland does not allow you to receive the blank ballot by fax.  Maryland does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy During the period beginning on the Wednesday before the election and ending with the closing of the polls on election day, a registered voter or the voter's duly authorized agent may apply in person for an absentee ballot at the office of the local board of elections if the voter may be absent from the voter's Maryland county of residence on election day. The application must be made under penalty of perjury and must specify the reason for absentee voting. A qualified applicant may designate an agent to pick up and deliver the absentee ballot. The agent:  must be at least 18 years old  may not be a candidate on the ballot  must be designated by the voter, in writing and signed under penalty of perjury  must sign an affidavit under penalty of perjury Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting The following persons may not register or vote:  A person serving a sentence, or on parole or probation, based on conviction of an infamous crime (any felony, treason, perjury, or any crime involving an element of deceit, fraud, or corruption)  A person convicted more than once of an infamous crime, unless the person has been pardoned  A person under guardianship for mental disability  A person convicted of buying or selling votes B. Statewide Voter Registration; Removal From Voter Rolls Maryland voter registration applies statewide. It is not necessary for a voter who is registered in one Maryland county to re-register when the voter moves to a different Maryland county. However, it is the responsibility of the voter to notify Maryland of the change of address not later than the deadline to register to vote before the election. If it is apparent that a person has moved out of Maryland entirely, they can be removed from the voter rolls for failing to provide a current address and then failing to vote in two general elections. C. Action on FPCA Requests A qualified voter is registered in the county of the voter's Maryland residence and is provided an absentee ballot as requested. D. Action If Registration Is Denied A person denied registration may appeal to the county circuit court. Consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the board of elections in the county of the voter's Maryland residence at the appropriate address listed below: County County Seat Zip Code Allegany 701 Kelly Road, Suite 213 Cumberland 21502-3401 Anne Arundel P.O. Box 490 Glen Burnie 21060-0490 Baltimore City Benton Office Bldg., Room 129 417 E. Fayette Street Baltimore 21202- 3432 Baltimore County 305 West Chesapeake Ave., Suite 310 Towson 21204-4408 Calvert P.O. Box 798 Prince Frederick 20678-0798 Caroline Health & Public Services Bldg. 403 S. 7th Street, Suite 247 Denton 21629- 1335 Carroll 225 N. Center St. Westminster 21157-5194 Cecil 129 E. Main Street Court House, Rm. 332 Elkton 21921-5970 Charles P.O.Box 908 La Plata 20646-0908 Dorchester P.O. Box 414 Cambridge 21613-0414 Frederick Winchester Hall 12 E. Church St. Frederick 21701-5447 Garrett 203 S. Fourth Street Court House, Room 108 Oakland 21550-1584 Harford 18 Office Street Bel Air 21014-3778 Howard 8659 Baltimore National Pike Ellicott City 21043-4126 Kent 215 Washington Avenue Chestertown 21620-1312 Montgomery P.O. Box 4333 Rockville 20849-4333 Prince George's 14701 Governor Oden Bowie Dr. Suite 101 Upper Marlboro 20772- 3070 Queen Anne's County Annex Bldg., Box 274 Centreville 21617-0274 St Mary's P.O. Box 197 Leonardtown 20650-0197 Somerset P.O. Box 96 Princess Anne 21853-0096 Talbot P.O. Box 353 Easton 21601-0353 Washington 33 W. Washington Street Hagerstown 21740-4834 Wicomico P.O. Box 4091 Salisbury 21803-4091 Worcester 100 Belt Street Snow Hill 21863-1310 ============================ MAINE The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank. See instructions.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence. (Provide the complete street address (street name and number) of your Maine voting residence. A post office box is not sufficient. This address must be within the city or township where you claim legal voting residence and (in most cases) will be different from the address you provide in Item 4. b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation, the FPCA card must be received by your local election official no later than 15 days before the election. If you are currently registered and have previously declined to indicate a political party and you now want to vote in a primary election, you must submit a completed FPCA to the local election official any time before the election.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. Sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. Uniformed Services. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Maine and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). To register and/or request an absentee ballot, send a completed FPCA to the local registration official any time before the election. If you are already registered and only wish to request an absentee ballot, the municipal clerk must receive your FPCA or a written application requesting a ballot any time before the election. If you send a written application, you must provide your name as registered, your voting residence address, and the address to which the absentee ballot should be sent. The written application must be signed. Registration applications by mail or by 3rd person must be received in the registrar's office by the close of business on the 10th business day before election day. An absentee voter who is not registered may submit a registration application after the 10th business day, but if the municipal registrar is not satisfied as to the voter's qualifications, the registrar shall place the person's name on the voting list and challenge the absentee ballot. A challenged ballot is counted, unless there is a recount where the number of challenged ballots is sufficient to affect the election. In that event, each challenge is investigated and the corresponding ballot may not be counted. Although the municipal registrar will accept a completed FPCA or written request at any time before the election, you should submit it to the registrar in time for you to receive, vote and return the absentee ballot by mail to the municipality. C. Casting Your Vote Ballot Return Deadline: The municipality must receive your absentee ballot by 8 PM on election day in order for your ballot to be counted. Local municipal clerks are provided with absentee ballots approximately 45 days before an election for Federal office, and approximately 30 days before a State election. Once the municipal clerks receive their supply of absentee ballots for an election, they must mail out the ballots immediately upon receipt of a ballot request. Members of the Armed Forces must seal his or her completed ballot in its return envelope and sign a certification as to its authenticity on the envelope If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No notary or witness required. Ballot Return Envelope: If the voter receives assistance in reading and/or marking the ballot, the voter must have the ballot return envelope signed by the aide and witnessed by one other individual. If no assistance is received, the ballot return envelope does not need to be notarized or witnessed. If your ballot is received through a designated 3rd party, see I.F. for notary/witness requirements. E. Electronic Transmission of FPCAs and Ballots  Maine allows you to send the FPCA for registration and/or absentee ballot request by fax. You may also send a written application requesting an absentee ballot by fax. You must also submit the original FPCA or written application by mail when requesting registration and a ballot.  In certain emergency situations, such as combat situations, Maine may allow you to receive the blank ballot by fax.  In certain emergency situations, such as combat situations, Maine may allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy Your immediate family member (spouse, parent, child, sister, brother, stepparent, stepchild, stepsister, stepbrother, mother-in-law, father-in-law, brother-in-law, sister-in- law, son-in-law, daughter-in-law, grandparent, grandchild, step-grandparent, step- grandchild, guardian or former guardian) may make a written request for an absentee ballot on your behalf. The request may be made to the municipal clerk either in person or by fax, but must be signed by the immediate family member and must indicate the family relationship. The clerk may either mail the ballot directly to you, or may issue the ballot to the immediate family member, who must either mail or deliver the ballot to you. You may designate a third person (someone other than the municipal clerk or an immediate family member) to receive the ballot on your behalf by submitting a signed application or written request, by mail or by fax, to the municipal clerk. The clerk must issue the ballot only to the third person you have designated in your request, who must then deliver the ballot to you. The voter must have the ballot return envelope signed by a notary public, a municipal clerk, a clerk of courts, or two other individuals (one of whom may be the ballot carrier). G. Request For Ballot By Telephone Maine allows registered voters to request an absentee ballot by telephone. The clerk shall ask the voter for information required on the application and fill in the application with that information. The clerk will then verify that it is the voter who is requesting the ballot by making the voter confirm the voter's residence and date of birth. (Only the voter may request an absentee ballot by telephone.) The clerk shall mail the ballot directly to the voter at the mailing address stated in the application. The voter returns the ballot by mail or in person directly to the clerk. H. Blank Absentee Ballot Maine provides a state "blank absentee ballot," listing all offices to be selected with a space after each office to write in the voter's preference. The blank absentee ballot is available 3 months before a candidate election and can be used by Uniformed Services voters who believe that 30 days will not be sufficient time to receive and return the regular absentee ballot. A blank absentee ballot is not available for referendum elections. You may use the FPCA to request this state blank absentee ballot. In Item 7 of the FPCA, place one of the state blank absentee ballot labels from Section III.F. If no labels are available, write in Item 7: "I will be unable to vote by regular absentee ballot. I request a blank absentee ballot." The Federal Write-In Absentee Ballot (FWAB) may be used in all elections for Federal office where 3 months is not sufficient time to request and vote a state blank write-in absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Maine and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Maine.  residents of Maine temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens whose last residence immediately before leaving the U.S. was in Maine (for local, state and Federal office ballots) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). To register and/or request an absentee ballot, send a completed FPCA to the local registration official any time before the election. If you are already registered and only wish to request an absentee ballot, the municipal clerk must receive your FPCA or a written application requesting a ballot any time before the election. If you send a written application, you must provide your name as registered, your voting residence address, county, and the address to which the absentee ballot should be sent. The written application must be signed. Registration applications by mail or by 3rd person must be received in the registrar's office by the close of business on the 10th business day before election day. An absentee voter who is not registered may submit a registration application after the 10th business day, but if the municipal registrar is not satisfied as to the voter's qualifications, the registrar shall place the person's name on the voting list and challenge the absentee ballot. A challenged ballot is counted, unless there is a recount where the number of challenged ballots is sufficient to affect the election. In that event, each challenge is investigated and the corresponding ballot may not be counted. Although the municipal registrar will accept a completed FPCA or written request at any time before the election, you should submit it to the registrar in time for you to receive, vote and return the absentee ballot by mail to the municipality. C. Casting Your Vote Ballot Return Deadline: The municipality must receive your absentee ballot by 8 PM on election day in order for your ballot to be counted. Local municipal clerks are provided with absentee ballots approximately 45 days before an election for Federal office, and approximately 30 days before a State election. Once the municipal clerks receive their supply of absentee ballots for an election, they must mail out the ballots immediately upon receipt of a ballot request. Individuals voting as a civilian outside the U.S. must seal his or her completed ballot in its return envelope and sign a certification as to its authenticity on the envelope. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No notary or witness required. Ballot Return Envelope: If the voter receives assistance in reading and/or marking the ballot, the voter must have the ballot return envelope signed by the aide and witnessed by one other individual. If no assistance is received, the ballot return envelope does not need to be notarized or witnessed. If your ballot is received through a designated 3rd party, see I.F. for notary/witness requirements. E. Electronic Transmission of FPCAs and Ballots  Maine allows you to send the FPCA for registration and/or absentee ballot request by fax. You may also send a written application requesting an absentee ballot by fax. You must also submit the original FPCA or written application by mail when requesting registration and a ballot.  Maine does not allow you to receive the blank ballot by fax.  Maine does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy Your immediate family member (spouse, parent, child, sister, brother, stepparent, stepchild, stepsister, stepbrother, mother-in-law, father-in-law, brother-in-law, sister-in- law, son-in-law, daughter-in-law, grandparent, grandchild, step-grandparent, step- grandchild, guardian or former guardian) may make a written request for an absentee ballot on your behalf. The request may be made to the municipal clerk either in person or by fax, but must be signed by the immediate family member and must indicate the family relationship. The clerk may either mail the ballot directly to you, or may issue the ballot to the immediate family member, who must either mail or deliver the ballot to you. You may designate a third person (someone other than the municipal clerk or an immediate family member) to receive the ballot on your behalf by submitting a signed application or written request, by mail or by fax, to the municipal clerk. The clerk must issue the ballot only to the third person you have designated in your request, who must then deliver the ballot to you. When a third person delivers the ballot to you and /or delivers the voted ballot from you to the clerk, the ballot return envelope must be witnessed and signed by a notary public, a municipal clerk, a clerk of courts or two other individuals (one of whom may be the ballot carrier). G. Request For Ballot By Telephone Maine allows registered voters to request an absentee ballot by telephone. The clerk shall ask the voter for information required on the application and fill in the application with that information. The clerk will then verify that it is the voter who is requesting the ballot by making the voter confirm the voter's residence and date of birth. (Only the voter may request an absentee ballot by telephone.) The clerk shall mail the ballot directly to the voter at the mailing address stated in the application. The voter returns the ballot by mail or in person directly to the clerk. H. Blank Absentee Ballot Maine provides a state "blank absentee ballot," listing all offices to be selected with a space after each office to write in the voter's preference. The blank absentee ballot is available 3 months before a candidate election and can be used by civilians outside the U.S. who believe that 30 days will not be sufficient time to receive and return the regular absentee ballot. A blank absentee ballot is not available for referendum elections. You may use the FPCA to request this state blank absentee ballot. In Item 7 of the FPCA, place one of the state blank absentee ballot labels from Section III.F. If no labels are available, write in Item 7: "I will be unable to vote by regular absentee ballot. I request a blank absentee ballot." The Federal Write-In Absentee Ballot (FWAB) may be used in all elections for Federal office where 3 months is not sufficient time to request and vote a state blank write-in absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Persons under guardianship for mental illness may not register or vote. B. Cancellation of Registration Registration is permanent. However, you may have your name removed from the voter list by making a written request to the registrar. In addition, moving from the municipality is grounds for removal from the list upon written confirmation of such a move by the registrant or by the registrar of voters in the registrant's new voting jurisdiction. C. Action on Registration Requests All applicants are notified whether or not their registration applications were accepted, rejected, or incomplete. D. Action If Registration Is Denied Denial of registration can be appealed to the registration appeals board or the municipal officers (whichever is applicable for that municipality). The registration appeals board or municipal officers shall immediately fix a time and date for a prompt hearing. After such hearing, the registration appeals board or municipal officers may affirm, modify or reverse the decision of the registrar of voters. The aggrieved person may appeal this decision to the Superior Court in accordance with Rule 80B of the Rules of Civil Procedure. Consult a legal assistance officer or civilian counsel. E. Where To Send It Maine conducts elections for Municipal, State and Federal offices at the municipal level (not at the county or state level as in many other states). To register and simultaneously request an absentee ballot, submit your FPCA to the Registrar of Voters in your municipality of voting residence. If you are already registered and only wish to request an absentee ballot, submit your FPCA to the Municipal Clerk in your municipality of voting residence. Maine has 526 municipal jurisdictions. A partial list of major municipalities follows. A complete list of Municipal Clerks and Registrars, along with addresses and telephone numbers, may be found on the Maine Secretary of State's site on the World Wide Web. The Web site address for the Elections Division is "http://www.state.me.us/sos/cec/elec/elec.htm". Or, you may contact the Federal Voting Assistance Program at (703) 588-1584, 1-800-438-8683 (VOTE), DSN 425-1584 (military) or by e-mail at vote@fvap.ncr.gov. City or Town Zip Code Auburn 04210-5946 Augusta 04330-5298 Bangor 04401-1808 Bath 04530-2588 Belfast 04915-1705 Biddeford 04005-2400 Boothbay Harbor 04538-0117 Brewer 04412-2010 Brunswick 04011-1583 Calais 04619-0435 Cape Elizabeth 04107-6260 Caribou 04736-2710 Dover-Foxcroft 04426-1397 Ellsworth 04605-0586 Falmouth 04105-2090 Farmington 04938-1733 Gorham 04038-1382 Houlton 04730-2104 Jackman 04945-0269 Jay 04239-1599 Lewiston 04240-7297 Limestone 04750-1116 Lubec 04652-1199 Machias 04654-0418 Millinocket 04462-1445 Old Orchard Beach 04064-0234 Old Town 04468-1497 Portland 04101-3593 Presque Isle 04769-1148 Rockland 04841-2739 Rumford 04276-2002 Saco 04072-1583 Sanford 04073-3589 Scarborough 04070-0360 Skowhegan 04976-1799 South Portland 04116-9422 Waterville 04901-6699 Westbrook 04092-0648 York 03909-0009 MAINE "I will be unable to vote by regular absentee ballot. I request a blank absentee ballot." ===================================== MICHIGAN The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank. Do not leave blank. Enter "N/A" if not applicable.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians,last residence in U.S. Provide the complete street address of your Michigan voting residence. A post office box is not sufficient. If your address includes a rural route number, describe its location. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the city or township where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent. Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections. See instructions.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign the FPCA. When signing, you are swearing or affirming the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) If you are a civilian outside the U.S. and you want to obtain an absentee ballot, a notary public, commissioned officer, consular officer, or other authorized person must complete this section. The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Michigan and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for a primary election and the following general election in a calendar year. Instructions for state and Federal elections follow. You must submit a separate FPCA for each village or school election. To register and/or request an absentee ballot, send a completed FPCA or handwritten letter to the city or township clerk so that it arrives not earlier than 75 days before the election and not later than the Saturday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the city or township clerk before the close of polls on election day. Local election officials mail absentee ballots 45 days before the primary and general elections. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Michigan allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail.  Michigan does not allow you to receive the blank ballot by fax.  Michigan does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to U.S. citizens who are temporarily residing outside of the territorial limits of the U.S. and who but for such residence would be qualified to vote in Michigan.  civilian employees of the U.S. Armed Forces or merchant marine and their spouses and dependents (for local, state and Federal office ballots)  Michigan residents temporarily residing outside the U.S., and their spouses and dependents (for local, state and Federal office ballots) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for a primary election and the following general election in a calendar year. Instructions for state and Federal elections follow. You must submit a separate FPCA for each village or school election. To register and/or request an absentee ballot, send a completed FPCA or handwritten letter with affidavit (form provided by clerk of city or township of residence) to the city or township clerk so that it arrives not earlier than 75 days before the election and not later than the Saturday before the election. C. Casting Your Vote Return your voted ballot to the city or township clerk so it arrives before the close of polls on election day. Local election officials mail absentee ballots 45 days before the primary and general elections. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: For all Michigan residents covered under Section II.A., the FPCA you use to request an absentee ballot must be sworn to before an official authorized to administer oaths. If requesting a ballot with a handwritten letter, a sworn affidavit must be included (form provided by clerk of city or township of residence). Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots  Michigan allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail.  Michigan does not allow you to receive the blank ballot by fax.  Michigan does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 III. Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting A person may not register or vote while serving a prison sentence. B. Cancellation of Registration Registration is permanent unless you move to a different city or township in Michigan. After moving to a different city or township, a new registration must be submitted. C. Action on Registration Requests A voter identification card is sent. D. Action If Registration Is Denied Denial of registration may be appealed. Consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the City or Township Clerk in the city or township of your voting residence. For a village election, submit a separate FPCA to the Village Clerk. For a school election, submit a separate FPCA to the Secretary of the School Board. A partial list of major cities follows: City or Town Mailing Address Zip Code Ann Arbor PO Box 8647, Ann Arbor 48107-8647 Battle Creek 10 N. Division, Battle Creek 49014-1717 Bay City 301 Washington Avenue, Bay City 48708-5866 Dearborn Heights 6045 Fenton, Dearborn Heights 48127-3294 Dearborn 13615 Michigan Avenue, Dearborn 48126-3586 Detroit 2978 W. Grand Blvd, Detroit 48202-3069 East Lansing 410 Abbott Road, East Lansing 48823-3388 Farmington Hills 31555 W. Eleven Mile Road, Farmington Hills 48336-1165 Flint 1101 S. Saginaw, Flint 48502-1416 Grand Rapids 300 Monroe Avenue NW, Grand Rapids 49503-2281 Kalamazoo 241 W. South Street, Kalamazoo 49007-4796 Lansing 124 W. Michigan, Lansing 48933-1694 Lincoln Park 1355 Southfield Road, Lincoln Park 48146-2380 Livonia 33000 Civic Center Drive, Livornia 48154-3097 Pontiac 450 Wide Track Drive, East, Pontiac 48342-2271 Roseville 29777 Gratiot, Roseville 48066-0290 Royal Oak PO Box 64, Royal Oak 48068-0064 Saginaw 1315 S. Washington, Saginaw 48601-2599 St. Clair Shores 27600 Jefferson Circle Drive, St. Clair Shores 48081-9971 Southfield PO Box 2055, Southfield 48037-2055 Sterling Heights PO Box 8009, Sterling Heights 48311-8009 Taylor 23555 Goddard, Taylor 48180-4117 Troy 500 W. Big Beaver, Troy 48084-5285 Warren 29500 Van Dyke Avenue, Warren 48093-6726 Westland 36601 Ford Road, Westland 48185-2298 Wyoming PO Box 905, Wyoming 49509-0905 If you are unable to determine the address of your city or township clerk, send the FPCA to the county clerk at your county courthouse (see listing below). NOTE: If you send the FPCA to the county clerk, it will take a longer period of time for you to receive an absentee ballot. County Mailing Address Zip Code Alcona PO Box 308, Harrisville 48740-0308 Alger 101 Court Street, Munising 49862-1196 Allegan 113 Chestnut, Allegan 49010-1350 Alpena 720 Chisholm, Alpena 49707-2488 Antrim 205 E. Cayuga, Bellaire 49615-0520 Arenac PO Box 747, Standish 48658-0747 Baraga 16 N. 3rd Street, L'Anse 49946-1085 Barry 220 W. State Street, Hastings 49058-0220 Bay 515 Center Street, Bay City 48708-5994 Benzie PO Box 398, Beulah 49617-0398 Berrien 811 Port Street, St. Joseph 49085-1198 Branch 31 Division, Coldwater 49036-1990 Calhoun 315 W. Green, Marshall 49068-1585 Cass 120 N. Broadway, Cassopolis 49031-1398 Charlevoix 203 Antrim Street, Charlevoix 49720-1397 Cheboygan PO Box 70, Cheboygan 49721-0070 Chippewa 319 Court Street, Sault Ste. Marie 49783-2194 Clare PO Box 438, Harrison 48625-0438 Clinton PO Box 69, St. Johns 48879-0069 Crawford 200 W. Michigan, Grayling 49738-1798 Delta 310 Ludington, Escanaba 49829-4057 Dickinson PO Box 609, Iron Mountain 49801-0609 Eaton 1045 Independence Blvd, Charlotte 48813-1095 Emmet 200 Division, Petoskey 49770-2444 Genesee 900 S. Saginaw, Flint 48502-1571 Gladwin 401 W. Cedar, Gladwin 49624-2088 Gogebic 200 N. Moore, Bessemer 49911-1052 Grand Traverse 400 Boardman, Traverse City 49684-2577 Gratiot PO Drawer 437, Ithaca 48847-0437 Hillsdale 29 N. Howell, Hillsdale 49242-1698 Houghton 401 E. Houghton Ave., Houghton 49931-2099 Huron 250 E. Huron, Bad Axe 48413-1386 Ingham PO Box 179, Mason 48854-0179 Ionia Main Street, Ionia 48846-1697 Iosco PO Box 838, Tawas City 48764-0838 Iron 2 S. 6th Street, Crystal Falls 49920-1495 Isabella 200 N. Main Street, Mt. Pleasant 48858-2393 Jackson 312 S. Jackson Street, Jackson 49201-1315 Kalamazoo 201 W. Kalamazoo, Kalamazoo 49007-3777 Kalkaska PO Box 10, Kalkaska 49646-0010 Kent 300 Monroe, NW, Grand Rapids 49503-2288 Keweenaw 4th Street, Eagle River 49924-0007 Lake Drawer B, Baldwin 49304-0902 Lapeer 255 Clay Street, Lapeer 48446-2298 Leelanau PO Box 467, Leland 49654-0467 Lenawee 425 N. Main, Adrian 49221-2198 Livingston 200 E. Grand River, Howell 48843-2399 Luce 407 W. Harrie Street, Newberry 49868-1299 Mackinac 100 N. Marley, St. Ignace 49781-1491 Macomb 40 N. Main, Mt. Clemens 48043-5661 Manistee 415 3rd Street, Manistee 49660-1606 Marquette 232 Baraga, Marquette 49855-4782 Mason 304 E. Lundington, Ludington 49431-2121 Mecosta 400 Elm, Big Rapids 49307-1849 Menominee 839 10th, Menominee 49858-3000 Midland 220 W. Ellsworth Street, Midland 48640-5194 Missaukee PO Box 800, Lake City 49651-0800 Monroe 106 E. 1st Street, Monroe 48161-2185 Montcalm PO Box 368, Stanton 48888-0368 Montmorency PO Box 789, Atlanta 49709-0415 Muskegon 990 Terrace, Muskegon 49442-3378 Newaygo PO Box 885, White Cloud 49349-0885 Oakland 1200 N. Telegraph, Pontiac 48341-0413 Oceana PO Drawer 653, Hart 49420-0653 Ogemaw 806 W. Houghton Avenue, West Branch 48661-1215 Ontonagon 725 Greenland Road, Ontonagon 49953-1492 Osceola 301 W. Upton, Reed City 49677-1149 Oscoda PO Box 399, Mio 48647-0399 Otsego 225 W. Main Street, Gaylord 49735-1393 Ottawa 414 Washington, Grand Haven 49417-1494 Presque Isle PO Box 110, Rogers City 49779-0110 Roscommon PO Box 98, Roscommon 48653-0098 Saginaw 111 S. Michigan, Saginaw 48602-2086 Sanilac 60 W. Sanilac, Sandusky 48471-1094 Schoolcraft 300 Walnut, Manistique 49854-1487 Shiawassee 208 N. Shiawassee, Corunna 48817-1491 St. Clair 201 McMorran Blvd, Port Huron 48060-4082 St. Joseph PO Box 189, Centreville 49032-0189 Tuscola 440 N. State Street, Caro 48723-1592 Van Buren 212 E. Paw Paw, Paw Paw 49079-1496 Washtenaw PO Box 8645, Ann Arbor 48107-8645 Wayne 211 City County Bldg., Detroit 48226-3463 Wexford 437 E. Division, Cadillac 49601-1905 ============================ MINNESOTA The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card). You must provide your military ID number or passport number. If you cannot provide one of these numbers, then Item 8 must be signed before an authorized official and Item 9 must be completed by that official. The authorized official may be a notary, another individual authorized to administer oaths, or a commissioned or noncommissioned officer (not below the rank of sergeant or its equivalent) of the military. 2. I Last Voted or Place of Last Registration. Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.). Provide the complete street address of your Minnesota voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent). Print the complete address where you want your ballot sent - usually your current mailing address. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections. See instructions.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign the FPCA. When signing, you are swearing or affirming that the information is true and correct. Only your parent, spouse, sister, brother, or child over 18 years of age may sign on your behalf and that person must state how they are related to you. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year). Item 9 needs to be completed only if you are unable to provide a military ID or a passport number in item 1f. The authorized official may be a notary, another individual authorized to administer oaths, or a commissioned or noncommissioned officer (not below the rank of sergeant or its equivalent) of the military. The official is certifying that the voter (or other authorized family member) has attested to the truthfulness of the content of the application under oath. The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Minnesota and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). You are not required to register. To request an absentee ballot, send a completed FPCA to the county auditor any time before the election. An absentee ballot application may be submitted by the voter or by the voter's parent, spouse, sister, brother, or child over the age of 18 years. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. Local election officials mail absentee ballots approximately 30 days before the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements FPCA and Ballot Return Envelope: If you do not provide a military identification card number or passport number, your FPCA and the certificate on the ballot return envelope must be sworn to before a notary, another individual authorized to administer oaths or a commissioned or noncommissioned officer (not below the rank of sergeant or its equivalent) of the military. E. Electronic Transmission of FPCAs and Ballots  Minnesota allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail.  Minnesota does not allow you to receive the blank ballot by fax.  Minnesota does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. These procedures apply to persons who are U.S. citizens, residents of Minnesota and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Minnesota. A. Who Can Do It  Minnesota residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all election in a calendar year. You are not required to register. To request an absentee ballot, send a completed FPCA to the county auditor any time before the election. An absentee ballot application may be submitted by the voter or by the voter's parent, spouse, sister, brother, or child over the age of 18 years. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. Local election officials mail absentee ballots approximately 30 days before the election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA and Ballot Return Envelope: If you do not provide a passport number, your FPCA and the certificate on the ballot return envelope must be sworn to before a notary, another individual authorized to administer oaths or a commissioned or noncommissioned officer (not below the rank of sergeant or its equivalent) of the military. E. Electronic Transmission of FPCAs and Ballots  Minnesota allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail.  Minnesota does not allow you to receive the blank ballot by fax.  Minnesota does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Convicted felons whose civil rights have not been restored, persons under guardianship, or those declared legally incompetent may not vote. B. Where To Send It Mail the FPCA to the County Auditor, county of voting residence, as listed below: County County Seat Zip Code Aitkin Aitkin 56431-1292 Anoka Anoka 55303-2265 Becker Detroit Lakes 56501-3403 Beltrami Bemidji 56601-3041 Benton Foley 56329-0129 Big Stone Ortonville 56278-1544 Blue Earth Mankato 56002-8608 Brown New Ulm 56073-0248 Carlton Carlton 55718-0010 Carver Chaska 55318-2184 Cass Walker 56484-3000 Chippewa Montevideo 56265-1652 Chisago Center City 55012-9663 Clay Moorhead 56560-0280 Clearwater Bagley 56621-8310 Cook Grand Marais 55604-1150 Cottonwood Windom 56101-1645 Crow Wing Brainerd 56401-3590 Dakota Hastings 55033-2380 Dodge Mantorville 55955-0038 Douglas Alexandria 56308-1793 Faribault Blue Earth 56013-0130 Fillmore Preston 55965-1105 Freeborn Albert Lea 56007-1147 Goodhue Red Wing 55066-0408 Grant Elbow Lake 56531-4330 Hennepin Minneapolis 55487-0068 Houston Caledonia 55921-1330 Hubbard Park Rapids 56470-1483 Isanti Cambridge 55008-9386 Itasca Grand Rapids 55744-2681 Jackson Jackson 56143-1529 Kanabec Mora 55051-1386 Kandiyohi Willmar 56201-0936 Kittson Hallock 56728-0848 Koochiching International Falls 56649-2486 Lac Qui Parle Madison 56256-1296 Lake Two Harbors 55616-1565 Lake of the Woods Baudette 56623-0808 Le Sueur Le Center 56057-1644 Lincoln Ivanhoe 56142-0029 Lyon Marshall 56258-3099 McLeod Glencoe 55336-2200 Mahnomen Mahnomen 56577-4015 Marshall Warren 56762-1697 Martin Fairmont 56031-0955 Meeker Litchfield 55355-2189 Mille Lacs Milaca 56353-1396 Morrison Little Falls 56345-3199 Mower Austin 55912-3475 Murray Slayton 56172-0057 Nicollet Saint Peter 56082-0089 Nobles Worthington 56187-0757 Norman Ada 56510-0266 Olmsted Rochester 55904-3709 Otter Tail Fergus Falls 56537-2587 Pennington Thief River Falls 56701-0616 Pine Pine City 55063-1694 Pipestone Pipestone 56164-0455 Polk Crookston 56716-1452 Pope Glenwood 56334-1628 Ramsey Saint Paul 55102-1697 Red Lake Red Lake Falls 56750-0367 Redwood Redwood Falls 56283-0130 Renville Olivia 56277-1396 Rice Fairbault 55021-5146 Rock Luverne 56156-0509 Roseau Roseau 56751-1477 St. Louis Duluth 55802-1293 Scott Shakopee 55379-1220 Sherburne Elk River 55330-4601 Sibley Gaylord 55334-0171 Stearns Saint Cloud 56303-4781 Steele Owatonna 55060-0890 Stevens Morris 56267-0530 Swift Benson 56215-0288 Todd Long Prairie 56347-1390 Traverse Wheaton 56296-0428 Wabasha Wabasha 55981-1594 Wadena Wadena 56482-1595 Waseca Waseca 56093-2993 Washington Stillwater 55082-0006 Watonwan Saint James 56081-0518 Wilkin Breckenridge 56520-0409 Winona Winona 55987-3102 Wright Buffalo 55313-1195 Yellow Medicine Granite Falls 56241-1367 =============================== Missouri The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information. a. Typed or Printed Name (Last, First, Middle Initial). Required field. b. Sex. c. Race. d. Date of Birth MM/DD/YY(Month, Day, Year). e. Social Security Number. Provide last four digits of your Social Security number. f. Other Identification Number (passport, ID card). 2. I Last Voted or Place of Last Registration (Do not leave this section blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. b. County, City, or Township. c. State. d. Voter Registration Number(if known). 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Missouri voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or city where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year). b. Number and Street (Do Not Use Post Office Box). c. City, Town or Village. d. State. e. County or Parish. f. Zip Code (9 digit, if known). 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.)Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) You must request a particular party's ballot to apply for a primary election ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. If you do not respond to the request for a political party designation, the election authority is authorized to provide that part of the ballot for which no political party designation is required. Political party affiliation is not required if only requesting absentee ballots for general elections. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d). I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are sharing or affirming the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year). The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Missouri and members of the Uniformed Services and their family members. Uniformed Services are defined as members of the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request absentee ballots for both the primary and general elections in a calendar year (for local, state and Federal offices). You are not required to register, but you may register permanently and request an absentee ballot, by sending a completed FPCA to the local election official requesting the state registration card in time to receive the state registration card, fill it in and return it to the local election official so that it arrives not later than the fourth Wednesday (27 days) before the election. Upon timely return of the state registration card, the local election official will send you an absentee ballot. To request an absentee ballot only, send a completed FPCA to the local election official so that it arrives not earlier than the sixth Tuesday (42 days before the election) and not later than the Wednesday before the election. All applications for absentee ballots received prior to the sixth Tuesday before an election will be stored by the local election official until such time as the applications are processed. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office before 7:00 p.m. on election day. Absentee ballots are available beginning 42 days prior to the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2. D. Notary/Witness Requirements FPCA: No notary or witness required. State Registration Card: The state registration card used to register permanently must be witnessed by a notary public or other officer authorized by law to administer oaths. Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots  Some Missouri counties may allow you to send the FPCA application for an absentee ballot by fax. After faxing, submit the FPCA by mail.  Missouri does not allow you to receive the blank ballot by fax.  Missouri does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy Your spouse, grandparent, parent, brother, sister, child or grandchild may request (in person to the local election official) that an absentee ballot be mailed to you. G. Special Write-in Absentee Ballot Missouri provides a state special write-in absentee ballot available 80 days before a general election if you will be unable to vote by any other means due to requirements of military service or due to living in an isolated or extremely remote area of the world. You may use the FPCA to request this state special write-in absentee ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.F. If no labels are available, write in Item 7: "I am unable to vote by any other means due to requirements of military service or due to living in isolated or extremely remote areas of the world. I request a special write-in absentee ballot." You must request the state special write-in ballot within 80 days of a general election. Vote this ballot by writing in a party preference or the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Missouri and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Missouri.  civilian employees of the U.S. Government residing overseas and their spouses and dependents (for local, state and Federal office ballots)  members of religious or welfare groups attached to the military overseas and their spouses and dependents (for local, state and Federal office ballots)  other Missouri residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas electors (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request absentee ballots for both the primary and general elections in a calendar year. You are not required to register, but you may register permanently and request an absentee ballot by sending a completed FPCA to the local election official requesting the state registration card in time to receive the state registration card, fill it in and return it to the local election official so that it arrives not later than the fourth Wednesday (27 days) before the election. Upon timely return of the state registration card, the local election official will send you an absentee ballot. If you are a Missouri resident temporarily residing outside the U.S., are not affiliated with the U.S. Federal Government and wish to receive a ballot for local, state and Federal offices (instead of a ballot for Federal offices only), you must permanently register to receive such ballot. Otherwise, you will be treated as an overseas elector and will be sent a ballot for Federal offices only. To request an absentee ballot only, send a completed FPCA to the local election official so that it arrives not earlier than the sixth Tuesday (42 days before the election) and not later than the Wednesday before the election. All applications for absentee ballots received prior to the sixth Tuesday before an election will be stored by the local election official until such time as the applications are processed. If you are an overseas elector, you are eligible to vote for Federal offices only and your application for an absentee ballot must be received not later than 5 p.m. on the Wednesday prior to election day. C. Casting Your Vote Ballot Return Deadline: Return the voted ballot to the local election official so that it arrives before 7:00 p.m. on election day. Local election officials mail ballots beginning 42 days prior to the election. Local election officials will send ballots for Federal offices only to overseas electors, and to those temporarily overseas persons who did not timely complete the permanent registration procedure. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No notary or witness required. State Registration Card: The state registration card used to register permanently must be witnessed by a notary public or other officer authorized by law to administer oaths Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots  Some Missouri counties may allow you to send the FPCA application for an absentee ballot by fax. After faxing, submit the FPCA by mail.  Missouri does not allow you to receive the blank ballot by fax.  Missouri does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy Your spouse, grandparent, parent, brother, sister, child or grandchild may request (in person to the local election official) that an absentee ballot be mailed to you. G. Special Write-in Ballot Missouri provides a state special write-in absentee ballot available 80 days before a general election if you will be unable to vote by any other means due to living in an isolated or extremely remote area of the world. You may use the FPCA to request this state special write-in absentee ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.F. If no labels are available, write in Item 7: "I am unable to vote by any other means due to requirements of military service or due to living in isolated or extremely remote areas of the world. I request a special write-in absentee ballot." You must request the special write-in ballot within 80 days of a general election. Vote this ballot by writing in a party preference or the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons imprisoned, on probation or parole for a felony, convicted of an election law violation, or found incapacitated (with loss of voting rights) may not register or vote. B. Cancellation of Registration Registration is canceled if a voter fails to respond to a confirmation notice and then fails to vote by the second general election occurring after the notice. C. Late Registration Members of the Armed Forces and merchant marine, civilian employees of the U.S. Government working outside the U.S. and members of religious or welfare organizations assisting Service members who have been honorably discharged or terminated from their service within sixty days of an election, are eligible to vote in that election. D. Action on Registration Requests Verification notices are sent within seven (7) working days of receipt of application. Rejection notices are sent within seven (7) working days of receipt of application. E. Where To Send It Mail your FPCA to the County Clerk in the city or county of your legal voting residence, listed as follows (unless otherwise noted): City Mailing Address/Zip Code St Louis City Acting Director, 300 N. Tucker, St. Louis 63101 County Mailing Address/Zip Code Adair 106 W. Washington, Kirksville 63501 Andrew Andrew Co. Courthouse, PO Box 206, Savannah 64485 Atchison 400 S. Washington Street, Rock Port 64482 Audrain 101 N. Jefferson, Room 101, Mexico 65265 Barry 700 Main, Suite 2, Cassville 65625 Barton 1004 Gulf, Lamar 64759 Bates 1 N. Delaware, Butler 64730 Benton PO Box 1238, Warsaw 65355 Bollinger 204 E. High Street, Marble Hill 63764 Boone 801 E. Walnut St., Room. 236, Columbia 65201 Buchanan 411 Jules, Saint Joseph 64501 Butler Butler County Courthouse, Poplar Bluff 63901 Caldwell Caldwell County Courthouse, PO Box 67, Kingston 64650 Callaway 10 E. Fifth Street, Fulton 65251 Camden #1 Court Circle, PO Box 960, Camdenton 65020 Cape Girardeau 1 Barton Square, Jackson 63755 Carroll Carroll County Courthouse, Carrollton 64633 Carter Carter County courthouse, PO Box 517, Van Buren 63965 Cass 102 E. Wall, Harrisonville 64701 Cedar Cedar County Courthouse, Stockton 65785 Chariton 306 S. Cherry, Keytesville 65261 Christian 100 W. Church, Room 206, Ozark 65721 Clark 111 E. Clark, Kahoka 63445 Clay Acting Director, 100 W. Mississippi, Liberty 64068 Clinton Clinton County Courthouse, PO Box 245, Plattsburg 64477 Cole 311 E. High Street, Jefferson City 65101 Copper 200 Main Street, Room 23, Boonville 65233 Crawford Crawford County Courthouse, PO Box AS, Steelville 65565 Dade Dade County Courthouse, Greenfield 65661 Dallas Dallas County Courthouse, Buffalo 65622 Daviess 102 N. Main, Gallatin 64640 De Kalb 109 W. Main Street, Maysville 64469 Dent 400 N. Main Street, Salem 65560 Douglas 203 S.E. Second, PO Box 398, Ava 65608 Dunklin Dunklin County Courthouse, PO Box 188, Kennett 63857 Franklin 300 East Main, Room 201, Union 63084 Gasconade 119 E. First Street, Suite 2, Hermann 65041 Gentry Gentry County Courthouse, Albany 64402 Greene 940 Boonville, Room 113, Springfield 65802 Grundy 700 Main Street, Trenton 64683 Harrison 1500 Main Street, PO Box 525, Bethany 64424 Henry 100 W. Franklin, Clinton 64735 Hickory Hickory County Courthouse, PO Box 3, Hermitage 65668 Holt 102 W. Nodaway, PO Box 437, Oregon 64473 Howard #1 Courthouse Square, Fayette 65248 Howell 1 Courthouse, West Plains 65775 Iron Iron County Courthouse, PO Box 42, Ironton 63650 Jackson Director, 112 W. Lexington, PO Box 296, Independence 64051 Jasper Jasper County Courthouse, 302 S. Main Street, Room 102, Carthage 64836 Jefferson 300 Second Street, PO Box 100, Hillsboro 63050 Johnson Johnson County Courthouse, Warrensburg 64093 Kansas City Director, 1828 Walnut, Suite, 300., Kanasa City 64108 Knox 107 N. 4th Street, Edina 63537 Laclede 200 N. Adams, Lebanon 65536 Lafayette 1001 Main, Lexington 64067 Lawrence Lawrence County Courthouse, PO Box 309, Mount Vernon 65712 Lewis 100 E. Lafayette, PO Box 67, Monticello 63457 Lincoln 201 Main Street, Troy 63379 Linn High Street, PO Box 92, Linneus 64653 Livingston 700 Webster St., Suite 10, Chillicothe 64601 Macon 101 E. Washington, PO Box 96, Macon 63552 Madison 1 Courthouse Square, Fredericktown 63645 Maries Fourth & Main, PO Box 205, Vienna 65582 Marion 100 S. Main, Palmyra 63461 McDonald McDonald County Courthouse, PO Box 665 64856 Mercer 802 Main St. Mercer Co. Courthouse, Princeton 64673 Miller Miller County Courthouse, PO Box 12, Tuscumbia 65082 Mississippi 200 N. Main, PO Box 369, Charleston 63834 Moniteau 200 E. Main Street, California 65018 Monroe 300 N. Main Street, Paris 65275 Montgomery 211 E. Third Street, Montgomery City 63361 Morgan 100 E. Newton, Versailles 65084 New Madrid New Madrid County Courthouse PO BOx 68, New Madrid 63869 Newton Newton County Courthouse, PO Box 488, Neosho 64850 Nodaway Nodaway County Courthouse, PO Box 218, Maryville 64468 Oregon Oregon County Courthouse, PO Box 324, Alton 65606 Osage Osage County Courthouse, PO Box 826, Linn 65051 Ozark Ozark County Courthouse, PO Box 416, Gainesville 65655 Pemiscot 610 Ward Avenue, Caruthersville 63830 Perry 321 N. Main, No. 2, Perryville 63775 Pettis 415 S. Ohio, Sedalia 65301 Phelps 200 N. Main Street, Rolla 65401 Pike 115 W. Main, Bowling Green 63334 Platte 2600 NW Prairie View Road, PO Box 560, Platte City 64079 Polk Polk County Courthouse, Bolivar 65613 Pulaski 201 Historic 66 E., Suite 101, Waynesville 65583 Putnam Putnam County Courthouse, Unionville 63565 Ralls Ralls County Courthouse, PO Box 400, New London 63459 Randolph 110 South Main Street, Huntsville 65259 Ray 100 W. Main, Richmond 64085 Reynolds Courthouse Square, PO Box 10, Centerville 63633 Ripley Ripley Couty Courthouse, 100 Courthouse Circle, Doniphan 63935 Saline Saline County Courthouse, Marshall 65340 Schuyler Schuyler County Courthouse, PO Box 187, Lancaster 63548 Scotland 117 S. Market, Suite 100, Memphis 63555 Scott Scott County Courthouse, PO Box 188, Benton 63736 Shannon Shannon County Courthouse, PO Box 187, Eminence 65466 Shelby Shelby County Courthouse, PO Box 186, Shelbyville 63469 St Charles 201 N. Second Street, Rm. 541, St Charles 63301 St Clair 655 Second Street, PO Box 525, Oceola 64776 St Francois St. Francois County Courthouse, Farmington 63640 St Louis 12 Sunnen Drive, Maplewood 63143 Ste Genevieve 300 N. Tucker, St., Genevieve 63670 Stoddard Stoddard County Courthouse, PO Box 110, Bloomfield 63825 Stone Stone County Courthouse, PO Box 45, Galena 65656 Sullivan 109 N. Main, Milan 63556 Taney 266 A. Main Street, PO Box 156, Forsyth 65653 Texas 210 N. Grand Avenue, Houston 65483 Vernon 100 W. Cherry, Nevada 64772 Warren 104 W. Main, Suite B, Warrenton 63383 Washington 102 N. Missouri Street, Potosi 63664 Wayne Wayne County Courthouse, PO Box 168, Greenville 63944 Webster Webster County Courthouse, 101 S. Crittenden, Marshfield 65706 Worth Fourth & Front Street, PO Box L, Grant City 64456 Wright 125 Court Square, PO Box 98, Hartville 65667 ================================= MISSISSIPPI The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Mississippi voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.)Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general or special elections. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party and you now want to vote in a primary election, you should submit a completed FPCA which includes your new political party choice to the local election official not later than 30 days before the election. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming the information provided is true and correct. Sign only in the presence of an oath taking official. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year).A notary public, commissioned officer, non- commissioned officer, petty officer, consular officer, or other authorized person must complete this section. The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Mississippi and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (local, state and Federal offices). To register to vote and request an absentee ballot, you must complete the FPCA and return it to the county registrar so that it arrives not later than 30 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the county registrar any time before the election. However, if you wait until later than 20 days before the election to send your FPCA, you may not receive your ballot in time to vote it and return it on time. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 5 p.m. the day before the election. Local election officials mail out absentee ballots approximately 45 days before an election, or as soon as they are printed. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: Must be sworn to before a commissioned officer, non-commissioned officer, petty officer or other person authorized to administer oaths. Ballot Return Envelope: The affidavit on the absentee ballot return envelope must be sworn to before a commissioned officer, non-commissioned officer, petty officer or other person authorized to administer oaths. E. Electronic Transmission of FPCAs and Ballots  Mississippi allows you to send the FPCA by fax for voter registration and absentee ballot requests. After faxing, submit the FPCA by mail.  Mississippi allows you to receive the blank ballot by fax.  Mississippi allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application for Ballot by Proxy Another person may request that the county registrar send a state registration affidavit and/or an absentee ballot application to you. Your oral authorization (by telephone) or written authorization may be required. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Mississippi and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Mississippi.  members of the American Red Cross (for local, state and Federal office ballots)  civilians attached to and serving outside the U.S. with the U.S. Armed Forces, merchant marine or American Red Cross (for local, state and Federal office ballots)  other residents of Mississippi temporarily residing outside the U.S. (for local, state and Federal office ballots)  spouses and dependents of the above (for local, state and Federal office ballots)  overseas citizens (for local, state and Federal office ballots) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (local, state and Federal offices). To register to vote and request an absentee ballot, you must complete the FPCA and return it to the county registrar so that it arrives not later than 30 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the county registrar any time before the election. However, if you wait until later than 20 days before the election to send your FPCA, you may not receive your ballot in time to vote it and return it on time. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 5 p.m. the day before the election. Local election officials mail out absentee ballots approximately 45 days before an election, or as soon as they are printed. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: Must be sworn to before a commissioned officer, non-commissioned officer, petty officer or other person authorized to administer oaths. Ballot Return Envelope: The affidavit on the absentee ballot return envelope must be sworn to before a commissioned officer, non-commissioned officer, petty officer or other person authorized to administer oaths. E. Electronic Transmission of FPCAs and Ballots  Mississippi allows you to send the FPCA by fax for voter registration and absentee ballot requests.  Mississippi allows you to receive the blank ballot by fax.  Mississippi allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of certain felonies or declared mentally incompetent by a court may not vote. B. Action on Registration Requests Notice of registration or denial is sent. C. Action If Registration Is Denied Persons denied registration should correct the problems noted in the denial. If a second denial is received, consult a legal assistance officer or civilian counsel. D. Where To Send It Mail the FPCA to the County Registrar, county of voting residence, as listed below: County County Seat Zip Code Alcorn PO Box 430, Corinth 38834 Amite PO Box 312, Liberty 39645 Attala 118 W Washington, Kosciusko 39090 Benton PO Box 262, Ashland 38603 Bolivar PO Box 670, Cleveland 38732 Calhoun PO Box 25, Pittsboro 38951 Carroll PO Box 6, Vaiden 39176 Chickasaw 1 Pinson Sq. Rd., Room 2, Houston 38851 Choctaw PO Box 34, Ackerman 39735 Claiborne PO Box 549, Port Gibson 39150 Clarke PO Box 216, Quitman 39355 Clay PO Box 364, West Point 39773 Coahoma PO Box 849, Clarksdale 38614 Copiah PO Box 467, Hazelhurst 39083 Covington PO Box 667, Collins 39428 DeSoto 2535 Hwy. 51 S, Hernando 38632 Forrest PO Drawer 992, Hattiesburg 39403 Franklin PO Box 267, Meadville 39653 George 355 Cox Street, #C, Lucedale 39452 Greene PO Box 310, Leakesville 39451 Grenada PO Box 1517, Grenada 38902 Hancock PO Box 249, Bay Saint Louis 39520 Harrison PO Box 998, Gulfport 39502 Hinds PO Box 327, Jackson 39205 Holmes PO Box 718, Lexington 39095 Humphreys PO Box 696, Belzoni 39038 Issaquena PO Box 27, Mayersville 39113 Itawamba 201 W. Main Street, Fulton 38843 Jackson PO Box 998, Pascagoula 39568 Jasper PO Box 447, Bay Springs 39422 Jefferson PO Box 305, Fayette 39069 Jefferson Davis PO Box 1082, Prentiss 39474 Jones PO Box 1336, Laurel 39441 Kemper PO Box 130, De Kalb 39328 Lafayette County Courthouse, Oxford 38655 Lamar PO Box 369, Purvis 39475 Lauderdale PO Box 1005, Meridian 39302 Lawrence PO Box 1249, Monticello 39654 Leake PO Box 67, Carthage 39051 Lee PO Box 762, Tupelo 38802 Leflore PO Box 1953, Greenwood 38935 Lincoln PO Box 357, Brookhaven 39601 Lowndes PO Box 31, Columbus 39703 Madison PO Box 1626, Canton 39046 Marion 250 Broad Street, #1, Columbia 39429 Marshall PO Box 459, Holly Springs 38635 Monroe PO Box 843, Aberdeen 39730 Montgomery PO Box 765, Winona 38967 Neshoba 401 E. Beacon, Philadelphia 39350 Newton PO Box 447, Decatur 39327 Noxubee PO Box 431, Macon 39341 Oktibbeha 101 E Main Street, Starkville 39759 Panola PO Box 346, Batesville 38606 Pearl River 200 S. Main, Poplarville 39470 Perry PO Box 198, New Augusta 39462 Pike PO Drawer 31, Magnolia 39652 Pontotoc PO Box 428, Pontotoc 38863 Prentiss PO Box 727, Booneville 38829 Quitman 230 Chesnut Street, Marks 38646 Rankin PO Box 1599, Brandon 39043 Scott PO Box 371, Forest 39074 Sharkey PO Box 218, Rolling Fork 39159 Simpson PO Box 307, Mendenhall 39114 Smith PO Box 517, Raleigh 39153 Stone 323 Cavers Avenue, Wiggins 39577 Sunflower PO Box 576, Indianola 38751 Tallahatchie PO Box 86, Charleston 38921 Tate 201 Ward Street, Senatobia 38668 Tippah Courthouse, Ripley 38663 Tishomingo 1008 Battleground Drive, Iuka 38852 Tunica PO Box 184, Tunica 38676 Union PO Box 298, New Albany 38652 Walthall 200 Ball Avenue, Tylertown 39667 Warren PO Box 351, Vicksburg 39181 Washington PO Box 1276, Greenville 38702 Wayne PO Box 428, Waynesboro 39367 Webster PO Box 308, Walthall 39771 Wilkinson PO Box 327, Woodville 39669 Winston PO Box 785, Louisville 39339 Yalobusha PO Box 1431, Water Valley 38965 Yazoo PO Box 108, Yazoo City 39194 ==================================== MONTANA The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below before completing and signing your application. FEDERAL POST CARD APPLICATION REGISTRATION AND ABSENTEE BALLOT REQUEST - FEDERAL POST CARD APPLICATION (FPCA) Application For State Of_________ (Required field). County Of________ (Required field). City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. APPLICANT INFORMATION: a. Typed or Printed Name (Last, First, Middle Initial) (Required field) b. Sex. c. Race. d. Date of Birth. MM/DD/YY (Month, Day, Year) (Required field). e. Social Security Number. f. Other Identification Number (passport, ID card) 2. I LAST VOTED OR PLACE OF LAST REGISTRATION: (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. b. County, City, or Township. (Required field) c. State. (Required field) d. Voter Registration Number(if known). 3. VOTING RESIDENCE: (For military: legal residence. For overseas civilians: last residence in U.S. If Using Rural Route: Provide the complete street address of your Montana voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box). (Required field) c. City, Town or Village. (Required field) d. State. (Required field) e. County or Parish. (Required field) f. Zip Code (9 digit, if known). (Required field) 4. MAIL ABSENTEE BALLOT TO: (Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3.) (Required field) 5. YOUR FAX NUMBER: (If this application is faxed, include all international prefixes.) 6. POLITICAL PARTY AFFILIATION: (This information is required by most states to send you a ballot for primary elections.) 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d (Required field). Read e through h.) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. (You must sign and date the FPCA. When signing, you are swearing or affirming the information is true and correct.) (Required field) j. Date MM/DD/YY (Month, Day, Year) (Required field) 9. WITNESS/NOTARY ADDRESS AND SIGNATURE: (Not required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Montana and members of the U.S. Armed Forces, merchant marine, and religious groups or welfare agencies assisting and officially attached to the Armed Forces, their spouses and dependents. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general elections in a calendar year. However, you must submit a separate FPCA for special elections (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA or Federal Write-In Absentee Ballot (FWAB) to the local county election administrator so that it arrives not later than 30 days before the election. You may only use the FWAB if you are outside the U.S. If you are unable to meet the 30 day deadline, you may submit a FPCA so that it is received by noon on the day before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the county election administrator during the period beginning 75 days before the election; it must be received by noon on the day before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by 8:00 p.m. on election day. Local election officials mail absentee ballots approximately 45 days before elections for Federal office. For other elections, ballots are mailed approximately 20 days before the election. If you did not receive your state ballot in a timely manner, see instructions in Chapter 2, page 12, for use of the Federal Write-In Absentee Ballot. See also the special Montana provisions in Paragraph F., Section III. below. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Montana allows you to send the FPCA and FWAB for registration and absentee ballot by fax. After faxing, submit the form by mail. 2. Montana allows you to receive the blank ballot by fax. 3. Montana allows you to return the voted ballot by fax. Only the following Montana counties currently have facilities for voting via fax: Big Horn, Cascade, Custer, Flathead, Jefferson, Lincoln, McCone, Prairie, Ravalli, Rosebud, Stillwater and Toole. Residents of other Montana counties must use the mail. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens and residents of Montana, and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Montana. 1. Montana residents temporarily residing outside the U.S. (for local, state and Federal office ballots) 2. overseas electors (for local, state and Federal office ballots) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general elections in a calendar year. However, you must submit a separate FPCA for special elections (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA or Federal Write-In Absentee Ballot (FWAB) to the local county election administrator so that it arrives not later than 30 days before the election. If you are unable to meet the 30 day deadline, you may submit a FPCA so that it is received by noon on the day before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the county election administrator during the period beginning 75 days before the election; it must be received by noon on the day before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by 8:00 p.m. on election day. Local election officials mail absentee ballots approximately 45 days before elections for Federal office. For other elections, ballots are mailed approximately 20 days before the election. If you did not receive your state ballot in a timely manner, see instructions in Chapter 2, page 12, for use of the Federal Write-In Absentee Ballot. See also the special Montana provisions in Paragraph F., Section III. below. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Montana allows you to send the FPCA and FWAB for registration and absentee ballot by fax. After faxing, submit the form by mail. 2. Montana allows you to receive the blank ballot by fax. 3. Montana allows you to return the voted ballot by fax. Only the following Montana counties currently have facilities for voting via fax: Big Horn, Cascade, Custer, Flathead, Jefferson, Lincoln, McCone, Prairie, Ravalli, Rosebud, Stillwater and Toole. Residents of other Montana counties must use the mail. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Late Registration Honorably discharged military personnel and citizens terminated from employment outside the territorial limits of the U.S. following the close of the registration period for the upcoming election are still entitled to register up to noon on the day before the election. B. Bars to Registration and Voting Persons currently incarcerated for a felony or found to be of unsound mind, as determined by a court, may not vote. C. Cancellation of Registration Registration is canceled if the voter fails to respond to certain confirmation mailings and fails to vote in two consecutive elections for Federal office. D. Action on Registration Requests Notice of registration or denial is sent. E. Action If Registration Is Denied No provision exists for appeal of a denial of registration. If denial occurs, consult a legal assistance officer or civilian counsel. F. Federal Write-in Absentee Ballot If you are overseas, and fear you may not receive your ballot in time to vote and return it, you may vote the Federal Write-In Absentee Ballot (FWAB). It must be received by 8 p.m. on election day. The FWAB will be counted if your request for a regular absentee ballot was received not later than 30 days before the election. If you receive the regular ballot after returning the voted FWAB, you may also vote and return the regular ballot. If both ballots are received by 8 p.m. on election day, the regular ballot will be counted. The instructions in Chapter 2 still apply for the FWAB except that the voter does not have to wait until he/she determines that the regular ballot will not be received (condition 3) to use the FWAB. G. Where To Send It Mail the FPCA to the County Election Administrator, county of voting residence, as listed below: County County Seat Zip Code Beaverhead Dillon 59725-2799 Big Horn Hardin 59034-0608 Blaine Chinook 59523-0278 Broadwater Townsend 59644-2397 Carbon Red Lodge 59068-0887 Carter Ekalaka 59324-0315 Cascade Great Falls 59403-2305 Chouteau Fort Benton 59442-0459 Custer Miles City 59301-3496 Daniels Scobey 59263-0247 Dawson Glendive 59330-1694 Deer Lodge Anaconda 59711-2999 Fallon Baker 59313-0846 Fergus Lewistown 59457-2598 Flathead Kalispell 59901-5400 Gallatin Bozeman 59715-4574 Garfield Jordan 59337-0007 Glacier Cut Bank 59427-3075 Golden Valley Ryegate 59074-0010 Granite Philipsburg 59858-0736 Hill Havre 59501-3999 Jefferson Boulder 59632-0249 Judith Basin Stanford 59479-0485 Lake Polson 59860-2174 Lewis and Clark Helena 59624-1721 Liberty Chester 59522-0459 Lincoln Libby 59923-1941 Madison Virginia City 59755-0366 McCone Circle 59215-0199 Meagher White Sulphur Springs 59645-0309 Mineral Superior 59872-0550 Missoula Missoula 59801-4292 Musselshell Roundup 59072-2498 Park Livingston 59047-1037 Petroleum Winnett 59087-0226 Phillips Malta 59538-0646 Pondera Conrad 59425-2383 Powder River Broadus 59317-0338 Powell Deer Lodge 59722-1084 Prairie Terry 59349-0125 Ravalli Hamilton 59840-5002 Richland Sidney 59270-4087 Roosevelt Wolf Point 59201-1600 Rosebud Forsyth 59327-3072 Sanders Thompson Falls 59873-0249 Sheridan Plentywood 59254-1699 Silver Bow Butte 59701-9256 Stillwater Columbus 59019-0147 Sweet Grass Big Timber 59011-0460 Teton Choteau 59422-0610 Toole Shelby 59474-1990 Treasure Hysham 59038-0392 Valley Glasgow 59230-0311 Wheatland Harlowton 59036-0903 Wibaux Wibaux 59353-0207 Yellowstone Billings 59107-5002 ======================== NEBRASKA The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below before completing and signing your application. FEDERAL POST CARD APPLICATION REGISTRATION AND ABSENTEE BALLOT REQUEST - FEDERAL POST CARD APPLICATION (FPCA) Application For State Of_________ (Required field). County Of________ (Required field). City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. APPLICANT INFORMATION: a. Typed or Printed Name (Last, First, Middle Initial) (Required field) b. Sex. c. Race. d. Date of Birth. MM/DD/YY (Month, Day, Year) (Required field). e. Social Security Number. f. Other Identification Number (passport, ID card) 2. I LAST VOTED OR PLACE OF LAST REGISTRATION: (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. (Required field) b. County, City, or Township. (Required field) c. State. (Required field) d. Voter Registration Number(if known). 3. VOTING RESIDENCE: (For military: legal residence. For overseas civilians: last residence in U.S. If Using Rural Route: Provide the complete street address of your Nebraska voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box). (Required field) c. City, Town or Village. (Required field) d. State. (Required field) e. County or Parish. (Required field) f. Zip Code (9 digit, if known). (Required field) 4. MAIL ABSENTEE BALLOT TO: (Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3.) (Required field) 5. YOUR FAX NUMBER: (If this application is faxed, include all international prefixes.) 6. POLITICAL PARTY AFFILIATION: (You must write the name of your political party affiliation (Democrat, Republican or Libertarian) or write "none" in Item 6 of the FPCA. In Nebraska, Independents (non-partisan registrants) may vote the non-partisan ballot and may also vote in the partisan primary for U.S. Congress and U.S. Senate. An Independent voter may select one recognized party ballot for these two offices. They may not vote in other partisan races. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation, or you are registered as nonpartisan and want to vote in a partisan primary election, you must submit a completed FPCA which includes your new party preference to the local election official not later than the second Friday before the election.) 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote. If you are a married woman who has assumed her husband's surname, write your maiden name here.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d (Required field). Read e through h.) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. (You must sign and date the FPCA. When signing, you are swearing or affirming the information is true and correct.) (Required field) j. Date MM/DD/YY (Month, Day, Year) (Required field) 9. WITNESS/NOTARY ADDRESS AND SIGNATURE: (Not required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Nebraska and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA or other written application to request ballots for both the primary election and general election in a calendar year, if you indicate such a request on the FPCA or in the written application (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA to the county clerk or election commissioner so that it arrives not later than 6:00 p.m. on the second Friday (11 days) before the election. To register and request an absentee ballot if you do not have access to an FPCA, apply in writing for a state registration form and an absentee ballot. You must include your full name, your address in your county of legal voting residence (not where you live currently), type of election (primary/general), political party (Democrat, Republican, Libertarian, Non-partisan) and you must sign the request. Submit this request early enough to request, receive, complete and return the state registration form to the county clerk or election commissioner so that it arrives not later than 6:00 p.m. on the second Friday (11 days) before the election. If you are already registered and wish only to request an absentee ballot, send a completed FPCA or written request to the county clerk or election commissioner so that it arrives not later than the Friday (4 days) before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 10:00 a.m. on the second day following the election. If your FPCA, written request or state registration form is received after 6:00 p.m. on the second Friday (11 days) before the election, it will be held until after the election. At that time, your documents will be processed, you will be registered, and a ballot will be issued to you for the next election. Local election officials mail absentee ballots to persons outside the U.S. approximately 45 days before an election, and to persons within the U.S. 35 days before an election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Nebraska allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. Nebraska does not allow you to receive the blank ballot by fax. 3. Nebraska does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Agent Your spouse, parent, son, daughter or any other person acting as an agent on your behalf may apply for an absentee ballot for you. G. Special Write-in Absentee Ballot A state special write-in ballot is available if you are a member of the U.S. Armed Forces residing outside the territorial limits of the U.S. Use the FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G. If no labels are available, write in Item 7: ""I am outside the territorial limits of the U.S. I request a special write-in absentee ballot." The state special write-in ballot is available 57 days before the election. Vote it by writing in the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Nebraska and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Nebraska. These procedures apply to persons who will be 18 years old by the first Tuesday following the first Monday in November (the general election). 1. residents of Nebraska temporarily residing outside the U.S. (for local, state and Federal office ballots) 2. overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA or other written application to request ballots for both the primary election and general election in a calendar year, if you indicate such a request on the FPCA or in the written application. To register and request an absentee ballot, send a completed FPCA to the county clerk or election commissioner so that it arrives not later than 6:00 p.m. on the second Friday (11 days) before the election. To register and request an absentee ballot if you do not have access to an FPCA, apply in writing for a state registration form and an absentee ballot. You must include your full name, your address in your county of legal voting residence (not where you live currently), type of election (primary/general), political party (Democrat, Republican, Libertarian, Non-partisan) and you must sign the request. Submit this request early enough to request, receive, complete and return the state registration form to the county clerk or election commissioner so that it arrives not later than 6:00 p.m. on the second Friday (11 days) before the election. If you are already registered and wish only to request an absentee ballot, send a completed FPCA or written request to the county clerk or election commissioner so that it arrives not later than the Friday (4 days) before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 10:00 a.m. on the second day following the election. If your FPCA, written request or state registration form is received after 6:00 p.m. on the second Friday (11 days) before the election, it will be held until after the election. At that time, your documents will be processed, you will be registered, and a ballot will be issued to you for the next election. Local election officials mail absentee ballots to persons outside the U.S. approximately 45 days before an election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Nebraska allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. Nebraska does not allow you to receive the blank ballot by fax. 3. Nebraska does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Agent Your spouse, parent, son, daughter or any other person acting as an agent on your behalf may apply for an absentee ballot for you. G. Special Write-in Absentee Ballot A state special write-in ballot is available if you are a Nebraska resident residing outside the territorial limits of the U.S. Use the FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G. If no labels are available, write in Item 7: "I am outside the territorial limits of the U.S. I request a special write-in absentee ballot." The state special write-in ballot is available 57 days before the election. Vote it by writing in the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of a felony (unless civil rights restored), and persons declared mentally incompetent, may not register or vote. B. Cancellation of Registration Change of residence outside the county or state cancels registration. Re-registration is required. Change of name requires an update of information prior to voting but does not cancel registration. C. Action on Registration Requests An acknowledgment of registration application status (whether accepted or rejected, and if rejected, reasons for rejection) is sent to the applicant. D. Action If Registration Is Denied If registration is denied, consult a legal assistance officer or civilian counsel. E. Late Registration Any member of the Armed Forces, merchant marine or any civilian citizen who was discharged from overseas Federal service or employment too late to meet the regular state registration deadline, may register to vote by completing the necessary voter registration forms in the office of the Election Commissioner or County Clerk of his or her county of voting residence by noon on the day before the election. F. Where To Send It Mail the FPCA to the County Clerk, (or where noted by an asterisk, to the Election Commissioner) in your county of voting residence as listed below: County County Seat Zip Code Adams PO Box 2067, Hastings 68902-2067 Antelope Neligh 68756-1424 Arthur Arthur 69121-0126 Banner Harrisburg 69345-0067 Blaine Brewster 68821-0136 Boone Albion 68620-1247 Box Butte Alliance 69301-0678 Boyd Butte 68722-0028 Brown Ainsworth 69210-1647 Buffalo* PO Box 1270, Kearney 68848-1270 Burt Tekamah 68061-1096 Butler David City 68632-0289 Cass* Plattsmouth 68048-1957 Cedar Hartington 68739-0047 Chase Imperial 69033-1299 Cherry Valentine 69201-0120 Cheyenne Sidney 69162-0217 Clay Clay Center 68933-1499 Colfax Schuyler 68661-1987 Cuming West Point 68788-0290 Custer Broken Bow 68822-2099 Dakota Dakota City 68731-0038 Dawes Chadron 69337-2698 Dawson Lexington 68850-0370 Deuel Chappell 69129-0327 Dixon Ponca 68770-0546 Dodge Fremont 68025-4967 Douglas* 225 North 115th Street, Omaha 68154 Dundy Benkelman 69021-0506 Fillmore Geneva 69361-0307 Franklin Franklin 68939-0146 Frontier Stockville 69042-0040 Furnas Beaver City 68926-0387 Gage Beatrice 68310-0429 Garden Oshkosh 69154-0486 Garfield Burwell 68823-0218 Gosper Elwood 68937-0136 Grant Hyannis 69350-0139 Greeley Greeley 68842-0287 Hall* 121 South Pine Street, Grand Island 68801-6099 Hamilton Aurora 68818-2017 Harlan Alma 68920-0379 Hayes Hayes Center 69032-0370 Hitchcock Trenton 69044-0248 Holt O'Neil 68763-0329 Hooker Mullen 69152-0184 Howard Saint Paul 68873-0025 Jefferson Fairbury 68352-2536 Johnson Tecumseh 68450-0416 Kearney Minden 68959-0339 Keith Ogallala 69153-0149 Keya Paha Springview 68778-0349 Kimball Kimball 69145-1296 Knox Center 68724-0166 Lancaster* 601 North 46th Steet, Lincoln 68503-3720 Lincoln North Platte 69101-3997 Logan Stapleton 69163-0008 Loup Taylor 68879-0187 McPherson Tryon 69167-0122 Madison Madison 68748-0290 Merrick Central City 68826-0027 Morrill Bridgeport 69336-0610 Nance Fullerton 68638-0338 Nemaha Auburn 68305-2399 Nuckolls Nelson 68961-0366 Otoe Nebraska City 68410-0249 Pawnee Pawnee City 68420-0431 Perkins Grant 69140-0156 Phelps Holdrege 68949-0404 Pierce Pierce 68767-0218 Platte* 2610 14th Street, PO Box 513, Columbus 68602 Polk Osceola 68651-0276 Red Willow McCook 69001-3159 Richardson Falls City 68355-2091 Rock Bassett 68714-0367 Saline Wilber 68465-0865 Sarpy* 1261 Golden Gate Drive, Suite 6E, Papillion 68046 Saunders Wahoo 68066-0061 Scotts Bluff Gering 69341-2487 Seward Seward 68434-0190 Sheridan Rushville 69360-0039 Sherman Loup City 68853-0456 Sioux Harrison 69346-0158 Stanton Stanton 68779-0347 Thayer Hebron 68370-0208 Thomas Thedford 69166-0226 Thurston Pender 68047-0138 Valley Ord 68862-1499 Washington Blair 68008-0466 Wayne Wayne 68787-0248 Webster Red Cloud 68970-2399 Wheeler Bartlett 68622-0127 York York 68467-2997 *Mail to the Election Commissioner. ============================ North Carolina The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race. You are requested to fill out this box. This data is requested from some states by the Department of Justice in their enforcement of the Voting Rights Act and the National Voter Registration Act. Enter the choice that best describes you from the following list for both ethnicity and race. Choices for ethnicity are Hispanic or Latino-of any race (write HL) or Not Hispanic or Latino (write NH). Choices for race: White (W), Black or African American (B), American Indian or Alaska Native (I), Asian (A), Multi- racial (M), Other (O), or Undesignated (U). For example, a person with Hispanic ethnicity who is white would write "HLW" in the space provided. d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) Though optional, providing your Driver's License number in this blank would be helpful in processing your application. 2. I Last Voted or Place of Last Registration (Do not leave this section blank.) Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your North Carolina voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence. Please note that the local board of elections may make a reasonable investigation concerning your residence. Written verification of residency may be required. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) You must register with a party to vote in that party's primary unless that party allows unaffiliated voters to vote in its primary. If you indicate a political party that is not a qualified party, or indicate no party, you will be listed as "Unaffiliated". You must write the name of your political party affiliation (Example: Democratic, Republican, Libertarian or other qualified party), "Unaffiliated", or "None" in Item 6 of the FPCA. Political party choice is not required if only requesting absentee ballots for general elections. To change or declare your political party choice, you must complete this section and return the FPCA at least 25 days before the election. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of North Carolina and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections within a calendar year (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA or written request to the county board of elections any time before the election. To request an absentee ballot, send a completed FPCA to the local board of elections any time before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 5:00 p.m. on the day before the election. Absentee ballots are available 50 days before an election. If you are outside the U.S. and have received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No notary or witness required. Ballot Return Envelope: The certificate on the ballot return envelope must be witnessed by two persons 18 years of age or older. Witnesses must provide their signatures and addresses. E. Electronic Transmission of FPCAs and Ballots  North Carolina allows you to send the FPCA for registration and absentee ballot request by fax. After faxing, submit the FPCA by mail.  North Carolina allows you to receive the blank ballot by fax.  North Carolina allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of North Carolina and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in North Carolina. The following people are eligible to register absentee:  civilians attached to and serving with the U.S. Armed Forces outside the U.S. (for local, state and Federal office ballots)  members of the Peace Corps (for local, state and Federal office ballots) The following people are not eligible to register absentee and must register prior to departure from the U.S. in order to receive a ballot for local, state and Federal offices. Otherwise, follow applicable procedures below to receive an affidavit-application and a ballot for Federal offices only:  North Carolina residents temporarily outside the U.S. who are unaffiliated with the U.S. government  overseas citizens B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections within a calendar year. If you are eligible to register absentee, you may register and request an absentee ballot by sending a completed FPCA or written request to the county board of elections. If you are eligible to register absentee and only wish to request an absentee ballot, send a completed FPCA to the county board of elections any time before the election, indicating your request for an absentee ballot. If you are not eligible to register absentee, send your completed FPCA to the county board of elections so that it arrives not earlier than 50 days before the election and not later than 5:00 p.m. on the Tuesday before the election. If you had registered prior to your departure from North Carolina, local election officials will send you a ballot for local, state and Federal offices. If you did not register prior to your departure from North Carolina, local election officials will send you an affidavit-application to be completed and returned with the ballot for Federal offices. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 5:00 p.m. on the day before the election. Absentee ballots are available 50 days before an election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements FPCA/Affidavit-Application: No notary or witness required. Ballot Return Envelope: The certificate on the ballot return envelope must be witnessed by two persons 18 years of age or older. Witnesses must provide their signatures and addresses. E. Electronic Transmission of FPCAs and Ballots  North Carolina allows you to send the FPCA for registration and absentee ballot request by fax. After faxing, submit the FPCA by mail.  North Carolina allows you to receive the blank ballot by fax.  North Carolina allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. Uniformed Services & Civilians Outside U.S. A. Late Registration Any member of the Uniformed Services who is qualified to vote absentee and returns to North Carolina after the registration records have closed, may still register and vote in person up to and including election day. B. Bars to Registration and Voting A person convicted of a felony may not register to vote, unless that person is restored to the rights of citizenship. A person is automatically restored to the rights of citizenship upon unconditional discharge from prison, probation, or parole. C. Cancellation of Registration Any person who fails to respond to confirmation mailings and who fails to contact the county board of elections office through the next two consecutive general elections for Federal office following the date of the mailing may be removed from the registration rolls. D. Action on Registration Requests Notice of registration or denial is sent. E. Action If Registration Is Denied If registration is denied, provide the information requested in the notice of denial. If a second denial is received, consult a legal assistance officer or civilian counsel. F. Where To Send It Mail the FPCA to the County Board of Elections, county of voting residence, as listed below: County County Seat Zip Code Alamance 206 W. Elm Street, Graham 27253 Alexander PO Box 326, Taylorsville 28681 Alleghany PO Box 65, Sparta 28675 Anson PO Box 768, Wadesboro 28170 Ashe PO Box 276, Jefferson 28640 Avery PO Box 145, Newland 28657 Beaufort PO Box 1016, Washington 27889 Bertie PO Box 312, Windsor 27983 Bladen PO Box 512, Elizabethtown 28337 Brunswick PO Box 2, Bolivia 28422 Buncombe PO Box 7468, Asheville 28802 Burke PO Box 798, Morganton 28680-0798 Cabarrus PO Box 1315, Concord 28026-1315 Caldwell PO Box 564, Lenoir 28645 Camden PO Box 206, Camden 27921 Carteret 1724-A Life Oak Street, Beaufort 28516-1898 Caswell PO Box 698, Yanceyville 27379 Catawba PO Box 132, Newton 28658-0389 Chatham PO Box 111, Pittsboro 27312 Cherokee PO Box 816, Murphy 28906 Chowan PO Box 133, Edenton 27932 Clay PO Box 687, Hayesville 28904 Cleveland PO Box 1299, Shelby 28151-1299 Columbus PO Box 37, Whiteville 28472 Craven 406 Craven Street, New Bern 28560 Cumberland PO Box 1829, Fayetteville 283029 Currituck PO Box 177, Currituck 27929 Dare PO Box 1000, Manteo 27954 Davidson PO Box 1084, Lexington 27293-1084 Davie 140 S. Main St., Room 103, Mocksville 27028-2412 Duplin PO Box 975, Kenansville 28349 Durham PO Box 868, Durham 27702 Edgecombe PO Box 10, Tarboro 27886 Forsyth 680 W. Fourth Street, Winston Salem 27101-2730 Franklin PO Box 180, Louisburg 27549 Gaston PO Box 1396, Gastonia 28053 Gates PO Box 621, Gatesville 27938 Graham PO Box 1239, Robbinsville 28771 Granville PO Box 83, Oxford 27565 Greene PO Box 583, Snow Hill 28580-0583 Guilford PO Box 3427, Greensboro 27402 Halifax PO Box 101, Halifax 27839 Harnett PO Box 356, Lillington 27546 Haywood 1233 N. Main St., Annex II, Waynesville 28786 Henderson PO Box 2090, Hendersonville 28793 Hertford PO Box 416, Winton 27986 Hoke PO Box 1565, Raeford 28376 Hyde PO Box 152, Swanquarter 27885 Iredell 117 Court St., B-1, Statesville 28677 Jackson 401 Grindstaff Cove Road, Sylva 28779 Johnston PO Box 1172, Smithfield 27577 Jones PO Box 263, Trenton 28585 Lee PO Box 1443, Sanford 27331-1443 Lenoir PO Box 3503, Kinston 28502 Lincoln 115 W. Main St., Room 201, Lincolnton 28092 Macon 5 West Main Street, Franklin 28734 Madison PO Box 142, Marshall 28753 Martin PO Box 801, Williamston 27892 McDowell PO Box 1509, Marion 28752 Mecklenburg PO Box 31788, Charlotte 28231-1788 Mitchell PO Box 381, Bakersville 28705 Montgomery PO Box 607, Troy 27371 Moore PO Box 787, Carthage 28327 Nash PO Box 305, Nashville 27856 New Hanover 24 N. Third St., Rm. 101, Wilmington 28401 Northampton PO Box 603, Jackson 27845 Onslow 521 Mill Avenue, Jacksonville 28540 Orange PO Box 220, Hillsborough 27278 Pamlico PO Box 464, Bayboro 28515 Pasquotank PO Box 28, Elizabeth City 27907-0028 Pender PO Box 1232, Burgaw 28425 Perquimans PO Box 336, Hartford 27944 Person 304 S. Morgan St., Rm. 150, Roxboro 27573 Pitt PO Drawer 56, Greenville 27835-0056 Polk PO Box 253, Columbus 28722 Randolph Shaw Bldg., 158 Worth St., Asheboro 27203 Richmond PO Box 1843, Rockingham 28379 Robeson PO Box 2159, Lumberton 28359 Rockingham PO Box 208, Wentworth 27375-0208 Rowan 130 W. Innes Street, Salisbury 28144 Rutherford PO Box 927, Rutherfordton 28139 Sampson PO Box 33, Clinton 28329 Scotland 231 E. Cronly St., Ste. 305, Laurinburg 28352 Stanly 201 S. Second St., Rm. 302, Albemarle 28001 Stokes PO Box 34, Danbury 27016 Surry PO Box 372, Dobson 27017 Swain PO Box 133, Bryson City 28713 Transylvania PO Drawer 868, Brevard 28712 Tyrrell PO Box 449, Columbia 27925 Union PO Box 1106, Monroe 28111-1106 Vance 300 S. Garnett Street, Henderson 27536 Wake PO Box 695, Raleigh 27602-0695 Warren PO Box 803, Warrenton 27589 Washington PO Box 1007, Plymouth 27962-1007 Watauga PO Box 528, Boone 28607 Wayne PO Box 1240, Goldsboro 27533 Wilkes 110 North Street, Rm. 315, Wilkesboro 28697 Wilson PO Box 2121, Wilson 27894-2121 Yadkin PO Box 877, Yadkinville 27055 Yancey PO Box 763, Burnsville 28714 ========================= North Dakota The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration. Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S. Provide the complete street address of your North Dakota voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections. See instructions.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of North Dakota and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections within a calendar year (for local, state and Federal offices). North Dakota has no voter registration. To request an absentee ballot, the county auditor must receive your FPCA at any time in an election year. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county auditor before the county canvassing board meets which is usually 3 days after the election and as many as 6 days after the election. Postmark your voted ballot before election day. Local election officials mail ballots approximately 40 days before the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  North Dakota allows you to send the FPCA for ballot request by fax. After faxing, submit the FPCA by mail.  North Dakota allows you to receive the blank ballot by fax.  North Dakota allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Agent Any person acting as an agent on your behalf may request an application for an absentee ballot for you. The request can be made by telephone or in person at the county auditor's office. G. Special Write-in Absentee Ballot North Dakota provides a state special write-in absentee ballot available before an election if you will be unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in extremely remote areas of the world. The FPCA may be used to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.C. If no labels are available, write in Item 7: "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in extremely remote areas of the world. I request a special write-in absentee ballot." The state special write-in ballot may be requested at any time before the election. It may be used to vote for presidential electors, members of the U.S. Senate and members of the U.S. House of Representatives. Vote it by writing in a party preference for each office, the names of specific candidates for each office or the name of the person whom you prefer for each office. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of North Dakota and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in North Dakota.  residents of North Dakota temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections within a calendar year. North Dakota has no voter registration. To request an absentee ballot, the county auditor must receive your FPCA at any time in an election year. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county auditor before the county canvassing board meets which is usually 3 days after the election and as many as 6 days after the election. Postmark your voted ballot before election day. Local election officials mail ballots approximately 40 days before the election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  North Dakota allows you to send the FPCA for ballot request by fax. After faxing, submit the FPCA by mail.  North Dakota allows you to receive the blank ballot by fax.  North Dakota allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Agent Any person acting as an agent on your behalf may request an application for an absentee ballot for you. The request can be made by telephone or in person at the county auditor's office. G. Special Write-in Absentee Ballot North Dakota provides a state special write-in absentee ballot available before an election if you will be unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in extremely remote areas of the world. The FPCA may be used to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.C. If no labels are available, write in Item 7: "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in extremely remote areas of the world. I request a special write-in absentee ballot." The state special write-in ballot may be requested at any time before the election. It may be used to vote for presidential electors, members of the U.S. Senate and members of the U.S. House of Representatives. Vote it by writing in a party preference for each office, the names of specific candidates for each office or the name of the person whom you prefer for each office. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of treason or another felony (unless civil rights are restored) or found mentally incompetent by a court or other authority having jurisdiction (unless order is rescinded) may not vote. B. Where To Send It Mail the FPCA to the County Auditor, county of voting residence, as listed below: County County Seat Zip Code Adams PO Box 589, Hettinger 58639-0589 Barnes 230 4th Street, NW, Valley City 58072-2947 Benson PO Box 206, Minnewaukan 58351-0206 Billings PO Box 168, Medora 58645-0168 Bottineau 314 W. 5th Street, Bottineau 58318-1204 Bowman PO Box 439, Bowman 58623-0439 Burke PO Box 310, Bowbells 58721-0310 Burleigh PO Box 5518, Bismarck 58506-5518 Cass PO Box 2806, Fargo 58108-2806 Cavalier 901 3rd Street, Langdon 58249-2457 Dickey PO Box 215, Ellendale 58436-0215 Divide PO Box 49, Crosby 58730-0049 Dunn PO Box 105, Manning 58642-0105 Eddy 524 Central Avenue, New Rockford 58356-1698 Emmons PO Box 129, Linton 58552-0128 Foster PO Box 104, Carrington 58421-0104 Golden Valley PO Box 67, Beach 58621-0067 Grand Forks PO Box 5726, Grand Forks 58206-5726 Grant PO Box 227, Carson 58529-0227 Griggs PO Box 511, Cooperstown 58425-0511 Hettinger PO Box 668, Mott 58646-0668 Kidder PO Box 167, Steele 58482-0167 LaMoure PO Box 128, LaMoure 58458-0128 Logan 301 Broadway, Napoleon 58561-7010 McHenry PO Box 147, Towner 58788-0147 McIntosh PO Box D, Ashley 58413-0019 McKenzie PO Box 543, Watford City 58854-0543 McLean PO Box 1108, Washburn 58577-1108 Mercer PO Box 39, Stanton 58571-0039 Morton 210 2nd Avenue, NW, Mandan 58554-3158 Mountrail PO Box 69, Stanley 58784-0069 Nelson PO Box 585, Lakota 58344-0585 Oliver PO Box 188, Center 58530-0188 Pembina 301 Dakota Street W 1, Cavalier 58220-4100 Pierce 240 SE 2nd Street, Suite 5, Rugby 58368-1897 Ramsey 524 4th Avenue, Unit 6, Devils Lake 58301-2490 Ransom PO Box 668, Lisbon 58054-0668 Renville PO Box 68, Mohall 58761-0068 Richland 418 2nd Avenue, N, Wahpeton 58075-4400 Rolette PO Box 939, Rolla 58367-0939 Sargent PO Box 177, Forman 58032-0177 Sheridan PO Box 439, McClusky 58463-0636 Sioux PO Box L, Fort Yates 58538-0529 Slope PO Box NN, Amidon 58620-0449 Stark PO Box 130, Dickinson 58602-0130 Steele PO Box 275, Finley 58230-0275 Stutsman 511 2nd Ave., SE, Jamestown 58401-4299 Towner PO Box 603, Cando 58324-0603 Traill PO Box 429, Hillsboro 58045-0429 Walsh 600 Cooper Avenue, Grafton 58237-1535 Ward 315 3rd Street, SE, Minot 58702-5005 Wells PO Box 37, Fessenden 58438-0037 Williams PO Box 2047, Williston 58802-2047 NORTH DAKOTA "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in extremely remote areas of the world. I request a special write-in absentee ballot." =========================== New Hampshire The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(Provide the complete street address of your New Hampshire voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence. C. Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3. ) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party and you now want to vote in a primary election, you must submit a completed FPCA which includes your new political party choice to be received by the local election official not later than 10 days before the election.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of New Hampshire and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administrations.  members of the U.S. Armed Forces or merchant marine and their accompanying spouses and dependents  civilian employees of the U.S. Government outside the U.S. and their accompanying spouses and dependents  members of religious or welfare groups attached to and serving with the Armed Forces outside the U.S. and their accompanying spouses and dependents B. Registering and Requesting an Absentee Ballot You may use one FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). New Hampshire waives your registration. To request an absentee ballot, the local city or town clerk must receive your FPCA at any time before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by 5 p.m. on election day. Local election officials mail ballots approximately 30 days before the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots New Hampshire does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. F. Special Write-in Absentee Ballot New Hampshire provides a state special write-in absentee ballot if you are unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in isolated areas outside the U.S. and Canada. Use an FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G. If no labels are available, write in Item 7: "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in isolated areas outside the U.S. and Canada. I request a special write-in absentee ballot." The special write-in ballot is available for the state primary no later than July 15. The special write-in ballot is available for the general election not later than the date of the state primary. Vote this ballot by writing in a party preference or the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. These procedures apply to persons who are U.S. citizens, residents of New Hampshire or Federal overseas voters. The term "Federal overseas voter" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in New Hampshire. A. Who Can Do It  New Hampshire residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  Federal overseas voters (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use one FPCA for all elections in a calendar year. If you are an unregistered New Hampshire resident temporarily residing outside the U.S., the local registrar of voters must receive your completed state absentee registration form not later than 10 days before the election. To obtain the state form:  Use the FPCA to request the state form.  Mark Item 8 b., on the FPCA.  In Item 7 write: "Please send an application for addition to the checklist." If you are an unregistered federal overseas voter, the local registrar of voters must receive your FPCA request for registration and an absentee ballot at anytime prior to election day. Remember to allow for sufficient mail transit time. Your name will be added to the registered voter checklist when the registrar of voters receives the affidavit accompanying the absentee ballot. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by 5 p.m. on election day. Local election officials mail ballots approximately 30 days before the election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: If you are an unregistered New Hampshire resident temporarily residing outside the U.S., the FPCA is used to request a state registration form. The FPCA is not notarized or witnessed. State Registration Form: Must be witnessed. Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots New Hampshire does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. F. Special Write-in Absentee Ballot New Hampshire provides a state special write-in absentee ballot for federal overseas voters who are unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in isolated areas outside the U.S. and Canada. Use an FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G. If no labels are available, write in Item 7: "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in isolated areas outside the U.S. and Canada. I request a special write-in absentee ballot." The special write-in ballot is available for the state primary no later than July 15. The special write-in ballot is available for the general election not later than the date of the state primary. Vote this ballot by writing in a party preference or the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Persons convicted of a felony may not register or vote until they have completed their sentences. B. Cancellation of Registration If you have not voted since 1999, or if you have a question about the validity of your registration, request an application for addition to the checklist as provided in Section II.B. (1) above. C. Action on Registration Requests Notice is sent only if a request is denied. D. Action If Registration Is Denied Persons denied registration may file a complaint in superior court. Consult a legal assistance officer or civilian counsel. E. Same Day Registration New Hampshire citizens who are in the state on the day of the election may register to vote at the polling place. They will be required to produce proof of qualifications and must sign an affidavit. They will then be allowed to vote at that election and be registered to vote at subsequent elections. F. Where To Send It Mail the FPCA to the Town or City Clerk of the town or city of voting residence. Send to City Clerk or Town Clerk of: City Mailing Address Zip Code Berlin City Hall-Main Street 03570 Claremont 58 Tremont Square 03743 Concord 41 Green Street 03301 Dover 288 Central Avenue 03820 Franklin 316 Central Street 03235 Keene 3 Washington Street 03431 Laconia P.O. Box 489 03246 Lebanon 51 N. Park Street 03766 Manchester 904 Elm Street 03101 Nashua City Hall 03061 Portsmouth P.O. Box 628 03802 Rochester 31 Wakefield Street 03867 Somersworth 157 Main Street 03878 Send to Town Clerk of: Town Zip Code Acworth Box 193 03061 Albany 1972 Rte 16 Ste B 03818 Alexandria 44 Perkins Hill Road 03222 Allenstown 16 School Street 03275 Alstead P.O. Box 65 03602 Alton P.O. Box 637 03809 Amherst P.O. Box 960 03031 Andover P.O. Box 61 03216 Antrim P.O. Box 517 03440 Ashland P.O. Box 517 03217 Atkinson 21 Academy Avenue 03811 Auburn P.O. Box 309 03032 Barnstead P.O. Box 11 03225 Barrington 41 Province Lane 03825 Bartlett RFD #1, Box 50, Intervale 03845 Bath P.O. Box 165 03740 Bedford 24 N. Amherst Road 03110 Belmont P.O. Box 310 03220 Bennington 7 School Street, Unit 101 03442 Benton 30 Ingersoll Road 03785 Bethlehem P.O. Box 189 03574 Boscawen 17 High Street 03303 Bow 10 Grandview Road 03304 Bradford P.O. Box 607 03221 Brentwood 1 Dalton Road 03833 Bridgewater PO Box 419 03264 Bristol 230 Lake Street 03222 Brookfield P.O. Box 756 03872 Brookline P.O. Box 336 03033 Campton 1307 NH Rte 175 03223 Canaan P.O. Box 38 03741 Candia 74 High Street 03034 Canterbury P.O. Box 500 03224 Carroll P.O. Box 88, Twin Mountain, NH 03595 Center Harbor P.O. Box 140 03226 Charlestown P.O. Box 834 03603 Chatham 1717 Main Road 03813 Chester P.O. Box 275 03036 Chesterfield P.O. Box 64 03443 Chichester 54 Main Street 03234 Clarksville RFD #1, Box 460, Pittsburg, NH 03592 Colebrook 10 Bridge Street 03576 Columbia PO Box 157, Colebrook 03576 Conway P.O. Box 70, Ctr. Conway, NH 03813 Cornish P.O. Box 183, Cornish Flat, NH 03746 Croydon 879 NH Rte 10 03773 Dalton 741 Dalton Road 03598 Danbury 4A High Street 03230 Danville P.O. Box 11 03819 Deerfield P.O. Box 159 03037 Deering 762 Deering Ctr Road 03244 Derry 48 East Broadway 03038 Dixville RFD 1, Dixville Notch 03576 Dorchester 368 N Dorchester Road 03266 Dublin Box 62 03444 Dummer 1420 East Side River Road 03588 Dunbarton 1011 School Street 03045 Durham 15 Newmarket Road 03824 East Kingston 24 Depot Road 03827 Easton 381 Easton Valley Road 03580 Eaton PO Box 118, Eaton Center 03832 Effingham P.O. Box 48, S Effingham 03882 Ellsworth RR 1 Box 1846, Campton 03223 Enfield P.O. Box 373 03748 Epping 157 Main Street 03042 Epsom P.O. Box 10 03234 Errol P.O. Box 100 03579 Exeter 10 Front Street 03833 Farmington 39 Main Street, Town Hall 03835 Fitzwilliam P.O. Box 504 03447 Francestown P.O. Box 67 03043 Franconia P.O. Box 900 03580 Franklin 316 Central Street 03235 Freedom P.O. Box 457 03836 Fremont P.O. Box 120 03044 Gilford 47 Cherry Valley Road 03249 Gilmanton P.O. Box 550 03237 Gilsum P.O. Box 36 03448 Goffstown 16 Main Street 03045 Gorham 20 Park Street 03581 Goshen P.O. Box 58 03752 Grafton P.O. Box 297 03240 Grantham P.O. Box 135 03753 Greenfield P.O. Box 16 03047 Greenland P.O. Box 100 03840 Greenville P.O. Box 354 03048 Groton HC 58, Box 580-1 03241 Hampstead P.O. Box 298 03841 Hampton 100 Winnachunnet Road 03842 Hampton Falls 1 Drinkwater Road, Town Hall 03844 Hancock P.O. Box 6 03449 Hanover P.O. Box 483 03755 Harrisville P.O. Box 284 03450 Harts Location 5 Forest Road 03812 Haverhill 2975 Dartmouth College Hwy No. Haverhill 03774 Hebron HC 58, Box 286, E. Hebron, NH 03232 Henniker 2 Depot Hill Road 03242 Hill P.O. Box 251 03242 Hillsborough P.O. Box 1699 03244 Hinsdale 27 Spring Street 03451 Holderness P.O. Box 203 03245 Hollis 7 Moument Square 03049 Hooksett 16 Main Street 03106 Hopkinton P.O. Box446 03229 Hudson 12 School Street 03051 Jackson P.O. Box 336 03846 Jaffrey 10 Goodnow Street 03452 Jefferson RR1, Box 162A 03583 Keen 3 Washington Street 03431 Kensington 95 Amesbury Road 03833 Kingston P.O. Box 657 03848 Lanconia PO Box 489 03246 Lancaster 25 Main Street 03584 Landaff PO Box 125 03585 Langdon RR 1, Box 122, Alstead 03602 Lebanon 51 North Park Street 03766 Lee 7 Mast Road 03824 Lempster P.O. Box 33 03605 Lincoln P.O. Box 39 03251 Lisbon 45 School Street 03585 Litchfield 2 Liberty Way Suite 3 03051 Littleton 26 Union Street 03561 Londonderry 50 Nashua Road, Suite 100 03053 Loudon P.O. Box 7837 03301 Lyman 65 Parker Hill 03585 Lyme P.O. Box 342 03768 Lyndeborough P.O. Box 164 03082 Madbury 13 Town Hall Road 03820 Madison P.O. Box 248 03849 Manchester 904 Elm Street 03101 Marlborough P.O. Box 425 03455 Marlow P.O. Box 184 03456 Mason 16 Darling Road 03048 Meredith 41 Main Street 03253 Merrimack P.O. Box 27 03054 Middleton 182 Kings Highway 03887 Milan P.O. Box 158 03588 Milford 1 Union Square 03055 Millsfield P.O. Box 48, Errol 03579 Milton P.O. Box 180 03851 Monroe 395 Harley View Drive 03771 Mont Vernon P.O. Box 444 03057 Moultonborough P.O. Box 15 03254 Nashua 229 Main Street 03061 Nelson HCR 33, Box 660 03457 New Boston P.O. Box 250 03070 New Castle P.O. Box 367 03854 New Durham P.O. Box 207 03855 New Hampton P.O. Box 538 03256 New Ipswich 661 Turnpike Road 03071 New London P.O. Box 314 03257 Newbury P.O. Box 253 03255 Newfields P.O. Box52 03856 Newington 205 Nimble Hill Road 03801 Newmarket 186 Main Street 03857 Newport 15 Sunapee Street 03773 Newton P.O. Box 375 03858 North Hampton P.O. Box 141 03862 Northfield 21 Summer Street 03276 Northumberland 2 State Street, Groveton, NH 03582 Northwood P.O. Box 314 03261 Nottingham P.O. Box 114 03290 Orange RR 2, Box 113, Eastman Road 03741 Orford RR 1Box 176 03777 Ossipee P.O. Box 67, Ctr. Ossipee 03814 Pelham 6 Main Street 03076 Pembroke 311 Pembroke Street 03275 Peterborough 1 Grove Street 03458 Piermont P.O. Box 27 03779 Pittsburg Spruce Lane 03592 Pittsfield P.O. Box 98 03263 Plainfield Box 380, Meriden, NH 03770 Plaistow 145 Main Street 03865 Plymouth 6 Post Office Square 03264 Portsmouth 1 Junkins Avenue 03801 Randolph RD 1, Box 1429 03570 Raymond 4 Epping Street 03077 Richmond 105 Old Homestead Hwy 03470 Rindge P.O. Box 11 03461 Rochester 31 Wakefield Street 03867 Rollinsford P.O. Box 309 03869 Roxbury 404 Branch Road 03431 Rumney PO Box 275 03266 Rye 10 Central Road 03870 Salem 33 Geremonty Dr. 03079 Salisbury PO Box 180 03268 Sanbornton P.O. Box 124 03269 Sandown P.O. Box 583 03873 Sandwich P.O. Box 194, Ctr. Sandwich, NH 03227 Seabrook P.O. Box 476 03874 Sharon 432 RT 123 03458 Shelburne 881 North Road 03581 Somersworth 157 Main Street 03878 South Hampton 3 Hilldale Avenue 03827 Springfield P.O. Box 22 03284 Stark 337 Percy Road 03582 Stewartstown PO Box 119 03597 Stoddard 2175 RT 9 03464 Stafford P.O. Box 169 03884 Stratford P.O. Box 386, N Stratford 03590 Stratham 10 Bunker Hill Avenue 03885 Sugar Hill P.O. Box 574 03585 Sullivan 522 South Road 03431 Sunapee P.O. Box 303 03782 Surry 358 Pond Road 03431 Sutton P.O. Box 554, South Sutton, NH 03273 Swanzey P.O. Box 10009 03446 Tamworth P.O. Box 279 03886 Temple P.O. Box 69 03084 Thornton PO Box1438, Campton 03223 Tilton 257 Main Street 03276 Troy P.O. Box 249 03465 Tuftonboro P.O. Box 98, 03816 Unity HCR 66, Box 176A 03773 Wakefield 2 High Street, Sanbornville, NH 03872 Walpole P.O. Box 756 03608 Warner P.O. Box 265 03278 Warren RR 1 Box 200B 03279 Washington P.O. Box 109 03280 Waterville Valley P.O. Box190 03215 Weare P.O. Box 190 03281 Webster 945 Battle Street 03303 Wentworth R1 Box 438, Rumney 03266 Westmoreland 108 Pierce Lane 03467 Whitefield 7 Jefferson Road 03598 Wilmot P.O. Box 94 03287 Wilton P.O. Box 83 03086 Winchester 1 Richmond Road 03470 Windham P.O. Box 120 03087 Windsor HC 68, Box 378, Hillsborough, NH 03244 Wolfeboro P.O. Box 1207 03894 Woodstock Box 156, N. Woodstock, NH 03262 NEW HAMPSHIRE "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in isolated areas outside the United States and Canada. I request a special write-in absentee ballot." ======================================== New Jersey The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(Provide the complete street address of your New Jersey voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections. See instructions.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of New Jersey and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). New Jersey accepts your FPCA for registration and absentee ballot requests. If you want an absentee ballot sent to you by airmail, the county clerk must receive your FPCA request not later than 30 days before the election. (See Section D. below for a later deadline if using electronic transmission.) If you are stationed overseas and want a ballot sent to you by fax, the county clerk must receive your FPCA request not later than 4 days before the election. (See Section D. below for more details.) C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county board of elections office by the close of polls on election day. County clerks mail absentee ballots as far as practicable, 40 days before the election. If you are outside the U.S. and have not received your ballot from the state in a timely manner, for a general election for Federal office, you may use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witness. E. Electronic Transmission of FPCAs and Ballots  If you are overseas, New Jersey allows you to send the FPCA request for an absentee ballot for Federal offices by fax. You must also submit the original FPCA by airmail to the appropriate county clerk.  If you are overseas, New Jersey allows you to receive the blank federal ballot by fax. If you wish to receive the blank ballot by fax, the county clerk must receive your FPCA not later than 4 days before the election.  If you are overseas, New Jersey allows you to return the voted ballot by fax, not later than 8 p.m. (EST) on election day. You must also submit the original ballot by airmail together with certification. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy Your friends or relatives may apply for an absentee ballot on your behalf by requesting an "Application by Relative or Friend of a Military Service Voter" form from your county clerk. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Who Can Do It The following procedures apply to persons who are U.S. citizens, residents of New Jersey and overseas Federal election voters. The term "overseas Federal election voter(s)" means a U.S. citizen who resides outside the U.S., and (but for such residence) would be qualified to vote in New Jersey.  civilians attached to the Armed Forces outside the U.S. and their spouses and dependents when residing with or accompanying them.  overseas Federal election voters. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections for Federal office in a calendar year. New Jersey accepts your FPCA for registration and voting purposes. If you want an absentee ballot sent to you by airmail, the county clerk must receive your FPCA request not later than 30 days before the election. If you are residing overseas and want an absentee ballot sent to you by fax, the county clerk must receive your FPCA request not later than 4 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county board of elections office by the close of polls on election day. County clerks mail absentee ballots, as far as practicable, 40 days before the election. If you have not received your ballot from the state in a timely manner, for general election for Federal office, you may use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  If you are overseas, New Jersey allows you to send the FPCA request for an absentee ballot for Federal offices by fax. You must also submit the original FPCA by airmail to the appropriate county clerk.  If you are overseas, New Jersey allows you to receive the blank federal ballot by fax. If you wish to receive the blank federal ballot by fax, the county clerk must receive your FPCA not later than 4 days before the election.  If you are overseas, New Jersey allows you to return the voted ballot by fax, no later than 8 p.m. (EST) on election day. You must also submit the original ballot by airmail. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Any person who has been declared to be mentally disqualified from voting, by a court of competent jurisdiction; or a person who is serving a sentence, is on probation or parole, as a result of a conviction for an indictable offense under the laws of this or another state or of the U.S., may not register to vote. B. Late Registration Discharged military personnel (including their spouses and dependents) and released civilians attached to or serving with the Armed Forces (including their spouses and dependents) who return to New Jersey too late to register on the last registration day before any election may still register and obtain an emergency voting form at the office of the county commissioner of registration, if individual was previously registered to vote in New Jersey. If individual was not previously registered to vote, he or she may obtain an emergency voting form upon presentation of his/her discharge or certification of service. C. Where To Send It If you are not currently registered to vote and are using the FPCA to register to vote and to request an absentee Ballot, or if you do not know the county of your former voting residence, mail your application to the state division of election at PO Box 304, Trenton, New Jersey 08625. The FPCA requesting an absentee ballot is to be mailed to the County Clerk of the count in which you were formally registered. County County Seat Zip Code Atlantic 5901 Main Street, Mays Landing 08330-1797 Bergen One Bergen Plaza, Room 122, Hackensack 07601 Burlington Court Complex, PO Box 6000, 49 Rancocas Road, Mount Holly 08060-1397 Camden Election Div., 6th St. Entrance, Suite 316 PO Box 150, Camden 08101-0150 Cape May 7 N. Main Street, PO Box 5000, Cape May Courthouse 08210-5000 Cumberland PO Box 716, 60 W. Broad St., Bridgeton 08302-2665 Essex 465 King Blvd, Room 247, Newark 07102-1795 Gloucester Ct.House, 1st Floor, PO Box 129, 1 North Broad St., Woodbury 08096-3327 Hudson 583 Newark Avenue Jersey City 07306-2018 Hunterdon 71 Main Street, Hall of Records, Flemington 08822-1495 Mercer Court House, PO Box 8068, 209 S. Broad Street, Trenton 08650-8068 Middlesex PO Box 1110, 75 Bayard St., 4th Fl. New Brunswick 08901-1110 Monmouth 300 Halls Mill Road, Freehold 07728-1254 Morris PO Box 315, Court Street, Morristown 07963-0315 Ocean PO Box 2191, Court House, Rm. 105 118 Washington St., Toms River 08754- 2191 Passaic 401 Grand Street, Paterson 07505 Salem 92 Market St., PO Box 18, Salem 08079-1913 Somerset PO Box 3000, 20 Grove St., Administration Building, Somerville 08876-1262 Sussex 4 Park Place, Newton 07860-1795 Union Court House, 1st Fl., Rom 115, 2 Broad Street, Elizabeth 07207-6099 Warren 413 Second Street, Court House, Belvidere 07823-1500 ==================== NEW MEXICO The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of NEW MEXICO County Of________. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (A. Do not leave blank. Enter N/A if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S. Provide the complete street address of your New Mexico voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.)(C. Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3.) 5. Your Fax Number 6. Political Party Affiliation (D.If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation, you must submit a completed FPCA which indicates your new political party affiliation so that the local election official receives it no later than 28 days before the election in which you wish to vote.) 7. Remarks 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (E. Check ONE box.) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant(F. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct.) j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICCES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of New Mexico and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You must submit a separate FPCA for each election (for local, state and Federal office ballots). New Mexico waives your registration. To request an absentee ballot, the local county clerk must receive your FPCA not later than the Thursday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office before the close of polls on election day. Local election officials mail ballots approximately 40 days before the primary election, 49 days before the general election, and 35 days before a special election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots New Mexico does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. These procedures apply to persons who are U.S. citizens, residents of New Mexico and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in New Mexico. A. Who Can Do It  New Mexico residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You must submit a separate FPCA for each election. New Mexico waives your registration. To request an absentee ballot the local county clerk must receive your FPCA not later than the Thursday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office before the close of polls on election day. Local election officials mail ballots approximately 40 days before the primary election, 49 days before the general election, and 35 days before a special election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots New Mexico does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons who have been convicted of a felony who have not been granted a pardon by the governor or have not served the entirety of their sentence, including a term of probation or parole, and those persons who have been judged mentally incompetent by a court of law may not register to vote. B. Where To Send It Mail the FPCA to the County Clerk, county of voting residence, as listed below: County County Seat Zip Code Bernalillo 1 Civic Plaza, NW, Albuquerque, NM 87102-2169 Catron Box 197, Reserve, NM 87830-0197 Chaves Box 580, Roswell, NM 88202-0580 Cibola 515 W. High, Grants, NM 87020-2526 Colfax Box 159, Raton, NM 87740-0159 Curry P.O. Box 1168, Clovis, NM 88102-1168 De Baca Box 347, Fort Sumner, NM 88119-0347 Dona Ana 251 W. Amador Avenue Las Cruces, NM 88005-2893 Eddy Box 850, Carlsbad, NM 88221-0850 Grant Box 898, Silver City, NM 88062-0898 Guadalupe 420 Parker Avenue, Santa Rosa, NM 88435-2361 Harding Box 1002, Mosquero, NM 87733-1002 Hidalgo 300 S. Shakespeare Street Lordsburg, NM 88045-1939 Lea Box 1507, Lovington, NM 88260-1507 Lincoln Box 338, Carrizozo, NM 88301-0338 Los Alamos P.O. Box 30, Los Alamos, NM 87544-0030 Luna P.O. Box 1838, Deming, NM 88031-1838 McKinley Box 1268, Gallup, NM 87301-1268 Mora Box 360, Mora, NM 87732-0360 Otero 1000 New York Avenue, Room 108 Alamogordo, NM 88310-6932 Quay Box 1225, Tucumcari, NM 88401-1225 Rio Arriba Box 158, Tierra Amarilla, NM 87575-0158 Roosevelt 101 West First Street, Portales, NM 88130-5901 Sandoval Box 40, Bernalillo, NM 87004-0040 San Juan Box 550, Aztec, NM 87410-0550 San Miguel 500 West National Ave. Las Vegas, NM 87701-3703 Santa Fe Box 1985, Santa Fe, NM 87504-1985 Sierra 311 Date Street, Tor C, NM 87901-2398 Socorro Box 1, Socorro, NM 87801-0001 Taos Box 676, Taos, NM 87571-0676 Torrance Box 48, Estancia, NM 87016-0048 Union Box 430, Clayton, NM 88415-0430 Valencia Box 969, Los Lunas, NM 87031-0969 ========================= Nevada The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (Provide your Social Security number, your Driver's License, or your number from your Identification Card issued by the Department of Motor Vehicles and Public Safety, or the number on any other Identification Card issued by an agency of the State of Nevada or the Federal Government which contains a unique number and a photograph or physical description. If you do not possess any of the above identification or do not wish to provide the number indicated on any of the above identification, the County Clerk will issue a unique identification number to you.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(Provide the complete street address of your Nevada voting residence. A post office box or rural route is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (If you do not list a party affiliation or if you affiliate with a minor party or as nonpartisan, you will receive a nonpartisan ballot. If you have left this block blank, you will be registered as nonpartisan. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party and you now want to vote in a primary election, you must submit a completed FPCA which includes your new political party affiliation so that the local election official receives it no later than 30 days before the election.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. These procedures apply to persons who are U.S. citizens, residents of Nevada and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for the primary and general election (for local, state and Federal offices). If you are an unregistered citizen, the local election official must receive your FPCA not later than 30 days before the election. If you are a registered citizen, the local election official must receive your FPCA not later than 5 p.m. the Tuesday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by 7 p.m. on election day. Local election officials prepare absentee ballots for distribution not later than 20 days before the election for voters who reside within the state and not later than 40 days before the election for voters who reside outside the state. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  If you are already registered and you live outside the continental U.S., Nevada allows you to send the FPCA application for absentee ballot request by fax. Your request must be received by 5:00 p.m. on the Tuesday before the election. After faxing, submit the FPCA by mail.  Nevada allows you to receive the absentee ballot by fax if you live outside the continental U.S.  Nevada does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. These procedures apply to persons who are U.S. citizens, residents of Nevada and overseas citizens. The term "overseas citizen(s)" means a U.S. citizen who resides outside the U.S., and (but for such residence) would be qualified to vote in Nevada. A. Who Can Do It  civilian employees of the U.S. Government outside Nevada and their spouses and dependents (for local, state and Federal office ballots)  members of religious or welfare groups officially attached to and serving with the Armed Forces (for local, state and Federal office ballots)  Nevada residents temporarily residing abroad (for local, state and Federal office ballots)  overseas electors (for local, state and Federal office ballots) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for the primary and general election. If you are an unregistered citizen, the local election official must receive your FPCA not later than 30 days before the election. If you are a registered citizen, the local election official must receive your FPCA not later than 5 p.m. the Tuesday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by 7 p.m. on election day. Local election officials prepare absentee ballots for distribution not later than 20 days before the election for voters who reside within the state and not later than 40 days before the election for voters who reside outside the state. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  If you are already registered and you live outside the continental U.S., Nevada allows you to send the FPCA application for absentee ballot request by fax. Your request must be received by 5:00 p.m. on the Tuesday before the election. After faxing, submit the FPCA by mail.  Nevada allows you to receive the absentee ballot by fax if you live outside the continental U.S.  Nevada does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Persons convicted of a felony, or declared insane or incompetent may not register or vote. B. Action on Registration Request Notice of denial is sent. C. Action If Registration Is Denied If registration is denied, consult a legal assistance officer or civilian counsel. D. Late Registration Members of the Armed Forces discharged within 60 days of an election may register in person in their county of voting residence upon return to that county. E. Where To Send It Mail the FPCA to the County Clerk, county of voting residence, as listed below: (In Clark and Washoe Counties, mail to Registrar of Voters): County County Seat Zip Code Carson City 805 E. Musser Street, Carson City 89701-4475 Churchill 155 N. Taylor Street, Suite 110, Fallon 89406-2748 Clark 500 S. Grand Central Parkway, Suite 1113 PO Box 551310, Las Vegas 89155- 1310 Douglas 1594 Esmeralda Street, PO Box 218, Minden 89423-0218 Elko 571 Idaho Street, 3rd Floor, County Courthouse, Elko 89801-3700 Esmeralda Corner of Crook & Euclid, PO Box 547, Goldfield 89013-0547 Eureka County Courthouse Main Street PO Box 677, Eureka 89316-0677 Humboldt 50 W. 5th Street #207, Winnemucca 89445-3199 Lander 315 S. Humboldt Street, Battle Mountain 89820-9998 Lincoln 1 North Main Street, PO Box 90, Pioche 89043-0090 Lyon 27 S. Main Street, Yerington 89447-0816 Mineral 105 S, "A" Street, Suite 1, PO Box 1450, Hawthorne 89415-1450 Nye 101 Radar Road, PO Box 1031, Tonopah 89049-1031 Pershing 400 Main Street, PO Box 820, Lovelock 89419-0820 Storey County Courthouse "B" Street, Drawer "D", Virginia City 89440-0139 Washoe 1001 E. Ninth Street, PO Box 11130, Reno 89520-0027 White Pine Courthouse Comples, 801 Clark Street Suite 4, Ely 89301-1994 ================= New York The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank. Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians,last residence in U.S. Provide the complete street address of your New York voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party and you now want to vote in a primary election, you must timely submit a completed FPCA, which includes your new political party affiliation, to the local election official. Please note that when changing parties, your new political party affiliation will not become effective until after the general election preceding the primary election of interest to you. For example, if a person voted in the 2000 Republican primary and wants to vote in the 2002 Democratic primary, the voter must return a change of political party choice postmarked not later than 25 days before the 2001 general election and received by the local board of elections not later than 20 days before the 2001 general election. Following the election, the change will be officially recorded. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of New York and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections within a calendar year (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA to the local board of elections so that it arrives not later than 25 days before the primary election and not later than 10 days before a general or special election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the local board of elections so that it arrives not later than 7 days before the election. C. Casting Your Vote Ballot Return Deadline: Return your voted ballot to the local board of elections. It must be postmarked by the day before the election and must arrive by the seventh day after the election. Ask the mail clerk to hand stamp the ballot envelope to ensure a date appears on the envelope. Local election officials mail out absentee ballots approximately 32 days before an election, with the following exceptions: ballots are sent out 12 days before special elections and 25 days before school board elections in New York City and Buffalo. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots New York does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. F. Application For Ballot By Proxy If you are outside the U.S., your spouse, parent, adult child, brother, sister or duly authorized agent may apply to the local board of elections for an absentee ballot on your behalf. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of New York and special Federal voters. The term "special Federal voter" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in New York.  New York residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  special Federal voters (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections within a calendar year. If you are a New York resident temporarily residing outside the U.S., register by sending a completed FPCA to the local board of elections early enough to request, receive, fill in and return the state mail registration form so that it is postmarked not later than 25 days before the election, and received by the local board of elections not later than 20 days before the election. Local election officials will send you an absentee ballot upon the timely return of the state mail registration form. If you are a registered New York resident temporarily residing outside the U.S., and only wish to request an absentee ballot, send a completed FPCA to the local board of elections so that it arrives not later than 7 days before the election. If you are an unregistered special Federal voter, register by submitting a completed FPCA to the local board of elections so that it arrives not later than 25 days before any election. If you are a registered special Federal voter, request an absentee ballot by sending a completed FPCA to the local board of elections so that it arrives not later than 7 days before the election. C. Casting Your Vote Ballot Return Deadline: Return your voted ballot to the local board of elections. It must be postmarked by the day before the election and must arrive by the seventh day after the election. Ask the mail clerk to hand stamp the ballot envelope to ensure a date appears on the envelope. Local election officials mail absentee ballots approximately 32 days before an election, with the following exceptions: ballots are sent out 12 days before special elections and 25 days before school board elections in New York City and Buffalo. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots New York does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Convicted felons serving a term of imprisonment (including parole) and those found mentally incompetent may not register or vote. B. Cancellation of Registration Registration is canceled after four (4) years of inactive status. C. Action on Registration Requests Notification of approval or denial is sent to resident voters. Military voters and special Federal voters receive either a ballot or notification of denial. D. Action If Registration Is Denied If registration is denied, consult a legal assistance officer or civilian counsel. E. Voting By Citizens Who Have Never Lived in the U.S. A U.S. citizen who was born abroad and who is eligible to vote and who has never lived in the U.S. may register and vote in the county where a parent would be eligible to register and vote (for Federal offices only). F. Where To Send It Mail the FPCA to the County Board of Elections, county of voting residence, as listed below: County County Seat Zip Code Albany 16 Eagle Street Albany, NY 12207-1019 Allegany 7 Court Street Belmont, NY 14813-1085 Broome 44 Hawley St. PO Box 1766 Binghamton, NY 13902-3722 Cattaraugus 302 Court St. Little Valley, NY 14755-1091 Cayuga 10 Court St. Auburn, NY 13021-3470 Chautauqua Gerace Office Bldg., 3 N. Erie St. Mayville, NY 14757-1007 Chemung 425 Pennsylvania Ave., PO Box 588 Elmira, NY 14902-0588 Chenango County Office Bldg., 5 Court St. Norwich, NY 13815-1676 Clinton 137 Margaret St. Plattsburg, NY 12901-2933 Columbia 401 State St. Hudson, NY 12534-1996 Cortland County Court House, 46 Greenbush Street, Suite 102 Cortland, NY 13045- 3703 Delaware 3 Gallant Ave. Delhi, NY 13753-1095 Dutchess 47 Cannon St. Poughkeepsie, NY 12601-3270 Erie 134 W. Eagle St. Buffalo, NY 14202-3896 Essex County Court House, PO Box 217 Elizabethtown, NY 12932-9801 Franklin 355 West Main Street Malone, NY 12953-1821 Fulton 2714 STHWY 29, Suite 1 Johnstown, NY 12095-9801 Genesee 15 Main Street, PO Box 284 Batavia, NY 14021-0284 Greene 441 Main St., 2nd Floor Catskill, NY 12414-1445 Hamilton County Complex, Route 8, PO Box 175 Lake Pleasant, NY 12108-9801 Herkimer 109 Mary St., Suite 1306 Herkimer, NY 13350-0527 Jefferson 175 Arsenal St. Watertown, NY 13601-2543 Lewis 7660 North State Street Lowville, NY 13367-9801 Livingston 6 Court Street, Room 104 Geneseo, NY 14454-1043 Madison N. Court Street, PO Box 666 Wampsville, NY 13163-9998 Monroe 39 Main St. West Rochester, NY 14614-1490 Montgomery Old Court House P.O. Box 1500 Fonda, NY 12068-1500 Nassau New Admin Bldg., 400 County Seat Drive Mineola, NY 11501-4800 Niagara 59 Park Ave. Lockport, NY 14094-2752 Oneida 800 Park Ave. Utica, NY 13501-2974 Onondaga Civic Center, 421 Montgomery St. Syracuse, NY 13202-2999 Ontario 20 Ontario Street Canandaigua, NY 14424-1801 Orange 25 Court Lane, PO Box 30 Goshen, NY 10924-1508 Orleans County Office Bldg., 14016 Rt. 31 Albion, NY 14411-9382 Oswego 46 E. Bridge St. Oswego, NY 13126-2118 Otsego County Office Bldg., 197 Main St. Cooperstown, NY 13326-1193 Putnam 1 Geneva Road Brewster, NY 10509 Rensselaer 1600 7th Ave. Troy, NY 12180-4098 Rockland 11 New Hempstead Rd. New City, NY 10956-3600 St. Lawrence Courthouse, 48 Court St. Canton, NY 13617-9987 Saratoga 50 W. High St. Ballston Spa, NY 12020-1979 Schenectady 430 State Street, Suite 108 Schenectady, NY 12305-2170 Schoharie 300 Main Street, Room 300 PO Box 99 Schoharie, NY 12157-9998 Schuyler County Building 105 9th Street, Unit 13 Watkins Glen, NY 14891-1435 Seneca 1 DiPronio Dr. Waterloo, NY 13165-1681 Steuben 3 E. Pulteney Sq. Bath, NY 14810-1510 Suffolk Yaphank Avenue, PO Box 700 Yaphank, NY 11980-9733 Sullivan 100 North Street, PO Box 5012. Monticello, NY 12701-5192 Tioga County Office Bldg. 56 Main St. Owego, NY 13827-1595 Tompkins Court House Annex 128 E. Buffalo St. Ithaca, NY 14850-4273 Ulster 284 Wall Street Kingston, NY 12401-3641 Warren 1340 St. Route 9 Lake George, NY 12845-9803 Washington 383 Broadway Fort Edward, NY 12828-1021 Wayne 157 Montezuma St. Ext., P.O. Box 636 Lyons, NY 14489-0636 Westchester 25 Quarropas Street White Plains, NY 10601-4824 Wyoming 76 North Main St. Warsaw, NY 14569-1027 Yates 110 Court Street, Room 102 Penn Yan, NY 14527-1130 New York City, send to the borough board of election at the following address: NY (Manhattan) 200 Varick Street, New York 10014 Bronx 1780 Grand Concourse, Bronx, NY 10457 Kings (Brooklyn) 345 Adams Street, Brooklyn, NY 11201 Queens 42-16 West Street, Queens Plaza, Long Island City, NY 11101 Richmond (Staten Island) 1 Edgewater Plaza, Staten Island, NY 10305 ========================= Ohio The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. Ohio requires the state and county fields to be completed. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information. a. Typed or Printed Name (Last, First, Middle Initial). Required field. b. Sex. c. Race. d. Date of Birth MM/DD/YY(Month, Day, Year). e. Social Security Number. f. Other Identification Number (passport, ID card). 2. I Last Voted or Place of Last Registration (Do not leave this section blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. b. County, City, or Township. c. State. d. Voter Registration Number(if known). 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Ohio voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year). b. Number and Street (Do Not Use Post Office Box). c. City, Town or Village. d. State. e. County or Parish. f. Zip Code (9 digit, if known). 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections. See instructions.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) If you do not list a party affiliation, you cannot vote in partisan primary elections. You must indicate your political party affiliation when applying for a partisan primary ballot (Example: Democrat, Republican) or "issues only" if you want to vote questions and issues and not candidates in Item 6 of the FPCA. Political party affiliation is not required if requesting absentee ballots for non-partisan primary and general elections. If you voted in a primary election within the last two calendar years and you now want to change your political party choice or you have previously declined to indicate a political party and you now want to vote in a primary election, you must submit a completed FPCA which includes your political party affiliation to the local election official. If you are changing political party affiliation, you will receive, in addition to your absentee ballot, a state affidavit form which must be completed and returned with your voted ballot. 8. Affirmation By Applicant (X only one: a, b, c or d). I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year). The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Ohio and members of the Uniformed Services and their spouses and dependents residing outside Ohio to be with or near such service members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for primary, general and special elections in a calendar year (for local, state and Federal offices). Registration is waived only for members of the U.S. Armed Forces and their spouses and dependents residing outside Ohio to be with or near such service members. To register and request an absentee ballot, send a completed FPCA to the county board of elections so that it arrives not later than 30 days before the election. If you are already registered or if you are not required to register, and only wish to request an absentee ballot, send a completed FPCA to the county board of elections so that it arrives not earlier than January 1st of the year of the election, or not earlier than 90 days before the election, whichever is earlier, and not later than noon on the third day before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than the close of polls on election day. Exception: If you are voting from outside the U.S., your ballot will be counted if it arrives not later than 10 days after the election, as long as it is signed not later than the close of polls on election day. Local election officials begin mailing absentee ballots not later than 35 days before an election or 25 days before a presidential primary election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Ohio allows you to send the FPCA for ballot request by fax. After faxing, submit the original FPCA by mail. Ohio does not allow you to send the FPCA for registration by fax. Ohio allows you to receive the blank ballot by fax. Ohio does not allow you to return the voted ballot by fax. Please refer to appendix C for specific instructions when transmitting election materials electronically. You may fax directly to the appropriate county board of elections or use the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy If you are a member of the Armed Forces, or the spouse or dependent of a member of the Armed Forces, your father, mother, father-in-law, mother-in-law, grandfather, grandmother, brother, sister, son, daughter, stepparent, stepchild, uncle, aunt, nephew or niece may request an absentee ballot for you, using either a special form provided by the county board or an FPCA. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Ohio and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Ohio. residents of Ohio temporarily residing outside the U.S. (for local, state and Federal office ballots) overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for primary, general and special elections in a calendar year. To register and request an absentee ballot, send a completed FPCA to the county board of elections so that it arrives not later than 30 days before the election. To request an absentee ballot if you are already registered, send a completed FPCA to the county board of elections so that it arrives not earlier than January 1st of the year of the election, or not earlier than 90 days before the election, whichever is earlier, and not later than three days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be signed, mailed and postmarked not later than the close of the polls on election day. It will be counted if it is received not later than 10 days after the election. Local election officials begin mailing absentee ballots not later than 35 days before an election or 25 days before a presidential primary election. If you have not receive your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Ohio does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons adjudicated incompetent for voting purposes or currently incarcerated for a felony may not register or vote. B. Cancellation of Registration Registration is canceled for failure of the registered voter, after he/she has been mailed a confirmation notice, to do either: 1) respond to such a notice and vote at least once during a period of four consecutive years, which period shall include two general elections for Federal office, or 2) update his/her registration and vote at least once during a period of four consecutive years, which period shall include two general elections for Federal office. C. Action on Registration Requests Notice of acceptance or denial is sent. D. Action If Registration Is Denied If registration is denied, submit a request for reconsideration to the director of the board of elections. If a second request is denied, consult a legal assistance officer or civilian counsel. E. Late Registration Discharged military personnel and spouses who return to Ohio after the closing date of registration are permitted to vote prior to election day in the office of their county board of elections. F. Where To Send It Mail the FPCA to the Director, County Board of Elections, county of voting residence, as listed below: County County Seat/Zip Code Adams West Union 45693-1389 Allen Lima 45801-4433 Ashland Ashland 44805-2183 Ashtabula Jefferson 44047-1097 Athens Athens 45778 Auglaize Wapakoneta 45895-0158 Belmont Bellaire 43906-1547 Brown Georgetown 45121-1283 Butler Hamilton 45011-6016 Carroll Carrolton 44615-1489 Champaign Urbana 43078-9288 Clark Springfield 45501-1766 Clermont Batavia 45103-2961 Clinton Wilmington 45177-2214 Columbiana Lisbon 44432-1258 Coshocton Coshocton 43812-2397 Crawford Bucyrus 44820-2383 Cuyahoga Cleveland 44115-2497 Darke Greenville 45331-1409 Defiance Defiance 43512-2255 Delaware Delaware 43015-1777 Erie Sandusky 44870-5553 Fairfield Lancaster 43130-3875 Fayette Washington C.H. 43160-2235 Franklin Columbus 43215-4572 Fulton Wauseon 43567-1235 Gallia Gallipolis 45631-1292 Geauga Chardon 44024-1292 Greene Xenia 45385-2605 Guernsey Cambridge 43725-2657 Hamilton Cincinnati 45202-1345 Hancock Findlay 45840-3279 Hardin Kenton 43326-2387 Harrison Cadiz 43907-1197 Henry Napoleon 43545-1796 Highland Hillsboro 45133-1089 Hocking Logan 43138-1207 Holmes Millersburg 44654-1249 Huron Norwalk 44857-1168 Jackson Jackson 45640-1769 Jefferson Steubenville 43952-4499 Knox Mount Vernon 43050-3306 Lake Painesville 44077-0490 Lawrence Ironton 45638-1521 Licking Newark 43055-5663 Logan Bellefontaine 43311-2075 Lorain Elyria 44035-5681 Lucas Toledo 43604-2250 Madison London 43140-1095 Mahoning Youngstown 44507-1695 Marion Marion 43302-3089 Medina Medina 44256-1902 Meigs Pomeroy 45769-0688 Mercer Celina 45822-1790 Miami Troy 45373-3263 Monroe Woodsfield 43793-1001 Montgomery Dayton 45481-8705 Morgan McConnelsville 43756-1166 Morrow Mount Gilead 43338-1458 Muskingum Zanesville 43701-3709 Noble Caldwell 43724-1243 Ottawa Port Clinton 43452-1325 Paulding Paulding 45879-1412 Perry New Lexington 43764-1241 Pickaway Circleville 43113-1601 Pike Waverly 45690-1402 Portage Ravenna 44266-2963 Preble Eaton 45320-1758 Putnam 245 E. Main Street, #102, Ottawa 45875-1957 Richland Mansfield 44907-1621 Ross Chillicothe 45601-3207 Sandusky Fremont 43420-9574 Scioto 602 Seventh Street, Room 105, Portsmouth 45662-3927 Seneca Tiffin 44883-0667 Shelby 129 E. Court Street, Sidney 45365-3060 Stark 201 Third Street, NECanton 44702-1296 Summit 470 Grant Street, Akron 44311-1157 Trumbull 2947 Youngstown Road, SE, Warren 44484-5294 Tuscarawas Courthouse Squire, PO Box 69, New Philadelphia 44663-2599 Union 221 S. Plum Street, Marysville 43040-1621 Van Wert 118 E. Main Street, Van Wert 45891-1428 Vinton 112 N. Market Street, McArthur 45651-1298 Warren 416 S. East Street, Lebanon 45036-2314 Washington Courthouse, 205 Putnam Street, Marietta 45750-3014 Wayne County Admin. Bldg., 428 W. Liberty St., Wooster 44691-5000 Williams 1 Courthouse Square, Bryan 43506-1751 Wood 1 Courthouse Square, Bowling Green 43402-2427 Wyandot 109 S. Sandusky Ave., Room 12, Upper Sandusky 43351-1423 ============================ Oklahoma The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank.) Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Oklahoma voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party choice is not required if only requesting absentee ballots for general elections. If you have previously submitted an FPCA and want to change your political party affiliation or you have previously declined to indicate a political party and you now want to vote in a primary election, you must submit a completed FPCA which includes your new political party choice to the local election official not later than the Wednesday before the election. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Oklahoma and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections held in a calendar year (for local, state and Federal offices). Registration is not required. To request an absentee ballot, send a completed FPCA to the county election board so that it arrives not later than 5 p.m. on the Wednesday before an election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 7 p.m. on election day. Local election officials mail out ballots approximately 30 days before an election (as soon as the county election board receives them from the printer). If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Oklahoma allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail.  Oklahoma does not allow you to receive the blank ballot by fax.  Oklahoma does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot A state special write-in absentee ballot is available 90 days before an election if you will be unable to vote by regular absentee ballot, or in person due to military contingencies or due to living in an isolated or extremely remote area of the world. You may use the FPCA or a written letter to request this state special write-in absentee ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.D. If no labels are available, write in Item 7 or in your letter: "Due to military contingencies or due to living in an isolated or extremely remote area of the world, I cannot follow the regular application procedure for an absentee ballot. I request a special write-in absentee ballot." You must request the state special write-in absentee ballot within 90 days before an election. Vote for Federal candidates in a primary, run-off primary or general election by writing in the names of specific candidates or the names of persons whom you prefer. In general elections, you may write in party preference for each office. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Oklahoma and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Oklahoma.  Oklahoma residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas electors (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year. Registration is not required. To request an absentee ballot, send a completed FPCA to the county election board so that it arrives not later than 5 p.m. on the Wednesday before an election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive not later than 7 p.m. on election day. Local election officials mail out ballots approximately 30 days before an election (as soon as the county election board receives them from the printer). If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Oklahoma allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail.  Oklahoma does not allow you to receive the blank ballot by fax.  Oklahoma does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot A state special write-in absentee ballot is available 90 days before an election if you will be unable to vote by regular absentee ballot, or in-person due to military contingencies or due to living in an isolated or extremely remote area of the world. You may use the FPCA or a written letter to request this state special write-in absentee ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.D. If no labels are available, write in Item 7 or in your letter: "Due to living in an isolated or extremely remote area of the world, I cannot follow the regular application procedure for an absentee ballot. I request a special write-in absentee ballot." You must request the state special write-in absentee ballot within 90 days before an election. You may use it to vote for Federal candidates in a primary, run-off primary or general election by writing in the names of specific candidates or the names of persons whom you prefer. In general elections, you may write in party preference for each office. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of a felony for which a period of time equal to the original sentence has not expired and those found to be incapacitated or partially incapacitated and prohibited from registering to vote shall be ineligible to register to vote. B. Late Registration If you are honorably discharged from the U.S. Armed Forces or terminated in your service or employment overseas, and you are returning home to Oklahoma too late to register for the upcoming election, you may vote in that election only (in the precinct where you are a qualified voter) without being registered (provided that you have satisfied the precinct inspector that you are entitled to vote in the election). C. Where To Send It Mail the FPCA to the Secretary, County Election Board, county of voting residence, as listed below: County County Seat Zip Code Adair Stilwell 74960-0006 Alfalfa Cherokee 73728-2548 Atoka Atoka 74525-2056 Beaver Beaver 73932-0639 Beckham Sayre 73662-3046 Blaine Watonga 73772-1286 Bryan Durant 74701-4703 Caddo Anadarko 73005-0277 Canadian El Reno 73036-0307 Carter Ardmore 73401-0883 Cherokee Tahlequah 74464-4726 Choctaw Hugo 74743-0517 Cimarron Boise City 73933-0331 Cleveland Norman 73069-6099 Coal Coalgate 74538-0202 Comanche Lawton 73501-4393 Cotton Walters 73572-1271 Craig Vinita 74301-0861 Creek Sapulpa 74067-0990 Custer Clinton* 73601-1326 Delaware Jay 74346-0589 Dewey Taloga 73667-0115 Ellis Arnett 73832-0492 Garfield Enid 73702-1872 Garvin Pauls Valley 73075-3234 Grady Chickasha 73023-1226 Grant Medford 73759-0068 Greer Mangum 73554-4200 Harmon Hollis 73550-3098 Harper Buffalo 73834-0541 Haskell Stigler 74462-2439 Hughes Holdenville 74848-3400 Jackson Altus 73522-0154 Jefferson Waurika 73573-2297 Johnston Tishomingo 73460-1730 Kay Newkirk 74647-0331 Kingfisher Kingfisher 73750-3241 Kiowa Hobart 73651-4040 Latimer Wilburton 74578-2440 LeFlore Poteau 74953-0249 Lincoln Chandler 74834-0097 Logan Guthrie 73044-4834 Love Marietta 73448-2849 McClain Purcell 73080-0759 McCurtain Idabel 74745-3835 McIntosh Eufaula 74432-1022 Major Fairview 73737-2243 Marshall Madill 73446-0009 Mayes Pryor 74362-0606 Murray Sulphur 73086-0556 Muskogee Muskogee 74402-6613 Noble Perry 73077-6649 Nowata Nowata 74048-2654 Okfuskee Okemah 74859-2603 Oklahoma Oklahoma City 73105-5210 Okmulgee Okmulgee 74447-5013 Osage Pawhuska 74056-0929 Ottawa Miami 74354-7043 Pawnee Pawnee 74058-0038 Payne Stillwater 74076-1538 Pittsburg McAlester 74501-5020 Pontotoc Ada 74821-0302 Pottawatomie Shawnee 74801-6938 Pushmataha Antlers 74523-3814 Roger Mills Cheyenne 73628-0147 Rogers Claremore 74018-1029 Seminole Wewoka 74884-2653 Sequoyah Sallisaw 74955-4641 Stephens Duncan 73533-4758 Texas Guymon 73942-0607 Tillman Frederick 73542-5499 Tulsa Tulsa 74103-1014 Wagoner Wagoner 74477-0714 Washington Bartlesville 74003-6602 Washita Cordell 73632-4831 Woods Alva 73717-0184 Woodward Woodward 73802-3047 * Not county seat ========================== Oregon The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(Provide the complete street address of your Oregon voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address is different from the one provided in Item 4 and must be within the county where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Print the complete address where you want your ballot sent - usually your current mailing address. It is different from the address you provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (Print the name of a political party or write, "not affiliated with a party." If you do not complete Item 6, you will be registered "non-affiliated." If you print the name of a party that selects its candidates at the primary election, you will be eligible to vote in that party's primary. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are not affiliated with a political party and you wish to vote the primary ballot of a party that has authorized participation of non-affiliated electors, write in Item 7: "I want to vote in the (fill in the name of the political party) primary. Please send me its primary election absentee ballot." In this case submit your FPCA at least 45 days prior to the primary election. Candidates nominated at a primary election run in the general election.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. A witness or a notary is not required. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Oregon and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all future elections (for local, state and Federal offices), except if you are requesting a special write-in ballot (See Section E). To register to vote and request an absentee ballot, send a completed FPCA to the county clerk by the 21st day before the election at which you intend to vote. A postmark of the 21st day before the election is accepted. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the county clerk so that it arrives not later than the Thursday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by 8 p.m. on election day. Local election officials mail absentee ballots 45 days before the primary and general elections. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12, and Section I. E. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Oregon allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail.  Oregon allows you to receive the blank absentee ballot by fax.  Oregon does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Oregon provides a state special write-in absentee ballot if you are residing, stationed, or working outside the U.S. and will be unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. Use the FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.H. If no labels are available, write in Item 7: "I am outside the territorial limits of the U.S. and the District of Columbia and I am unable to vote and return a regular absentee ballot by normal mail delivery in the time provided for regular absentee ballots. I request a special write-in absentee ballot." You may request the state special write-in ballot any time before the election, but any request received by the county clerk less than 40 days before the election is treated as a request for a regular absentee ballot. The FPCA you use to request a write-in ballot is valid only for the election specified in the application. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens and residents of Oregon.  Oregon residents and their spouses and dependents temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens from Oregon (for Federal office ballots only)  U.S. citizens who have never resided in the U.S. but have a parent who is eligible to vote in Oregon. These citizens are eligible to vote at the same voting residence claimed by their parent (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all future elections, except if you are requesting a special write-in ballot (See Section E). To register to vote and request an absentee ballot, send a completed FPCA to the county clerk by the 21st day before the election at which you intend to vote. A postmark of the 21st day before the election is accepted. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the county clerk so that it arrives not later than the Thursday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by 8 p.m. on election day. Local election officials mail absentee ballots 45 days before the primary and general elections. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12 and Section II. E. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Oregon allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail.  Oregon allows you to receive the absentee ballot by fax.  Oregon does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Oregon provides a state special write-in absentee ballot if you are residing, stationed, or working outside the U.S. and will be unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. Use the FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III. If no labels are available, write in Item 7: "I am outside the territorial limits of the U.S. and the District of Columbia and I am unable to vote and return a regular absentee ballot by normal mail delivery in the time provided for regular absentee ballots. I request a special write-in absentee ballot." You may request the state special write-in ballot any time before the election, but any request received by the county clerk less than 40 days before the election is treated as a request for a regular absentee ballot. The FPCA you use to request a write-in ballot is valid only for the election specified in the application. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Late Registration Members of the U.S. Armed Forces or merchant marine who have been discharged within 30 days of an election may follow the procedures outlined in Section I to register and vote. B. Bars to Registration and Voting Persons found mentally incompetent by a court may not register or vote. Persons imprisoned by the Oregon Department of Corrections for a felony may register but may not vote from the date of sentencing until released, paroled or the conviction is set aside. C. Cancellation of Registration Registration is valid until the registrant notifies the county clerk of cancellation or changes to his or her voting status. An election official also automatically updates registrations for which they receive information from the U. S. Postal Service of a mailing or residence address change. Additionally, an elections official may inactivate or cancel a registration if a person has moved, has not responded to a notice from the election official and has not voted for at least four years. D. Action on Registration Requests Notice of acceptance or denial is sent. E. Action If Registration Is Denied Persons denied registration may appeal to the county clerk. Consult a legal assistance officer or civilian counsel. F. Voting By Citizens Who Have Never Lived in the U.S. A U.S. citizen who was born abroad and who is eligible to vote and who has never lived in the U.S. may register temporarily and vote in the county where a parent would be eligible to temporarily register and vote pursuant to this action. G. Where To Send It Mail the FPCA to the County Clerk--Elections Office, county of voting residence, as listed below: County County Seat Zip Code Baker 1995 3rd Street, Suite 150, Baker City 97814-3398 Benton 120 NW 4th Street, Room 13, Corvallis 97330-4785 Clackamas 825 Portland Avenue, Gladstone 97027-2195 Clatsop PO Box 178, 749 Commercial, Astoria 97103-0178 Columbia Columbia County Courthouse, Saint Helens 97051-2089 Coos Coos County Courthouse, Coquille 97423-1899 Crook 300 NE 3rd, Room 23, Prineville 97754-1919 Curry PO Box 746, Gold Beach 97444-9763 Deschutes 1340 NW Wall Street, Bend 97701-1941 Douglas PO Box 10, Roseburg 97470-0004 Gilliam Courthouse, PO Box 427, Condon 97823-0427 Grant 201 Humbolt, Suite 290, Canyon City 97820-0039 Harney Courthouse, 450 N Buena Vista, Burns 97720-1598 Hood River Courthouse, 309 State Street, Hood River 97031-2093 Jackson Courthouse, 10 S. Oakdale, Medford 97501-2902 Jefferson Courthouse, 75 SE C Street, Madras 97741-1709 Josephine PO Box 69, Grants Pass 97528-0203 Klamath 305 Main Street, Klamath Falls 97601-6384 Lake 513 Center Street, Lakeview 97630-1579 Lane 135 E 6th Avenue, Eugene 97401-2671 Lincoln 225 W Olive Street, Room 201, Newport 97365-2908 Linn 300 SW 4th Avenue, Albany 97321-8602 Malheur Courthouse, Box 4, 251 B Street W, Vale 97918-1397 Marion 4263 Commercial Street SE #300, Salem 97302-3987 Morrow PO Box 338, Heppner 97836-0338 Multnomah 1040 SE Morrison, Portland 97214-2495 Polk Courthouse, Room 201, Dallas 97338-3179 Sherman PO Box 365, Moro 97039-0365 Tillamook 201 Laurel Avenue, Tillamook 97141-2394 Umatilla 216 SE 4th Street, Pendleton 97801-2500 Union 1001 4th Street, Suite D, La Grande 97850-2121 Wallowa 101 S River St., Rm. 100 Door 16, Enterprise 97828-1335 Wasco Courthouse, 511 Washinton St., The Dalles 97058-2266 Washington 150 N 1st Avenue, MS3, Hillsboro 97124-3070 Wheeler PO Box 327, Fossil 97830-0327 Yamhill Courthouse, 535 NE 5th Street, McMinnville 97128-4593 ===================== Pennsylvania The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race. You are requested to fill out this box. This data is requested from some states by the Department of Justice in their enforcement of the Voting Rights Act and the National Voter Registration Act. Enter the choice that best describes you from the following list. AI = American Indian or Alaskan Native; AP = Asian or Pacific Islander not Native Hawaiian; B = Black, not of Hispanic Origin; H = Hispanic; M = Multi-racial; NH = Native Hawaiian; W = White, not of Hispanic Origin; O = Other. d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank.) Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Pennsylvania voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "2 miles past Highway _____, across the street from the ___________ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. Please note under 8f: 1) Mental competence is not a requirement to register and vote in Pennsylvania and 2) Reinstatement - in Pennsylvania, once a convicted felon is released from prison, he or she may register to vote. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Pennsylvania and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You must submit a separate FPCA for each election in a calendar year (for local, state and Federal offices). If you are a member of the Armed Forces, you are exempted from registration and the county board of elections must receive your FPCA for ballot request anytime before the election. In some cases, however, the county board of elections may send you a state Voter Registration Mail Application (VRMA) or a state absentee ballot application if they cannot determine from the information on the FPCA whether or not you meet all the requirements to vote in that county. Either the state VRMA or the state absentee ballot application must be completed and returned with the voted ballot to the county board of elections so your ballot for all offices is counted. If the local election official does not receive either application, your ballot will be counted for Federal offices only. If you are a spouse or dependent of a member of the Armed Forces, or a merchant marine member or a spouse or dependent of a merchant marine member, the county board of elections must receive your FPCA for ballot request anytime before the election. If you are not registered you will receive, along with your ballot, a state VRMA. You must complete and return the state VRMA with your voted ballot so your ballot for all offices is counted. If you do not return the state VRMA, the ballot is counted for Federal offices only. The registration declaration on the Pennsylvania VRMA is accepted for all purposes as the equivalent of an affidavit, and if the VRMA contains a materially false statement, the applicant will be subject to penalties for perjury. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by 5:00 p.m. on the Friday before the election. Local election officials mail ballots and state registration materials approximately 45 days before the election. If official absentee ballots are not available at that time, you will be sent a special write- in absentee ballot. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Generally, Pennsylvania:  Allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail.  Allows you to receive the blank ballot by fax.  Does not allow you to return the voted ballot by fax. In Chester, Delaware, Lehigh, Indiana, Mercer and Warren counties, only members of the Uniformed Services in designated hostile fire, imminent danger, combat zone or other qualified hazardous duty areas may utilize the faxing option. In Armstrong, Berks, Blair, Bradford, Clarion, Clinton, Elk, Fulton, Luzerne, Monroe, Montour, Perry and Somerset counties, only members of the Uniformed Services and their family members may utilize the faxing options listed above. All other Pennsylvania counties allow all citizens covered by the Uniformed and Overseas Citizens Absentee Voting Act to utilize the faxing option. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Pennsylvania provides a state special write-in absentee ballot available 50 days before the primary election and 70 days before the general election if you will be unable to vote during the regular absentee balloting period by reason of military service or living in a remote or isolated area of the world. The FPCA may be used to request the state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.E. If no labels are available, write in Item 7: "I am unable to vote during the regular absentee balloting period by reason of living or performing military service in an extremely remote or isolated area of the world. I request a special write-in absentee ballot." The special write-in ballot may be requested at any time before the election. Vote the special write-in ballot by writing in the names of specific candidates from the list provided. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Pennsylvania and overseas electors. The term "overseas electors" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Pennsylvania.  U.S. Government employees overseas and their spouses and dependents (for local, state and Federal office ballots)  other residents of Pennsylvania temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas electors (for Federal office ballots only). B. Registering and Requesting an Absentee Ballot You must submit a separate FPCA for each election in a calendar year. If you are a civilian employee of the U.S. Government, or a spouse or dependent of a civilian employee of the U.S. Government, the county board of elections must receive your FPCA for ballot request anytime before the election. If you are not registered you will receive, along with your ballot, a state Voter Registration Mail Application (VRMA). You must complete and return the state VRMA with your voted ballot so your ballot for all offices is counted. If you do not return the state VRMA, the ballot is counted for Federal offices only. If you are a registered Pennsylvania elector temporarily residing outside the U.S., the county board of elections must receive your FPCA at least 7 days before the election. If you are an unregistered resident temporarily residing outside the U.S., the county board of elections must receive your FPCA not later than 30 days before the election. If you meet the state residency requirement for registration, you will receive an official absentee ballot and a state VRMA. The completed state VRMA must arrive at least 30 days before the election for the ballot to be counted for all offices. If the state VRMA is not received timely, your ballot will be counted for Federal offices only. If you are an overseas elector who does not meet the state residency requirement, you will receive a ballot for Federal offices only. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by 5:00 p.m. on the Friday before the election. Local election officials mail ballots and state registration materials approximately 45 days before the election. If official absentee ballots are not available at that time, you will be sent a special write- in absentee ballot. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Generally, Pennsylvania:  Allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail.  Allows you to receive the blank ballot by fax.  Does not allow you to return the voted ballot by fax. In Armstrong, Berks, Blair, Bradford, Chester, Clarion, Clinton, Delaware, Elk, Fulton, Indiana, Lehigh, Luzerne, Mercer, Montour, Monroe, Perry, Somerset and Warren counties, faxing is not allowed. All other Pennsylvania counties allow all citizens covered by the Uniformed and Overseas Citizens Absentee Voting Act to utilize the faxing options listed above. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Pennsylvania provides a state special write-in absentee ballot available 50 days before the primary election and 70 days before the general election if you will be unable to vote during the regular absentee balloting period by reason of living in a remote or isolated area of the world. The FPCA may be used to request the state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.E. If no labels are available, write in Item 7: "I am unable to vote during the regular absentee balloting period by reason of living in an extremely remote or isolated area of the world. I request a special write-in absentee ballot." The special write-in ballot may be requested at any time before the election. Vote the special write-in ballot by writing in the names of specific candidates from the list provided. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons imprisoned for a felony conviction may not vote absentee. B. Action on Registration Requests Notification of registration or denial is sent. C. Action If Registration Is Denied Persons denied registration should consult a legal assistance officer or civilian counsel. D. Where To Send It Mail the FPCA to the County Board of Elections, county of voting residence, as listed below: County County Seat Zip Code Adams Gettysburg 17325-2312 Allegheny Pittsburgh 15219-2953 Armstrong Kittanning 16201-1448 Beaver Beaver 15009-2145 Bedford Bedford 15522-0166 Berks Reading 19601-3540 Blair Hollidaysburg 16648-2022 Bradford Towanda 18848-1878 Bucks Doylestown 18901-4318 Butler Butler 16603-1208 Cambria Ebensburg 15931-1947 Cameron Emporium 15834-1469 Carbon Jim Thorpe 18229-0129 Centre Bellefonte 16823-1488 Chester West Chester 19382-0990 Clarion Clarion 16214-1093 Clearfield Clearfield 16830-2425 Clinton Lock Haven 17745-1385 Columbia Bloomsburg 17815-0380 Crawford Meadville 16335-2678 Cumberland Carlisle 17013-3044 Dauphin Harrisburg 17108-1295 Delaware Media 19063-2728 Elk Ridgway 15853-0448 Erie Erie 16501-1096 Fayette Uniontown 15401-3412 Forest Tionesta 16353-0126 Franklin Chambersburg 17201-2211 Fulton McConnellsburg 17233-1198 Greene Waynesburg 15370-1839 Huntingdon Huntingdon 16652-1486 Indiana Indiana 15701-3934 Jefferson Brookville 15825-1269 Juniata Mifflintown 17059-0068 Lackawanna Scranton 18503-1714 Lancaster Lancaster 17608-3480 Lawrence New Castle 16101-3593 Lebanon Lebanon 17042-6794 Lehigh Allentown 18101-2400 Luzerne Wilkes-Barre 18711-1001 Lycoming Williamsport 17701-0536 McKean Smethport 16749-0507 Mercer Mercer 16137-1227 Mifflin Lewistown 17044-1797 Monroe Stroudsburg 18360-2170 Montgomery Norristown 19404-0311 Montour Danville 17821-1999 Northampton Easton 18042-3695 Northumberland Sunbury 17801-2360 Perry New Bloomfield 17068-0037 Philadelphia Philadelphia 19107-3211 Pike Milford 18337-1535 Potter Coudersport 16915-1690 Schuylkill Pottsville 17901-3602 Snyder Middleburg 17842-0217 Somerset Somerset 15501-1459 Sullivan Laporte 18626-0157 Susquehanna Montrose 18801-0218 Tioga Wellsboro 16901-0589 Union Lewisburg 17837-1996 Venango Franklin 16323-0831 Warren Warren 16365-2399 Washington Washington 15301-4480 Wayne Honesdale 18431-1996 Westmoreland Greensburg 15601-9620 Wyoming Tunkhannock 18657-1216 York York 17401-1256 ===================== PUERTO RICO The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below before completing and signing your application. FEDERAL POST CARD APPLICATION REGISTRATION AND ABSENTEE BALLOT REQUEST - FEDERAL POST CARD APPLICATION (FPCA) Application For State Of_________ (Required field). County Of________. City Or Township Of_______ (Required field). I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. APPLICANT INFORMATION: a. Typed or Printed Name (Last, First, Middle Initial) (Both your paternal and your maternal surnames are required. Otherwise, provide your full name as it appears on file at the Commonwealth Election Commission.) b. Sex. (Required field) c. Race. d. Date of Birth. MM/DD/YY (Month, Day, Year) (Required field). e. Social Security Number. (Required field) f. Other Identification Number (passport, ID card) (Provide your father's and mother's first names. Required field) 2. I LAST VOTED OR PLACE OF LAST REGISTRATION: (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. (Required field) b. County, City, or Township. (Required field) c. State. (Required field) d. Voter Registration Number(if known). 3. VOTING RESIDENCE: (For military: legal residence. For overseas civilians: last residence in U.S. If Using Rural Route: Provide the complete street address of your Puerto Rico voting residence. If your address includes a rural route, describe its' location. For example: "On Highway ____, 2 miles past Highway ____, across the street from the ____ gas station." A post office box is not sufficient. This address must be different from the one provided in Item 4 and must be within Puerto Rico.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) (Required field) b. Number and Street (Do Not Use Post Office Box). (Required field) c. City, Town or Village. (Required field) d. State. (Required field) e. County or Parish. (Required field) f. Zip Code (9 digit, if known). (Required field) 4. MAIL ABSENTEE BALLOT TO: (Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. Please note: members of the Armed Forces and merchant marine must utilize an APO/FPO address if available.) (Required field) 5. YOUR FAX NUMBER: (If this application is faxed, include all international prefixes. Provide your e-mail, phone or fax number, whichever is the easiest way to contact you.) 6. POLITICAL PARTY AFFILIATION: (If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections.) 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote. The certifying officer who signs Item 9 must state here: "I certify that [voter] is a [member of the U.S. Army, student at XX University, etc., whichever is applicable]." See Sections I and II D below for details.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d (Required field). Read e through h.) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. (Applicant must sign and date in the presence of an oath taking official.) (Required field) j. Date MM/DD/YY (Month, Day, Year) (Required field) 9. WITNESS/NOTARY ADDRESS AND SIGNATURE: (You are swearing or affirming that the information provided is true and correct by signing the FPCA. Also, see Sections I.D and II.D.) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Puerto Rico and members of the Uniformed Services and their family members. Uniformed Services are defined as members of the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot Submit a separate FPCA to request a ballot for each election (for local, Commonwealth and Federal offices). To register permanently, you must register in person. However, you may register temporarily to vote in the primary and general elections for Resident Commissioner. To register temporarily and request an absentee ballot, send your completed FPCA to the Commonwealth Elections Commission so that it arrives not later than 30 days before the election. You will be sent a special absentee ballot which lists only the candidates for Resident Commissioner to the U.S. Congress. If you are permanently registered and wish only to request an absentee ballot, send a completed FPCA to the Commonwealth Election Commission so that it arrives not later than 60 days before the election. Alternatively, you may request a ballot by using the Petition for Absentee Ballot, which is available by mail either from the Elections Commission or the political parties. You will be sent a ballot for local and Federal offices. If your absentee ballot request arrives between 59 and 30 days before the election, you will be sent the special absentee ballot which lists only candidates for Resident Commissioner to the U.S. Congress. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be postmarked not later than election day. Local election officials must receive it before 3:00 p.m. on election day. The Commonwealth Elections Commission begins mailing ballots approximately 45 days before the election. Due to its status, Puerto Rico does not send representatives to the U.S. Senate or directly participate in the election of the President and Vice President of the U.S. At the Federal level, a Resident Commissioner to the House of Representatives is elected. If you are outside the U.S. and have not received your Commonwealth ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: Must be sworn to. Ballot Return Envelope: Must be sworn to. The person who administers the oath is verifying your identity and your status (for example, military spouse, merchant marine member, etc.). Military members, their spouses and their dependents must obtain the signature of a commissioned officer. Merchant marine members must obtain the signature of the highest officer on board. E. Electronic Transmission of FPCAs and Ballots Puerto Rico allows electronic transmission of the FPCA, including fax and e-mail. You must submit the original FPCA by mail and it must be received by the local election official no later than 3:00 p.m. on election day. Puerto Rico does not allow electronic transmission of the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Puerto Rico and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Puerto Rico. 1. those studying outside of Puerto Rico in a duly accredited educational institution (consult Section B below for ballot type eligibility) 2. agricultural workers under contract with the Agricultural Employment Program of the Commonwealth Labor Department outside Puerto Rico (consult Section B below for ballot type eligibility) 3. members of the diplomatic or foreign aid service of the U.S., or of exchange programs between Puerto Rico and a foreign government (consult Section B below for ballot type eligibility) 4. spouses and children of the above (consult Section B below for ballot type eligibility) 5. airline crew members who are working outside Puerto Rico on election day (consult Section B below for ballot type eligibility) 6. overseas electors (consult Section B below for ballot type eligibility) B. How to Register and Request Absentee Ballot Submit a separate FPCA to request a ballot for each election. To register permanently, you must register in person. However, you may register temporarily to vote in the primary and general elections for Resident Commissioner. If you are not permanently registered, request an absentee ballot by sending your completed FPCA to the Commonwealth Elections Commission so that it arrives not later than 30 days before the election. You will be sent a special absentee ballot which lists only the candidates for Resident Commissioner to the U.S. Congress. If you are permanently registered and wish only to request an absentee ballot, send a completed FPCA to the Commonwealth Election Commission so that it arrives not later than 60 days before the election. Alternatively, you may request a ballot by using the Petition for Absentee Ballot, which is available by mail either from the Elections Commission or the political parties.You will be sent a ballot for local and Federal offices. If your absentee ballot request arrives between 59 and 30 days before the election, you will be sent the special absentee ballot which lists only candidates for Resident Commissioner to the U.S. Congress. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be postmarked not later than election day. Local election officials must receive it before 3:00 p.m. on election day. The Commonwealth Elections Commission begin mailing ballots approximately 45 days before the election. Due to its status, Puerto Rico does not send representatives to the U.S. Senate or directly participate in the election of the President and Vice President of the U.S. At the Federal level, a Resident Commissioner to the House of Representatives is elected. If you are outside the U.S. and have not received your Commonwealth ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: Must be sworn to. Ballot Return Envelope: Must be sworn to. The person who administers the oath is verifying your identity and your status (for example, student, agricultural worker, etc.). Students must obtain the signature of an official in the school registrar's office. Dependents, agricultural workers, and airline crew members must swear an oath before a notary public. Overseas electors must obtain the signature of a consular officer. E. Electronic Transmission of FPCAs and Ballots Puerto Rico allows electronic transmission of the FPCA, including fax and e-mail. You must submit the original FPCA by mail and it must be received by the local election official no later than 3:00 p.m. on election day. Puerto Rico does not allow electronic transmission of the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Where To Send It Mail the FPCA to: Secretary, Commonwealth Elections Commission P.O. Box 364783 San Juan, Puerto Rico 00936-4783 ========================== Rhode Island The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank.) Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete address of your Rhode Island voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the city or town where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) You must list a party affiliation to vote in primaries, e.g., Democrat, Republican or write "none" in Item 6 of the FPCA. Changes of party affiliation must be made on or before the 90th day before the election. Political party affiliation is not required to vote in general elections. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You are swearing or affirming that the information provided is true and correct by signing the FPCA. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) If you are an "other" (see Section II.A) overseas citizen requesting a state voter registration form only, a notary public, commissioned officer, consular officer, or other authorized person must complete this section. The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Rhode Island, members of the Uniformed Services and their family members, and members of religious groups or welfare agencies officially attached to the Armed Forces overseas and their spouses and dependents accompanying them outside the state. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year. This single FPCA can be extended beyond one year to the length of the assignment at a duty station (if over one year) by completing the absentee ballot certificate noted below. Rhode Island waives registration. To request an absentee ballot, the Board of Canvassers in your city or town of voting residence must receive your FPCA not later than 4:00 p.m., 21 days before the election. In Item 7 of the FPCA write: "I request an absentee ballot certificate (Section 17-20- 9.2)." When you receive the certificate, complete the form (including your name, Rhode Island address, duty station address where you want your ballot mailed, length of time assigned to that duty station) and obtain the name and signature of the military commander. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the State Board of Elections by 9:00 p.m. on election day. State election officials begin mailing ballots approximately 21 days before the election. State elections officials will also issue an official state blank ballot 45 days before an election if the official ballot is not yet available and then will issue the official mail ballot when it becomes available. If you are outside the U.S. and have not received your official state ballot or official blank state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12 and I.F. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Rhode Island allows you to send the FPCA for absentee ballot request by fax. The FPCA must be sent to the State Board of Elections and must be received not later than 4:00 p.m., 21 days before the election. After faxing, the original FPCA must be mailed. Include your fax number on the FPCA.  Rhode Island will transmit the blank ballot by fax to the voter via the FVAP fascimile number.  Rhode Island allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-In Absentee Ballot Rhode Island provides an official state blank ballot 45 days before an election if the official ballot is not yet available. G. Federal Write-in Absentee Ballot Rhode Island has expanded the use of the Federal Write- in Ballot (FWAB). The instructions described in Chapter 2 remain the same except that Rhode Island also allows the FWAB to be used to vote for offices in state and local elections. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Rhode Island and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Rhode Island.  overseas citizens temporarily residing outside the U.S. by reason of employment by any agency, department or division of the U.S. Government, overseas citizens employed outside the U.S. and spouses and dependents of such persons (for local, state and Federal office ballots)  "other" overseas citizens residing outside the U.S. (for Federal office ballots) B. Registering and Requesting an Absentee Ballot Overseas citizens temporarily residing outside the U.S. by reason of employment may use a single FPCA to request ballots for all elections in a calendar year. All other Rhode Island citizens must submit a separate FPCA for each election. To request an absentee ballot, send the FPCA to the Board of Canvassers in your city or town of voting residence not later than 4:00 p.m., 21 days before the election. Rhode Island waives registration except for "other" overseas citizens residing outside the U.S. "Other" overseas citizens must complete a voter registration form and an Affidavit of Absentee Voter Upon Registration; both documents must be returned to the Board of Canvassers not later than 30 days before the election. These forms may be requested by using the FPCA, letter, telephone, fax or e-mail. "Other" U.S. Citizens are those persons who reside outside the territorial limits of the U.S., for reasons other than employment or military service. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the state board of elections by 9:00 p.m. on election day. State election officials begin mailing ballots approximately 21 days before the election. For overseas citizens employed outside the U.S., state elections officials will also issue an official state blank ballot 45 days before an election if the official ballot is not yet available and will issue the official mail ballot when it becomes available. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12 and II.F. D. Notary/Witness Requirements FPCA: No notary or witness required. However, "Other" overseas citizens, in order to register to vote must have their Affidavit of Absentee Voter Upon Registration notarized by a person authorized to administer oaths. Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots  Except for "other" overseas citizens, Rhode Island allows you to send the FPCA for absentee ballot request by fax. The FPCA must be sent to the State Board of Elections and must be received not later than 4:00 p.m. 21 days before the election. After faxing, the original FPCA must be mailed. Include your fax number on the FPCA.  Except for "other" overseas citizens, Rhode Island will transmit the blank ballot by fax to the voter via the FVAP fascimile number.  Except for "other" overseas citizens, Rhode Island allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-In Absentee Ballot Rhode Island provides an official state blank ballot 45 days before an election if the official ballot is not yet available. G. Federal Write-in Absentee Ballot Rhode Island has expanded the use of the Federal Write-In Absentee Ballot (FWAB). The instructions described in Chapter 2 remain the same except that Rhode Island also allows the FWAB to be used to vote for offices in state and local elections. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting No person convicted of a felony can vote until completion of the sentence, including parole or probation, regardless of a no contest plea. Upon such completion, the person's right to vote shall be restored. No person declared mentally incapable can vote. B. Cancellation of Registration Registration is canceled for failure to respond to confirmation mailings along with the failure to vote in the next two general (Federal office) elections. C. Action If Registration Is Denied Denial of registration may be appealed to the State Board of Elections. Consult a legal assistance officer or civilian counsel. D. Late Registration Any member of the Armed Forces or of the merchant marine of the U.S. in active service, and any person absent from the state in the performance of "services intimately connected with military operations"; any person who is employed by any agency, department or division of the U.S. Government and who by reason of such employment resides outside of the continental U.S.; and any person employed outside the territorial limits of the U.S. shall be exempt during the period of his/her service or employment for 2 years after their return to the U.S. E. Voting By Citizens Who Have Never Lived in the U.S. If the person is a U.S. citizen and has never lived in the U.S. but has a parent who is a qualified Rhode Island elector, then this person will be eligible to register and vote in Federal elections. F. Where To Send It Mail the FPCA to the Board of Canvassers, city or town of voting residence listed below: City or Town Zip Code Barrington 02806-2400 Bristol 02809-2208 Burrillville 02830-1499 Central Falls 02863-2835 Charlestown 02813-3426 Coventry 02816-8911 Cranston 02910-2738 Cumberland 02864-8300 East Greenwich 02818-0111 East Providence 02914-4505 Exeter 02822-2425 Foster 02825-1227 Glocester 02814-0702 Hopkinton 02833-1142 Jamestown 02835-1199 Johnston 02919-7190 Lincoln 02865-1325 Little Compton 02837-0523 Middletown 02842-5274 Narragansett 02882-0777 Newport 02840-2798 New Shoreham 02807-9999 North Kingstown 02852-5762 North Providence 02911-1078 North Smithfield 02876-0248 Pawtucket 02860-2191 Portsmouth 02871-0155 Providence 02903-1789 Richmond 02898-0051 Scituate 02857-0328 Smithfield 02917-3223 South Kingstown 02879-3157 Tiverton 02878-4499 Warren 02885-4369 Warwick 02886-7191 Westerly 02891-1826 West Greenwich 02817-2113 West Warwick 02893-4829 Woonsocket 02895-4379 ==================== South Carolina The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race. You are requested to fill out this box. This data is requested from some states by the Department of Justice in their enforcement of the Voting Rights Act and the National Voter Registration Act. Enter the choice that best describes you from the following list: AI=American Indian or Alaskan Native; AP=Asian or Pacific Islander not Native Hawaiian; B=Black, not of Hispanic Origin; H=Hispanic; M=Multi-racial; NH=Native Hawaiian; W=White, not of Hispanic Origin; O=Other. d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank.) Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your South Carolina voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party choice is not required if only requesting absentee ballots for general elections. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of South Carolina and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections held in a calendar year (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA to the board of voter registration so that it arrives not later than 30 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the local county board of voter registration so that it arrives not later than four days before the election. However, waiting too long may make it impossible for you to receive your blank ballot in time to return it by the deadline for receipt of voted ballots. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. Local election officials mail out absentee ballots approximately 45 days before the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: The FPCA or the state absentee registration forms are not notarized or witnessed. Ballot Return Envelope: The oath on the ballot return envelope must be witnessed. E. Electronic Transmission of FPCAs and Ballots  South Carolina allows you to send the FPCA for absentee ballot requests and registration by fax. You must also submit the original FPCA by mail.  South Carolina allows you to receive the blank ballot by fax in declared emergency situations.  South Carolina allows you to return the voted ballot by fax in declared emergency situations. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot South Carolina provides a state special write-in absentee ballot available 90 days before the election if you will be unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in an isolated or extremely remote area of the world. You may use the FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G below. If no labels are available, write in Item 7: "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in isolated or extremely remote areas of the world. I request a special write-in absentee ballot." You must request the state special write-in ballot not earlier than 90 days before an election and you may use it to vote for Federal offices, statewide offices, and members of the South Carolina General Assembly by writing in a political party choice or the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of South Carolina and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in South Carolina.  members of the American Red Cross or service agencies serving with the Armed Forces (for local, state and Federal office ballots)  employees of the U.S. Government serving overseas (for local, state and Federal office ballots)  spouses and dependents who reside with the above persons (for local, state and Federal office ballots)  South Carolina residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections held in a calendar year. To register and request an absentee ballot, send a completed FPCA to the board of voter registration so that it arrives not later than 30 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the local county board of voter registration so that it arrives not later than four days before the election. However, waiting too long may make it impossible for you to receive your blank ballot in time to return it by the deadline for receipt of voted ballots. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. Local election officials mail out absentee ballots approximately 45 days before the election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: The FPCA or the state absentee registration forms are not notarized or witnessed. Ballot Return Envelope: The oath on the ballot return envelope must be witnessed. E. Electronic Transmission of FPCAs and Ballots  South Carolina allows you to send the FPCA for absentee ballot requests and registration by fax. You must also submit the original FPCA by mail.  South Carolina allows you to receive the blank ballot by fax in declared emergency situations.  South Carolina allows you to return the voted ballot by fax in declared emergency situations. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot South Carolina provides a state special write-in absentee ballot available 90 days before the election if you will be unable to vote by regular absentee ballot or in person due to living in an isolated or extremely remote area of the world. You may use the FPCA to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.F below. If no labels are available, write in Item 7: "I am unable to vote by regular absentee ballot or in person due to requirements of military service or due to living in isolated or extremely remote areas of the world. I request a special write-in absentee ballot." You must request the state special write-in ballot not earlier than 90 days before an election and you may use it to vote for Federal offices, statewide offices, and members of the South Carolina General Assembly by writing in a political party choice or the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Late Registration Any person eligible to register who has been discharged or separated from service in the Armed Forces of the U.S., and returned home too late to register at the time when registration is required, is entitled to register for the purpose of voting in the next ensuing election after discharge or separation from service, up to 5:00 p.m. on the day of the election. This application for registration must be made at the office of the board of voter registration in the county in which the person wishes to register, and if qualified, the person must be issued a registration notification stating the precinct in which the person is entitled to vote and a certification to the managers of the precinct that the person is entitled to vote and should be placed on the registration rolls of the precinct. B. Bars to Registration and Voting A person is disqualified from being registered or voting if she/he: is mentally incompetent as adjudicated by a court of competent jurisdiction; is serving a term of imprisonment resulting from a conviction of a crime; or is convicted of a felony or offenses against the election laws, unless the disqualification has been removed by service of the sentence, including probation and parole time unless sooner pardoned. C. Cancellation of Registration Permanent registration may be canceled if voting residence is changed to another South Carolina county or state or committing a crime as noted in Section B above. D. Action on Registration Requests Notice of acceptance or denial is sent. E. Action If Registration Is Denied Persons denied registration should correct the defects noted in the denial notice. If a second denial is received, consult a legal assistance officer or civilian counsel. F. Where To Send It Mail the FPCA to the Board of Voter Registration, county of voting residence, as listed below: County County Seat Zip Code Abbeville PO Box 417, Abbeville 29620-0417 Aiken PO Box 3127, Aiken 29802-3127 Allendale PO Box 552, Allendale 29810-0552 Anderson 107 S. Main Street, Rm. 101, Anderson 29624-1618 Bamberg 110 N. Main St., Courthouse, Bamberg 29003-1148 Barnwell Cnty. Courthouse, Rm. 109, Barnwell 29812 Beaufort PO Box 1288, Beaufort 29901-1228 Berkeley 223 N. Live Oak Drive, Moncks Corner 29461-3707 Calhoun Courthouse Annex, Rm. 103, St. Matthews 29135 Charleston PO Box 71419, Charleston 29415-1419 Cherokee 1434 N. Limestone Street, Gaffney 29340-4734 Chester PO Drawer 580, Chester 29706-0580 Chesterfield 200 W. Main St., Courthouse, Chesterfield 29709-1527 Clarendon E. Keitt St., Rm. 101/Courthouse, PO Box 548, Manning 29102-0458 Colleton PO Box 97, Walterboro 29488-0001 Darlington 300 Russell St., Room 107, Darlington 29532-3329 Dillon PO Box 973, Dillon 29536-0973 Dorchester 101 Ridge Street, Saint George 29477-2443 Edgefield PO Box 442, Edgefield 29824-0442 Fairfield PO Drawer 60, Winnsboro 29180-0060 Florence City/County Complex, Rm. 406, Florence 29501 Georgetown PO Box 421270, Georgetown 29440-4200 Greenville 301 University Ridge, Ste. 1900, Greenville 29601-3668 Greenwood 600 Monument Street, Ste. 113, Greenwood 29646-2643 Hampton 331 Carolina Oaks Road, Hampton 29944 Horry 1316 First Ave., Cnty. Office Bldg. Conway 29526 Jasper Post Office Box 299, Ridgeland 29936-0299 Kershaw County Courthouse, Rm. 213, Camden 29020 Lancaster Post Office Box 1809, Lancaster 29721-1809 Laurens 3 Catherine St., PO Box 769, Laurens 29360-0769 Lee County Courthouse, Rm. 112, Bishopville 29010 Lexington 605 W. Main St., Suite 105, Lexington 29072 McCormick Post Office Box 636, McCormick 29835-0636 Marion 137 Airport Ct., Suite E, Mullins 29574-6034 Marlboro Admin. Bldg., PO Box 502, Bennettsville 29512-0502 Newberry Couthouse, 1226 College St., Newberry 29108 Oconee 415 S. Pine St., Walhalla 29691-2145 Orangeburg Post Office Box 9000, Orangeburg 29116-9000 Pickens 222 McDaniel Avenue, B-9, Pickens 29671-2556 Richland 2020 Hampton Street, Columbia 29202-1002 Saluda County Courthouse, Saluda 29138 Spartanburg Post Office Box 1287, Spartanburg 29304-1287 Sumter 141 N. Main St., Rm. 114, Sumter 29150-4987 Union 210 W. Main St., PO Box 200, Union 29379-0200 Williamsburg 5 Courthouse Square, Kingstree 29556-3932 York 13 S. Congress Street, E.C. Black Bldg, York 29745-1856 ===================== South Dakota The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information Required fields a. Typed or Printed Name (Last, First, Middle Initial) b. Sex d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration. Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your South Dakota voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections). If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party choice is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party and you now want to vote in a primary election, you must submit a completed FPCA which includes your new political party choice to the local county auditor. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of South Dakota and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). However, a separate FPCA is needed for school or municipal elections. To register and request an absentee ballot, send a completed FPCA to the local county auditor so that it arrives not later than 15 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the local county auditor anytime before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by close of polls on election day. Local election officials mail ballots within 48 hours after receiving your request, or as soon as ballots are available (six weeks before any primary or general election). If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots South Dakota does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of South Dakota and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in South Dakota.  South Dakota residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year. However, a separate FPCA is needed for school or municipal elections. To register and request an absentee ballot, send a completed FPCA to the local county auditor so that it arrives not later than 15 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the local county auditor anytime before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by close of polls on election day. Local election officials mail ballots within 48 hours after receiving your request, or as soon as ballots are available (six weeks before any primary or general election). If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots South Dakota does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons serving a sentence for a felony conviction and persons judged mentally incompetent may not register or vote. B. Cancellation of Registration Persons are removed from registration rolls for failure to vote at all in the last eight years and failure to respond to a confirmation notice. C. Action on Registration Requests Notification of completed registration is sent. D. Action If Registration Is Denied Persons denied registration may appeal to the circuit court. Consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the County Auditor, county of voting residence, as listed below: County County Seat Zip Code Aurora Plankinton 57368-0397 Beadle Huron 57350-0845 Bennett Martin 57551-0460 Bon Homme Tyndall 57066-0605 Brookings Brookings 57006-2086 Brown Aberdeen 57401-4293 Brule Chamberlain 57325-1599 Buffalo Gann Valley 57341-0146 Butte Belle Fourche 57717-1719 Campbell Mound City 57646-0037 Charles Mix Lake Andes 57356-0490 Clark Clark 57225-0294 Clay Vermillion 57069-0403 Codington Watertown 57201-3611 Corson McIntosh 57641-0255 Custer Custer 57730-1934 Davison Mitchell 57301-2692 Day Webster 57274-1359 Deuel Clear Lake 57226-0116 Dewey Timber Lake 57656-0277 Douglas Armour 57313-0159 Edmunds Ipswich 57451-0097 Fall River Hot Springs 57747-1398 Faulk Faulkton 57438-0309 Grant Milbank 57252-2499 Gregory Burke 57523-0413 Haakon Philip 57567-0698 Hamlin Hayti 57241-0237 Hand Miller 57362-1346 Hanson Alexandria 57311-0500 Harding Buffalo 57720-0026 Hughes Pierre 57501-2591 Hutchinson Olivet 57052-0128 Hyde Highmore 57345-0379 Jackson Kadoka 57543-0280 Jerauld Wessington Springs 57382-0422 Jones Murdo 57559-0307 Kingsbury Desmet 57231-0196 Lake Madison 57042-2941 Lawrence Deadwood 57732-0678 Lincoln Canton 57013-1792 Lyman Kennebec 57544-0038 Marshall Britton 57430-0130 McCook Salem 57058-0190 McPherson Leola 57456-0448 Meade Sturgis 57785-1452 Mellette White River 57579-0403 Miner Howard 57349-0086 Minnehaha Sioux Falls 57102-0192 Moody Flandreau 57028-0152 Pennington Rapid City 57701-2879 Perkins Bison 57620-0126 Potter Gettysburg 57442-1521 Roberts Sisseton 57262-1495 Sanborn Woonsocket 57385-0007 Shannon (attached to Fall River County) Spink Redfield 57469-1266 Stanley Fort Pierre 57532-0595 Sully Onida 57564-0265 Todd (attached to Tripp County) Tripp Winner 57580-1806 Turner Parker 57053-0368 Union Elk Point 57025-0519 Walworth Selby 57472-0199 Yankton Yankton 57078-0137 Ziebach Dupree 57623-0068 ============================== Tennessee The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race. Optional. You are requested to fill out this box. This data is requested from some states by the Department of Justice in their enforcement of the Voting Rights Act and the National Voter Registration Act. Enter the choice that best describes you from the following list: AI=American Indian or Alaskan Native; AP=Asian or Pacific Islander not Native Hawaiian; B=Black, not of Hispanic Origin; H=Hispanic; M=Multi-racial; NH=Native Hawaiian; W=White, not of Hispanic Origin; O=Other. d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(Provide the complete street address of your Tennessee voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Print the complete address where you want your ballot sent- -usually your current mailing address. It must be different from the address you provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (If you do not list a political party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party choice is not required if only requesting absentee ballots for general elections.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. Sign and date the FPCA. When signing, you are swearing or affirming under penalty of perjury that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (If an absentee applicant or voter requires assistance one person must witness the assistance given in completing the FPCA or ballot.) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Tennessee and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general election in a calendar year (for local, state and Federal offices). To register temporarily and request an absentee ballot, send a completed FPCA to the county election commission during the same calendar year as the election(s), so that it arrives not earlier than January 1 (or 90 days before an election if the election is held less than 90 days after January 1) and not later than five days before the election. Alternatively, send a written request for temporary registration and an absentee ballot to the local county election commission. This written request must include your name, social security number, date of birth, the address you claim as your legal voting residence, and your current mailing address (where you want the ballot to be sent), and must be signed under penalty of perjury that the information is true, correct and that you are eligible to vote in the election. To register permanently, request a state post card registration form from the local county election commission. Complete it, postmark it at least 30 days before the election and return it to the local county election commission. If you are permanently registered and only wish to request an absentee ballot, send a completed FPCA to the county election commission so that it arrives not earlier than January 1 (or 90 days before an election if the election is held less than 90 days after January 1) and not later than five days before the election. Or you may send a letter that contains your name, residential address, social security number, address where to mail ballot outside of the county, the election that you plan to participate in, the reason for voting absentee and your signature to the county election commission office not later than 5 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. Local election officials mail absentee ballots approximately 45 days before the election. If you are outside the U.S. and have not received your requested state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. However, if the applicant required assistance, one person must witness the assistance given in completing the FPCA or ballot. E. Electronic Transmission of FPCAs and Ballots  Tennessee allows you to send the FPCA to temporarily register and request an absentee ballot by fax. After faxing, submit the FPCA by mail.  Tennessee does not allow you to receive the blank ballot by fax.  Tennessee does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot State law generally provides that no later than forty-five (45) days before an election, the county election commission shall mail a ballot to all Armed Forces personnel who as of that date have made a valid application for a ballot. After requesting an official absentee ballot, Armed Forces personnel who feel that due to requirements of military service this may not be a sufficient amount of time to receive and then return the voted ballot may also use the Federal Write-In Absentee Ballot referred to in the last paragraph of Section I.B. above. If both ballots are received prior to the close of the polls on election day, the county election commission will count the ballot it provided to the voter. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Tennessee and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Tennessee.  residents of Tennessee temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas citizens  U.S. citizens who have never resided in the U.S. but have a parent who is eligible to vote in Tennessee. These citizens are eligible to vote at the same voting residence claimed by their parent B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general election in a calendar year. To register temporarily and request an absentee ballot, send a completed FPCA to the county election commission during the same calendar year as the election(s), so that it arrives not earlier than January 1 (or 90 days before an election if the election is held less than 90 days after Jan. 1) and not later than five days before the election. Alternatively, send a written request for temporary registration and an absentee ballot to the local county election commission. This written request must include your name, social security number, date of birth, the address you claim as your legal voting residence, and your current mailing address (where you want the ballot to be sent), and must be signed under penalty of perjury that the information is true, correct and that you are eligible to vote in the election. To register permanently, request a state post card registration form from the local county election commission. Complete it, postmark it at least 30 days before the election and return it to the local county election commission. If you are already permanently registered and only wish to request an absentee ballot, send a completed FPCA to the county election commission so that it arrives not earlier than January 1 (or 90 days before an election if the election is held less than 90 days after January 1) and not later than five days before the election. Or you may send a letter that contains your name, residential address, social security number, address where to mail ballot outside of the county, the election that you plan to participate in, the reason for voting absentee and your signature to the county election commission office no later than 5 days before the elections. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by close of polls on election day. Local election officials mail absentee ballots approximately 45 days before the election. If you have not received your requested state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. However, if the applicant required assistance, one person must witness the assistance given in completing the FPCA or ballot. E. Electronic Transmission of FPCAs and Ballots  Tennessee allows you to send the FPCA to temporarily register and request an absentee ballot by fax. After faxing, submit the FPCA by mail.  Tennessee does not allow you to receive the blank ballot by fax.  Tennessee does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Persons convicted of a felony may not register or vote unless voting rights have been reinstated. B. Cancellation of Registration Temporary registration is canceled following the election(s) for which a ballot is requested. Permanent registration is canceled for changing voting residence outside county of residence, changing name for reason other than marriage, or conviction of a felony. C. Action on Registration Requests Notice of acceptance or denial is sent. D. Action If Registration Is Denied Persons denied registration may appeal to the county election commission within ten (10) days from the date of rejection. Consult a legal assistance officer or civilian counsel. E. Voting By Citizens Who Have Never Lived in the U.S. A U.S. citizen who was born abroad and who is eligible to vote and who has never lived in the U.S. may register temporarily and vote in the county where a parent would be eligible to temporarily register and vote pursuant to this action. F. Where To Send It Mail the FPCA to the County Election Commission, county of voting residence, as listed below: County County Seat Zip Code Anderson 100 North Main, Room 207 Anderson Courthouse, Clinton, TN 37716-3617 Bedford One Public Square, Suite 20 Shelbyville, TN 37160-3952 Benton One East Court Square, Room 211 Benton County Courthouse Camden, TN 38320-2071 Bledsoe P.O. Box 153, Pikeville, TN 37367-0153 Blount 383 Court Street, 2nd Floor Blount County Courthouse Maryville, TN 37804- 5906 Bradley 155 Broad Street, N.W. Courthouse Annex, Cleveland, TN 37311-5000 Campbell P.O. Box 84, Jacksboro, TN 37757-0084 Cannon 301 West Maint Street, Room 244 Adams Office Bldg., Woodbury, TN 37190- 1100 Carroll 625 High Street, Suite 113 Huntington, TN 38344-1703 Carter 801 Elk Avenue, Room 207, Main Carter Co. Courthouse Elizabethton, TN 37643-2439 Cheatham 270 Frey Street, Suite 103 Courthouse Annex, Ashland City, TN 37015- 1726 Chester P.O. Box 127, Henderson, TN 38340-0127 Claiborne P.O. Box 343, Tazewell, TN 37879-0343 Clay P.O. Box 721 Celina, TN 38551-0721 Cocke 360 East Main Street, Room 130 Courthouse Annex, Newport, TN 37821-3121 Coffee Coffee County Election Commission 1329 McArthur Street, Suite 6 Manchester, TN 37355-2456 Crockett 10 North Johnson, Suite 1, Courthouse Annex, Alamo, TN 38001-1709 Cumberland 2 South Main Street, Suite 105 Milo Lemert Bldg., Crossville, TN 38555- 4583 Davidson P.O. Box 650, Nashville, TN 37202-0650 Decatur P.O. Box 298, Decaturville, TN 38329-0298 DeKalb P.O. Box 543, Smithville, TN 37166-0543 Dickson P.O. Box 552, Charlotte, TN 37036-0522 Dyer P.O. Box 1109, Dyersburg, TN 38025-1109 Fayette 16265 Highway 64 West, Suite One Somerville, TN 38068-6154 Fentress P.O. Box 1027, Jamestown, TN 38556-1027 Franklin 213 N. Jefferson St., Winchester, TN 37398-1745 Gibson One Court Square, Gibson County Courthouse Trenton, TN 38382-1851 Giles P.O. Box 678, Pulaski, TN 38478-0678 Grainger P.O. Box 28, Rutledge, TN 37861-0028 Greene 218 North Main Street, Suite 1 Greene County Offices, Greeneville, TN 37745- 3816 Grundy P. O. Box 181, Altamont, TN 37301-0181 Hamblen 511 West Second Nort Street, Room 101 Courthouse, Morristown, TN 37814-3964 Hamilton 514 East 4th St., Election Commission Chattanooga, TN 37403-1838 Hancock P.O. Box 423, Sneedville, TN 37869-0423 Hardeman P.O. Box 12, Bolivar, TN 38008-0012 Hardin 601 Main Street, Basement Courthouse, Savannah 38372-2061 Hawkins 109 Depot Street Rogersville, TN 37857-3303 Haywood One North Washington St, Basement Courthouse, Brownsville, TN 38012- 2561 Henderson 12 Natchez Trace Drive, Lexington, TN 38351-1838 Henry P.O. Box 967, Paris, TN 38242-0967 Hickman Public Square, Room 3, Courthouse Centerville, TN 37033-1639 Houston P.O. Box 346, Erin, TN 37061-0346 Humphreys 208 West Wyly Street Waverly, TN 37185-1547 Jackson P.O. Box 13, Gainesboro, TN 38562-0013 Jefferson P.O. Box 177, Dandridge, TN 37725-0177 Johnson P.O. Box 106, Mountain City, TN 37683-0106 Knox 300 Main Avenue, Room 218 Knox Co. Courthouse, Knoxville, TN 37902-1850 Lake 217 South Court Tiptonville, TN 38079-1305 Lauderdale P.O. Box 532, Ripley, TN 38063-0532 Lawrence 240 West Gaines Street, NBU #10 Lawrence Co. Courthouse Lawrenceburg, TN 38464-3635 Lewis 110 North park Ave., Room 7 Courthouse, Hohenwald, TN 38462-1428 Lincoln P.O. Box 145, Fayetteville, TN 37334-0145 Loudon P.O. Box 193, Loudon, TN 37774-0193 Macon 111 East Locust Street, Lafayete, TN 37083-1219 Madison 311 North Parkway Jackson, TN 38305-2713 Marion 104 Academy Avenue County Commission Bldg., Jasper, TN 37347-3519 Marshall 230 College Street, Suite 120 Lewisburg, TN 37091-3367 Maury 1207A Tradewinds Drive Columbia, TN 38401-4607 McMinn 6 East Madison Avenue, Room 28 McMinn Co. Courthouse, Athens, TN 37303-3666 McNairy P.O. Box 764, Selmer, TN 38375-0764 Meigs P.O. Box 1266, Decatur, TN 37322-1266 Monroe P.O. Box 397, Madisonville, TN 37354-0397 Montgomery P.O. Box 422, Clarksville, TN 37041-0422 Moore P.O. Box 8056, Lynchburg, TN 37352-8056 Morgan P.O. Box 266, Wartburg, TN 37887-0266 Obion P.O. Box 52, Union City, TN 38281-0052 Overton P.O. Box 384, Livingston, TN 38570-0384 Perry P.O. Box 77, Linden, TN 37096-0077 Picket P.O. Box 213, Byrdstown, TN 38549-0213 Polk P.O. Box 157, Benton, TN 37307-0157 Putnam 300 East Sprint Street, Room 10 Courthouse, Cookeville, TN 38501-3350 Rhea P.O. Box 181, Dayton, TN 37321-0181 Roane P.O. Box 157, Kingston, TN 37763-0157 Robertson 513 South Brown Street, Room 137 Robertson Co. Office Bldg. Springfield, TN 7172-2941 Rutherford 1 Public Square So., Room 103 Rutherford Co. Bldg., Murfreesboro, TN 37130-8001 Scott P.O. Box 586, Huntsville, TN 37756-0586 Sequatchie 224 Cedar Street North, Dunlap, TN 37327-6005 Sevier 125 Court Avenue, Room 208E Sevier Co. Courthouse, Sevierville, TN 37862- 3525 Shelby 157 Poplar Avenue, Room 109 Shelby Co. Office Bldg., Memphis, TN 38103- 1948 Smith 122 Turner High Circle, Suite 105 Carthage, TN 37030-1555 Stewart P.O. Box 217, Dover, TN 37058-0217 Sullivan 3258 Highway 126, Suite 103 Blountvillee Courthouse Blountville, TN 37617 Sumner 355 North Belvedere Drive, Room 106 Sumner Co. Admin. Bldg., Gallatin, TN 37066-5410 Tipton P.O. Box 456, Covington, TN 38019-0456 Trousdale 214 Broadway, Hartsville, TN 37074-1304 Unicoi P.O. Box 76, Erwin, TN 37650-0076 Union P.O. Box 39, Maynardville, TN 37807-0039 Van Buren P.O. Box 254, Spencer, TN 38585-0254 Warren 201 Locust Street, Sutie 3, McMinnville, TN 37110 Washington 110 East Main Street, Courthouse Jonesborough, TN 37659-1228 Wayne P.O. Box 706, Waynesboro, TN 38485-0706 Weakley 135 South Poplar Street, Old Health Dept. Bldg., Dresden, TN 38225-1451 White 1 Bockman Way, Room 215 Courthouse, Sparta, TN 38583-2034 Williamson 1320 West Main Street, Suite 140 Administrative Complex, Franklin, TN 37064-3731 Wilson P.O. Box 97, Lebanon, TN 37088-0097 ==================================== Texas The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave this section blank.) Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Texas voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. The mailing address must be an address outside the county of voting residence or an address anywhere in the U.S. (including an address within the county of voting residence) used for forwarding or delivery of an early voting ballot to you at a location outside the U.S. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if you request early voting ballots only for general elections. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote.) If the address given in Item 4 is within the county of your voting residence, you must state that the balloting materials will be forwarded to you at an address outside the U.S. If you want a state special write-in ballot in lieu of an officially printed ballot, you must include a statement to that effect (military only). 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. By signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U. S. citizens, residents of Texas, and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, the commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. The term "early voting" refers to Texas election procedures which allow citizens to vote by mail or in person 17 days before the election without a reason. References to "absentee voting" have been changed to "early voting." B. Registering and Requesting an Absentee Ballot A single FPCA may serve as a request for primary, runoff, general, and special election early voting ballots in a calendar year. To register temporarily and request an early voting ballot for local, state and Federal offices, send a completed FPCA to the early voting clerk conducting the election to arrive not earlier than January 1st of the year of the election and not later than the 30th day before the election. (Generally, the authority ordering the election appoints the early voting clerk, e.g., county, city, school district, water district). If the 30th day before the election is a Saturday, Sunday or a legal state or national holiday, your FPCA must be submitted by the preceding business day. However, if the election is held in January or February, you may submit your FPCA so that it arrives not earlier than 60 days before the election, even though it may arrive in the preceding calendar year. Persons who are temporarily registered to vote by FPCA may not use this procedure to vote in person. If you submit your FPCA between the 29th and the 7th day before the election and you are not permanently registered, you will receive a ballot for Federal offices only. However, for elections during the remainder of the calendar year, you will receive ballots for local, state and Federal offices. To register permanently, use the FPCA to request the Texas voter registration form from the county registrar. Complete the Texas voter registration form and return it to the county registrar postmarked not later than 30 days before the election. If the 30th day before an election is a Saturday, Sunday, or a legal state or national holiday, your application submitted by mail will be considered timely if it is postmarked the next business day. Once permanently registered, you will receive ballots for all local, state and Federal offices for all elections in the political subdivision in which the FPCA was received by the early voting clerk as long as your FPCA is received by the early voting clerk not later than seven (7) days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. If you are casting a ballot from outside the U.S., it must be placed in delivery by 7:00 p.m. on election day so that it arrives at the early voting clerk's offices according to the following timetable:  Not later than five (5) days after the general election for state and county officers (includes Federal offices).  Not later than two (2) days after the date of any election other than the general election for state and county officers (e.g., primary, special, school trustee, and city elections). Local election officials mail early voting ballots approximately 45 days before the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements Registration or voting materials are not required to be notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Texas allows you to send the FPCA by fax. After faxing, submit the FPCA by mail.  Texas does not allow you to receive the blank ballot by fax.  Texas allows you to return the voted ballot by fax if you are a member of the U.S. Armed Forces on active duty overseas, or the spouse or dependent of the member, and you are casting the ballot from an area in which members of the Armed Forces are eligible to receive hostile fire pay or imminent danger pay, or that has been designated by the President of the U.S. as a combat zone. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Ballot Texas provides a state special write-in absentee ballot if you are unable to cast a ballot on election day or during the regular period of early voting because of a military contingency. You may use this state special write-in ballot to write-in the name of an official candidate. If you apply for a state special write-in ballot, you will not be sent the official regular ballot from the state, unless the officially-printed ballot is available for mailing at the time your FPCA is received. You may apply for this state special write-in ballot not earlier than the 180th day before the election. If you wish to receive a state special write-in ballot for any election held outside the 180 days of submission of your initial FPCA, you must make another request for the state special write-in ballot. To request the state special write-in ballot, indicate in Item 7 of the FPCA "state special write-in ballot." The ballot will be mailed as soon as your FPCA has been approved by the early voting clerk. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Texas, and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S., whose intent to return is uncertain, and (but for such residence) would be qualified to vote in Texas. The term "early voting" refers to Texas election procedures which allow citizens to vote by mail or in person 17 days before the election without a reason. References to "absentee voting" have been changed to "early voting."  Texas residents temporarily residing outside the U.S. (for local, state, and Federal office ballots)  overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot A single FPCA may serve as a request for primary, runoff, general and special election early voting ballots in a calendar year. To register temporarily and request an early voting ballot for local, state and Federal offices, send a completed FPCA to the early voting clerk conducting the election to arrive not earlier than January 1st of the year of the election and not later than the 30th day before the election. (Generally, the authority ordering the election appoints the early voting clerk, e.g., county, city, school district, water district). If the 30th day before the election is a Saturday, Sunday or a legal state or national holiday, your FPCA must be submitted by the preceding business day. If the election is held in January or February, you may submit your FPCA so that it arrives not earlier than 60 days before the election, even though it may arrive in the preceding calendar year. Persons who are temporarily registered to vote by FPCA may not use this procedure to vote in person. If you submit your FPCA between the 29th and the 7th day before the election and you are not permanently registered, you will receive a ballot for Federal offices only. However, for elections during the remainder of the calendar year, you will receive ballots for local, state and Federal offices. To register permanently, use the FPCA to request the Texas voter registration form from the county registrar. Complete the Texas voter registration form and return it to the county registrar postmarked not later than 30 days before the election. If the 30th day before an election is a Saturday, Sunday, or a legal state or national holiday, your application submitted by mail will be considered timely if it is postmarked the next business day. Once permanently registered, you will receive ballots for all local, state and Federal offices for all elections in the political subdivision in which the FPCA was received by the early voting clerk as long as your FPCA is received by the early voting clerk not later than seven (7) days before the election. Permanent registration is applicable to all Texas residents temporarily outside the U.S. who have an intent to return to Texas. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be placed in delivery by 7:00 p.m. on election day so that it arrives at the early voting clerk's office according to the following timetable:  Not later than five (5) days after the general election for state and county offices (includes Federal offices).  Not later than two (2) days after the date of any election other than the general election for state and county officers (e.g., primary, special, school trustee, and city elections). Local election officials mail early voting ballots approximately 45 days before the election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements Registration or voting materials are not required to be notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  Texas allows you to send the FPCA by fax. After faxing, submit the FPCA by mail.  Texas does not allow you to receive the blank ballot by fax.  Texas does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Convicted felons while serving their sentence, parole or probation and persons declared mentally incompetent by final judgment of a court may not register or vote. B. Cancellation of Registration Temporary registration is canceled at the end of each calendar year. Change of residence may trigger being placed on the suspense list and could result in cancellation of permanent registration. If cancellation of registration occurs, re-registration is required. C. Action on Registration Requests You will receive a notice of denial if your FPCA is rejected. D. Action If Registration Is Denied If registration is denied, provide the information requested in the notice of denial. If registration is again denied, consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the Early Voting Clerk in the county of your voting residence, as listed below, for primary, runoff and general elections. For any elections other than Federal, state and county office elections or any other election conducted by the county, send a separate FPCA to the early voting clerk conducting that election. Addresses for a particular jurisdiction can be obtained by contacting the county clerk or elections administrator in that area or the administrative officers of the political subdivision conducting the election. Requests for a Texas voter registration form must be mailed to the County Registrar. County County Seat Zip Code Anderson 500 N. Church Palestine, TX 75801 Andrews PO Box 727 Andrews, TX 79714-0727 Angelina PO Box 1344 Lufkin, TX 75902-1344 Aransas 301 N. Live Oak St. Rockport, TX 78382-2798 Archer PO Box 815 Archer City, TX 76351 Armstrong PO Box 309 Claude, TX 79019-0309 Atascosa 1306 Brown Jourdanton, TX 78026 Austin One East Main St. Bellville, TX 77418-1598 Bailey 300 South 1st St., Ste. 200 Muleshoe, TX 79347-3621 Bandera PO Box 823 Bandera, TX 78003-0823 Bastrop PO Box 577 Bastrop, TX 78602-0577 Baylor PO Box 689 Seymour, TX 76380-0689 Bee 105 W. Corpus Christi St., #103 Beeville, TX 78102 Bell P.O Box 480 Belton, TX 76513-0480 Bexar 203 W. Nueva, Suite 3.61 San Antonio, TX 78207 Blanco PO Box 65 Johnson City, TX 78636-0117 Borden PO Box 124 Gail, TX 79738-0124 Bosque PO Box 617 Meridian, TX 76665-0617 Bowie PO Box 248 New Boston, TX 75570-0248 Brazoria 111 E. Locust, Ste. 200 Angleton, TX 77515-4654 Brazos 300 E. 26th St, Ste 120 Bryan, TX 77803-5393 Brewster PO Box 119 Alpine, TX 79831-0119 Briscoe PO Box 555 Silverton, TX 79257 Brooks PO Box 427 Falfurrias, TX 78355-0427 Brown 200 S. Broadway Brownwood, TX 76801-3188 Burleson PO Box 57 Caldwell, TX 77836-0057 Burnet 220 S. Pierce Burnet, TX 78611-3136 Caldwell 100 E. Market St. Lockhart, TX 78644-2747 Calhoun 211 S. Ann St. Port Lavaca, TX 77979-4298 Callahan 100 W. 4th street, Suite 104 Baird, TX 79504-5300 Cameron PO Box 832 Brownsville, TX 78522 Camp 126 Church St. Pittsburg, TX 75686-1344 Carson PO Box 487 Panhandle, TX 79068-0487 Cass PO Box 449 Linden, TX 75563 Castro 100 E. Bedford Dimmit, TX 79027-2643 Chambers PO Box 728 Anahuac, TX 77514-0728 Cherokee PO Box 420 Rusk, TX 75785 Childress Courthouse, Box 4 Childress, TX 79201-0004 Clay 100 N. Bridge Henrietta, TX 76365 Cochran Courthouse, Rm 102 Morton, TX 79346-2598 Coke PO Box 150 Robert Lee, TX 76945-0052 Coleman PO Box 591 Coleman, TX 76834-0591 Collin 920 E. Park Blvd., Suite 120 Plano, TX 75074-5466 Collingsworth 800 West Avenue., Box 10 Wellington, TX 79095-3092 Colorado PO Box 68 Columbus, TX 78934-0068 Comal 100 Main Plaza, Suite 104 New Braunfels, TX 78130 Comanche Courthouse Comanche, TX 76442-3297 Concho PO Box 98 Paint Rock, TX 76866-0098 Cooke Courthouse, 100 Dixon Street Gainsville, TX 76240 Coryell PO Box 237 Gatesville, TX 76528 Cottle PO Box 717 Paducah, TX 79248 Crane PO Box 578 Crane, TX 79731-0578 Crockett PO Drawer C Ozona, TX 76943-2502 Crosby PO Box 218 Crosbyton, TX 79322 Culberson PO Box 158 Van Horn, TX 79855-0158 Dallam PO Box 1352 Dalhart, TX 79022-1352 Dallas 2377 North Stemmons, Suite 820 Dallas, TX 75207 Dawson PO 1268 Lamesa, TX 79331-1268 Deaf Smith 235 E. 3rd, Rm. 203 Hereford, TX 79045-5542 Delta PO Box 455 Cooper, TX 75432-0455 Denton PO Box 1720 Denton, TX 76202 DeWitt 307 N. Gonzales St. Cuero, TX 77954-2998 Dickens PO Box 120 Dickens, TX 79229-0120 Dimmit 103 N. 5th St. Carrizo Springs, TX 78834 Donley Drawer U Clarendon, TX 79226-2020 Duval PO Box 248 San Diego, TX 78384-0248 Eastland PO Box 110 Eastland, TX 76448-0110 Ector PO Box 11149 Odessa, TX 79760-8149 Edwards PO Box 184 Rocksprings, TX 78880-0184 El Paso 500 E. San Antonio, Rm. 402 El Paso, TX 79901 Ellis PO Drawer W Waxahachie, TX 75165 Erath Courthouse Stephenville, TX 76401-4280 Falls PO Box 458 Marlin, TX 76661-0458 Fannin 101 E. Sam Rayburn Dr. Bonham, TX 75418-4346 Fayette PO Box 59 La Grange, TX 78945-0296 Fisher PO Box 368 Roby, TX 79543-0368 Floyd Courthouse, 100 Main, Room 101 Floydada, TX 79235-0476 Foard PO Box 539 Crowell, TX 79227-0539 Fort Bend 301 Jackson Street, Suite 624 Richmond, TX 77469-3108 Franklin PO Box 68 Mount Vernon, TX 75457 Freestone PO Box 1017 Fairfield, TX 75840-1017 Frio 500 E. San Antonto Street Pearsall, TX 78061-3100 Gaines 101 South Main, Room 107 Seminole, TX 79360-4397 Galveston PO Box 2450 Galveston, TX 77550-2450 Garza PO Box 366 Post, TX 79356-3242 Gillespie 101 W. Main, #13 Fredericksburg, TX 78624 Glasscock PO Box 190 Garden City, TX 79739-0190 Goliad PO Box 50 Goliad, TX 77963-0050 Gonzales PO Box 77 Gonzales, TX 78629-0077 Gray PO Box 1902 Pampa, TX 79066 Grayson 100 W. Houston, Suite 17 Sherman, TX 75090 Gregg PO Box 2827 Longview, TX 75606 Grimes PO Box 209 Anderson, TX 77830-0209 Guadalupe PO Box 1346 Seguin, TX 78156-1346 Hale 500 Broadway #140 Plainview, TX 79702-8050 Hall 512 W. Main Memphis, TX 79245-3343 Hamilton Courthouse Hamilton, TX 76531-1897 Hansford PO Box 397 Spearman, TX 79081-0397 Hardeman PO Box 30 Quanah, TX 79252-0030 Hardin PO Box 38 Kountze, TX 77625-0038 Harris PO Box 1525 Houston, TX 77251-1525 Harrison PO Box 8409 Marshall, TX 75671-8409 Hartley PO Box Q Channing, TX 79018-0147 Haskell PO Box 725 Haskell, TX 79521-0725 Hays 401-C Broadway St. San Marcos, TX 78666-7751 Hemphill PO Box 867 Canadian, TX 79014-0867 Henderson Courthouse Athens, TX 75751-0632 Hidalgo PO Box 659 Edinburg, TX 78540-0659 Hill PO Box 398 Hillsboro, TX 76645-0398 Hockley 802 Houston, Suite 213 Levelland, TX 79336-0013 Hood PO Box 339 Granbury, TX 76048-0339 Hopkins PO Box 288 Sulphur Springs, TX 75483 Houston PO Box 370 Crockett, TX 75835-0370 Howard P.O. Box 1468 Big Spring, TX 79720-1468 Hudspeth PO Box 58 Sierra Blanca, TX 79851-0058 Hunt PO Box 1316 Greenville, TX 75403-1316 Hutchinson PO Box 1186 Stinnett, TX 79083-1186 Irion PO Box 736 Mertzon, TX 76941-0736 Jack 100 N. Main St. Jacksboro, TX 76458 Jackson 115 W. Main, Room 101 Edna, TX 77957-2799 Jasper PO Box 2070 Jasper, TX 75951-8070 Jeff Davis PO Box 398 Fort Davis, TX 79734-0398 Jefferson PO Box 1151 Beaumont, TX 77704-1151 Jim Hogg PO Box 878 Hebbronville, TX 78361-0878 Jim Wells PO Box 1459 Alice, TX 78332-1459 Johnson 2 N. Main Cleburne, TX 76031 Jones PO Box 552 Anson, TX 79501-0552 Karnes 101 N. Panna Maria Ave. Karnes City, TX 78118-2909 Kaufman PO Box 339 Kaufman, TX 75142 Kendall 201 E. San Antonio Street Boerne, TX 78006-2050 Kenedy PO Box 227 Sarita, TX 78385-1519 Kent PO Box 9 Jayton, TX 79528-0009 Kerr 700 Main Street, Suite 122 Kerrville, TX 78028-5389 Kimble 501 Main, Courthouse Junction, TX 76849 King PO Box 135 Guthrie, TX 79236-0135 Kinney PO Box 9 Brackettville, TX 78832 Kleberg PO Box 1327 Kingsville, TX 78364-1327 Knox PO Box 196 Benjamin, TX 79505-0196 La Salle PO Box 340 Cotulla, TX 78014-0340 Lamar 119 N. Main Paris, TX 75460-4265 Lamb Box 3, Rm. 103, Courthouse Littlefield, TX 79339-0003 Lampasas PO Box 347 Lampasas, TX 76550-0347 Lavaca PO Box 326 Hallettsville, TX 77964-0326 Lee PO Box 419 Giddings, TX 78942-0419 Leon PO Box 98 Centerville, TX 75833 Liberty PO Box 369 Liberty, TX 77575 Limestone PO Box 350 Groesbeck, TX 76642-0350 Lipscomb PO Box 70 Lipscomb, TX 79056-0070 Live Oak PO Box 280 George West, TX 78022-0280 Llano PO Box 40 Llano, TX 78643 Loving PO Box 194 Mentone, TX 79754-0194 Lubbock PO Box 10536 Lubbock, TX 79408-3536 Lynn PO Box 937 Tahoka, TX 79373 Madison 101 W. Main, Rm. 102 Madisonville, TX 77864-1981 Marion PO Box 763 Jefferson, TX 75657 Martin PO Box 906 Stanton, TX 79782-0906 Mason PO Box 702 Mason, TX 76856-0702 Matagorda 1700 Seventh St. #202 Bay City, TX 77414-5094 Maverick PO Box 4050 Eagle Pass, TX 78853 McCulloch Courthouse Square Brady, TX 76825 McLennan PO Box 2450 Waco, TX 76703-2450 McMullen PO Box 235 Tilden, TX 78072-0235 Medina 1100 16th St., Rm. 109 Hondo, TX 78861-1897 Menard PO Box 1028 Menard, TX 76859 Midland PO Box 3434 Midland, TX 79702-3434 Milam PO Box 191 Cameron, TX 76520-0191 Mills PO Box 646 Goldthwaite, TX 76844-0646 Mitchell 349 Oak Street, Room 103 Colorado City, TX 79512 Montague PO Box 77 Montague, TX 76251-0077 Montgomery PO Box 2646 Conroe, TX 77305-2646 Moore 715 S. Dumas Ave., #105 Dumas, TX 79029-0396 Morris 500 Broadnax St. Daingerfield, TX 75638-1397 Motley PO Box 66 Matador, TX 79244-0066 Nacogdoches 101 W. Main Nacogdoches, TX 75961 Navarro PO Box 423 Corsicana, TX 75151-0423 Newton PO Box 484 Newton, TX 75966 Nolan 100 E. 3rd., Suite 108 Sweetwater, TX 79556-0098 Nueces 901 Leopard St., Suite 201 Corpus Christi, TX 78401 Ochiltree 511 S. Main Perryton, TX 79070-3154 Oldham PO Box 360 Vega, TX 79092-0360 Orange PO Box 1536 Orange, TX 77631-1536 Palo Pinto PO Box 219 Palo Pinto, TX 76484-0219 Panola 110 S. Sycamore St. Carthage, TX 75633-2527 Parker 1112 Santa Fe Drive Weatherford, TX 76086 Parmer PO Box 356 Farwell, TX 79325-0356 Pecos 103 W. Callaghan Fort Stockton, TX 79735-7101 Polk PO Drawer 2119 Livingston, TX 77351-7119 Potter PO Box 9638 Amarillo, TX 79105-9638 Presidio PO Box 789 Marfa, TX 79843-0789 Rains PO Box 187 Emory, TX 75440-0187 Randall PO Box 660 Canyon, TX 79015-0660 Reagan PO Box 100 Big Lake, TX 76932-0100 Real PO Box 750 Leakey, TX 78873-0656 Red River 200 N. Walnut St. Clarksville, TX 75426-3041 Reeves PO Box 867 Pecos, TX 79772-0867 Refugio PO Box 704 Refugio, TX 78377-0704 Roberts Box 477 Miami, TX 79059-0477 Robertson PO Box 1029 Franklin, TX 77856-1029 Rockwall 1101 Ridge Road, S-101 Rockwall, TX 75087-3724 Runnels PO Box 189 Ballinger, TX 76821-0189 Rusk P.O. Box 758 Henderson, TX 75652 Sabine PO Box 580 Hemphill, TX 75948-0580 San Augustine 106 Courthouse San Augustine, TX 75972-1335 San Jacinto PO Box 669 Coldspring, TX 77331-0669 San Patricio PO Box 578 Sinton, TX 78387-0578 San Saba 500 E. Wallace, Courthouse San Saba, TX 76877 Schleicher PO Box 580 Eldorado, TX 76936-0580 Scurry 1806 25th St. Snyder, TX 79549 Shackelford PO Box 247 Albany, TX 76430-0247 Shelby PO Box 1987 Center, TX 75935 Sherman PO Box 270 Stratford, TX 79084-0270 Smith PO Box 1018 Tyler, TX 75710-1018 Somervell PO Box 1098 Glen Rose, TX 76043-1098 Starr Courthouse, Room 201 Rio Grande City, TX 78582 Stephens Courthouse Breckenridge, TX 76424-3551 Sterling PO Box 55 Sterling City, TX 76951-0055 Stonewall P.O. Drawer P Aspermont, TX 79502 Sutton 300 E. Oak, Suite 3 Sonora, TX 76950-3106 Swisher Courthouse, 119 S. Maxwell Tulia, TX 79088-2297 Tarrant 100 W. Weatherford St. Fort Worth, TX 76196-0136 Taylor PO Box 3318 Abilene, TX 79604 Terrell PO Box 410 Sanderson, TX 79848-0410 Terry 501 W. Main, Rm. 105 Brownfield, TX 79316 Throckmorton PO Box 309 Throckmorton, TX 76483 Titus 100 W. 1st St., Ste. 204 Mt Pleasant, TX 75455 Tom Green 113 W. Beauregard Ave. San Angelo, TX 76903-5887 Travis PO Box 1748 Austin, TX 78767-1748 Trinity PO Box 456 Groveton, TX 75845-0456 Tyler 100 Courthouse, Rm. 110 Woodville, TX 75979-5245 Upshur PO Box 730 Gilmer, TX 75644 Upton PO Box 465 Rankin, TX 79778-0465 Uvalde PO Box 284 Uvalde, TX 78802-0284 Val Verde PO Box 1267 Del Rio, TX 78841-1267 Van Zandt 121 E. Dallas St., Room 202 Canton, TX 75103 Victoria 111 N. Glass Victoria, TX 77901 Walker PO Box 210 Huntsville, TX 77342-0210 Waller 846 6th Street, #1 Hempstead, TX 77445-5402 Ward 400 S. Allen Monahans, TX 79756-4602 Washington 100 E. Main, Ste 102 Brenham, TX 77833-3753 Webb PO Drawer 29 Laredo, TX 78042-0029 Wharton PO Box 69 Wharton, TX 77488-0069 Wheeler PO Box 465 Wheeler, TX 79096-0465 Wichita PO Box 1679 Wichita Falls, TX 76307 Wilbarger 1700 Wilbarger, Rm. 15 Vernon, TX 76384 Willacy Courthouse Bldg. Raymondville, TX 78580-3597 Williamson 710 Main St., 2nd Floor Georgetown, TX 78626 Wilson PO Box 27 Floresville, TX 78114-0027 Winkler PO Box 1007 Kermit, TX 79745 Wise PO Box 359 Decatur, TX 76234-0359 Wood PO Box 1796 Quitman, TX 75783 Yoakum PO Box 309 Plains, TX 79355-0309 Young 156 Fourth St., Rm. 104 Graham, TX 76450-0218 Zapata PO Box 789 Zapata, TX 78076-0789 Zavala Courthouse Crystal City, TX 78839-3590 TEXAS ========================= Utah The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number. The last four digits of your social security number is requested. f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration. Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Utah voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections). Provide your political party affiliation. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. By signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Utah, military voters, and members of the commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. Under Utah law, military voters are defined as:  members of the U.S. Armed Forces or merchant marine  civilian employees of the U.S. Government serving overseas  members of religious groups or welfare agencies officially attached to the Armed Forces overseas  spouses and dependents of the above B. Registering and Requesting an Absentee Ballot During even-numbered years, you may use a single FPCA to request ballots for both the primary and general elections in a calendar year (for local, state and Federal offices). Registration is not required when using the FPCA to request ballots. When you return the voted ballot you will be temporarily registered. If you are a member of the Armed Forces or merchant marine or a spouse or dependent of one of these and live in the U.S., the county clerk must receive your FPCA not later than the Friday before the election. If you are a voter defined in I(A) above and you live overseas, the county clerk must receive your FPCA not later than 20 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be postmarked at military APO/FPO post office by the day of the election and received by the elections officer before noon on the day of the official canvass following the election (see Item D). Local election officials mail ballots to persons residing overseas not later than 35 days before the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No notary or witnessed required. Ballot Return Envelope: If it is not possible to obtain the military postmark on or before election day a noncommissioned officer or commissioned officer may certify that the ballot was voted on or before election day by writing the following on the exterior of the ballot:  "I certify that this ballot was voted on or before election day"  sign and date; and  clearly print their name and service number below the signature. E. Electronic Transmission of FPCAs and Ballots  Some counties in Utah allow you to send your FPCA for registration and ballot request by fax in emergency situations. After faxing, submit the FPCA by mail.  Some counties in Utah allow you to receive the blank ballot by fax in emergency situations.  Some counties in Utah allow you to return the voted ballot by fax in emergency situations. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Utah provides a state special write-in absentee ballot to military voters who will be unable to vote by regular absentee ballot or in person because of military service. This special write-in ballot is only available for general elections. The FPCA may be used to request this special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G. If no labels are available, write in Item 7: "I am unable to vote by regular absentee ballot or in person because of military service. I request a special write-in absentee ballot." The special write-in ballot is available 90 days before an election and must be requested not later than 30 days before the election. It may be used to vote for Federal offices only. You may vote it by writing a party choice or the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens and residents of Utah, or overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) wuld be qualified to vote in Utah.  Utah residents temporarily residing outside the U.S. (Consult Section B below for ballot type eligibility)  overseas citizens (for ballots for Federal offices only) B. Registering and Requesting an Absentee Ballot During even-numbered years, you may use a single FPCA to request ballots for both the primary and general elections in a calendar year. Registration is not required when using the FPCA to request ballots. When you return the voted ballot you will be temporarily registered. (1) If you are an unregistered resident temporarily residing outside the U.S. and wish to receive a ballot for local, state and Federal offices, send your FPCA to the County Clerk. The County Clerk will then mail you the state by-mail registration form which must be completed and returned so that it arrives not later than 20 days before the election. Request the state by-mail registration form by submitting an FPCA to the local election official. If you are an unregistered resident temporarily residing outside the U.S. and wish to vote a ballot for Federal offices only, the county clerk must receive your FPCA request for a ballot for Federal offices not later than 30 days before the election. In this case, you are considered an overseas citizen. If you are a registered resident temporarily residing outside the U.S., the county clerk must receive your FPCA not later than 20 days before the election. You will receive ballots for local, state and Federal offices. If you are an overseas citizen, the county clerk must receive your FPCA not later than 30 days before the election. You will be temporarily registered. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county clerk by noon on the Monday after the election. Postmark your voted ballot by the day before the election. Local election officials mail ballots to persons residing overseas not later than 35 days before the election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCA and Ballots  Some counties in Utah allow you to send your FPCA for registration and ballot request by fax in emergency situations. After faxing, submit the FPCA by mail.  Some counties in Utah allow you to receive the blank ballot by fax in emergency situations.  Some counties in Utah allow you to return the voted ballot by fax in emergency situations. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons incarcerated for a felony conviction or persons found mentally incompetent may not register or vote, unless civil rights have been restored. B. Cancellation of Registration Temporary registration is canceled at the end of the calendar year. C. Action on Registration Requests A ballot or a state by-mail registration form is sent, as appropriate. D. Action If Registration Is Denied If registration is denied, consult a legal assistance officer or civilian counsel. E. Late Registration Any member of the Armed Forces, merchant marine or any civilian citizen who was discharged from overseas service or employment too late to meet the regular state registration deadline, may register to vote by filing an affidavit establishing his or her eligibility to vote with the county clerk of his or her county of voting residence by noon on the day before the election. F. Where To Send It Mail the FPCA to the County Clerk, county of voting residence, as listed below: County County Seat Zip Code Beaver PO Box 392, Beaver 84713-0392 Box Elder 01 S. Main Street, Brigham City 84302-2599 Cache 170 No. Main Street, Logan 84321-4567 Carbon 120 East Main, Price 84501-3057 Daggett PO Box 218, Manila 84046-0218 Davis PO Box 618, Farmington 84025-0618 Duchesne PO Box 270, Duchesne 84021-0270 Emery PO Box 907, Castle Dale 84513-0907 Garfield PO Box 77, Panguitch 84759-0077 Grand 125 E. Center, Moab 84532-2492 Iron PO Box 429, Parowan 84761-0429 Juab 160 N. Main, Nephi 84648-1412 Kane 76 North Main, Kanab 84741-0050 Millard 765 S. Highway 99, Fillmore 84631-5002 Morgan PO Box 886, Morgan 84050-0886 Piute PO Box 99, Junction 84740-0099 Rich 20 South Main, PO Box 218, Randolph 84064-0218 Salt Lake 2001 S. State St., #S1100, Salt Lake City 84190-1051 San Juan PO Box 338, Monticello 84535-0338 Sanpete 160 N. Main, Manti 84642-1268 Sevier PO Box 517, Richfield 84701-0517 Summit PO Box 128, Coalville 84017-0128 Tooele 47 So. Main, Tooele 84074-2194 Uintah 147 East Main, Vernal 84078-2643 Utah 100 East Center, Room 3100, Provo 84606-3106 Wasatch 25 No. Main, Heber City 84032-1827 Washington 197 E. Tabernacle, Saint George 84770-3473 Wayne PO Box 189, Loa 84747-0189 Weber 2380 Washington Blvd., 3rd Floor, Ogden 84401-1456 UTAH "I am unable to vote by regular absentee ballot or in person because of military service. I request a special write-in absentee ballot." ============================ Virginia The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) A married woman who has adopted her husband's last name must provide her maiden name in 1(a). b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) Military members, merchant marine members, and their spouses and dependents must provide the service identification number of the member. Overseas electors and/or their spouses and dependents must provide an identification number or name and address of employer. (See 7 below). 2. I Last Voted or Place of Last Registration (Do not leave this section blank.) All voters must complete. Write "None" if not applicable. If previously registered in Virginia, your voter registration number is your social security number. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your Virginia voting residence. A post office box is not sufficient. If your address includes a rural route number, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county or city where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) Enter last day of residency at your Virginia voting residence address only if that home is no longer available to you. b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Primaries are held only if requested by the political party and then only if at least two candidates file for the office. Political party affiliation is not required if only requesting ballots for general elections. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party affiliation and you now want to vote in a primary election, you must submit a completed FPCA which includes your new political party affiliation to the local election official not later than 29 days before the election. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote.) Uniformed service members, merchant marine members, and their spouses and dependents must provide the branch of service, and grade or rank of the military member. Citizens residing overseas for reason of employment and their accompanying spouse/dependents must provide the name and address of the employer. 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. No notary or witness required except when a voter is unable to sign the application due to a physical disability or inability to read or write. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Virginia and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections held within a calendar year (for local, state and Federal offices). To register permanently and request an absentee ballot, send a completed FPCA to the general registrar so that it arrives as early as possible but not earlier than 12 months before the election and not later than 5 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the general registrar so that it arrives as early as possible, but not earlier than 12 months before the election and not later than 5 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. Local election officials mail absentee ballots approximately 45 days before an election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12 and Section I.F. D. Notary/Witness Requirements FPCA: No notary or witness required except when a voter is unable to sign the application due to a physical disability or inability to read or write. Ballot Return Envelope: The oath on the envelope must be witnessed. E. Electronic Transmission of FPCAs and Ballots  Virginia allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail.  Virginia does not allow you to receive the blank ballot by fax.  Virginia does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Early Absentee Ballot Virginia provides an early absentee ballot for the elections for governor, lieutenant governor or attorney general only. You are eligible to use this ballot if you are overseas and you will not be able to vote and return a regular absentee ballot within the time provided for regular absentee ballots. Use the FPCA to request this early absentee ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G. If no labels are available, write in Item 7: "I am unable to vote in any other manner due to overseas military service or due to living in an isolated or extremely remote overseas area. I request an early absentee ballot." The early absentee ballot must be requested not later than 90 days before the election. G. Federal Write-in Absentee Ballot Virginia has expanded the use of the Federal Write-In Absentee Ballot (FWAB), SF 186. The instructions described in Chapter 2 of this Guide remain the same, except that Virginia also allows the FWAB to be used by any of the persons listed in Section A above, whether voting from inside or outside the U.S. Virginia also allows the FWAB to be used in primary, general or special elections for Federal offices. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens and residents of Virginia, or overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (except for living outside the U.S.) would be qualified to vote in Virginia.  residents of Virginia temporarily living outside the U.S. who still have Virginia place of abode available to them (for local, state and Federal office ballots)  residents of Virginia living outside the U.S. by virtue of employment, and their spouses and dependents living with them who were registered to vote immediately preceding the move overseas (for local, state and Federal office ballots)  all other citizens who are residents of Virginia (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot If you are a Virginia resident residing temporarily outside the U.S. and you maintain your Virginia place of abode, you may register permanently and request an absentee ballot by sending a completed FPCA to the general registrar as early as possible so that it arrives not earlier than 12 months before the election and not later than 29 days before the election. You may use a single FPCA to request ballots for all elections held within a calendar year. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the general registrar so that it arrives as early as possible, but not earlier than 12 months before the election and not later than 5 days before the election.You may use a single FPCA to request ballots for all elections held within a calendar year. Residents of Virginia living outside the U.S. by virtue of employment, and their spouses and dependents living with them who were registered to vote immediately preceding the move overseas and other Virginians overseas who no longer have a Virginia place of abode may be registered temporarily. To register temporarily and request an absentee ballot, send a completed FPCA or the Virginia application for temporary registration to the general registrar so that it arrives not earlier than 6 months or not later than 29 days before the election. You must submit a separate FPCA for each election in a calendar year. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. Local election officials mail absentee ballots approximately 45 days before an election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12 and Section II.F. D. Notary/Witness Requirements FPCA: No notary or witness required except when a voter is unable to sign the application due to a physical disability or inability to read or write. Ballot Return Envelope: The oath on the envelope must be witnessed. E. Electronic Transmission of FPCAs and Ballots  Virginia allows you to send the FPCA for registration and absentee ballot or the Virginia application for temporary registration by fax. After faxing, submit the FPCA or Virginia application by mail.  Virginia does not allow you to receive the blank ballot by fax.  Virginia does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Early Absentee Ballot Virginia provides an early absentee ballot for the elections for governor, lieutenant governor or attorney general to any person voting from overseas who believes that he or she will not be able to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. Use the FPCA to request this early absentee ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.G. If no labels are available, write in Item 7: "I am unable to vote in any other manner due to overseas military service or due to living in an isolated or extremely remote overseas area. I request an early absentee ballot." The early absentee ballot must be requested not later than 90 days before the election. G. Federal Write-in Absentee Ballot Virginia has expanded the use of the Federal Write-In Absentee Ballot (FWAB) (SF 186). The instructions described in Chapter 2 of this Guide remain the same, except that Virginia also allows the FWAB to be used by any of the persons listed in Section A above, whether voting from inside or outside the U.S. Virginia also allows the FWAB to be used in primary, general or special elections for Federal offices. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Late Registration The following persons, if otherwise qualified to register, may register in person up to and including the date of an election: (1) active duty military, and their spouses and dependents, who are discharged within 60 days of election day; (2) persons who are normally absent from their county or city of residence or who return to reside there during the 28 days preceding the election who are (i) active duty military, (ii) members of the merchant marine, (iii) persons who reside temporarily outside the U.S. by virtue of their employment, and (iv) spouses or dependents of (i), (ii), and (iii) who reside with them. B. Bars to Registration and Voting Persons convicted of a felony or declared mentally incapacitated by a court may not register or vote unless their rights have been restored. C. Cancellation of Registration Temporary registration for overseas citizens is canceled following each election. D. Action on Registration Requests If denied, notice of denial is sent. E. Action If Registration Is Denied Registration applications must be complete. Failure to complete all requests may result in denial of your application. Persons denied registration may appeal to the circuit court. A form for petitioning the court is provided on the reverse side of the denial. Consult a legal assistance officer or civilian counsel. F. Where to Send it Mail the FPCA to the General Registrar, county or city of voting residence, as listed below: County Address Zip Code Accomack PO Box 97, Accomack 23301-0097 Albemarle 536 Pantops Center, Charlottesville 22911-4596 Allegheny 212 N. Monroe Ave., Covington 24426-1410 Amelia PO Box 481, Amelia 23002-0481 Amherst PO Box 550, Amherst 24521-0550 Appomattox PO Box 8, Appomattox 24522-0235 Arlington 2100 Clarendon Blvd., Arlington 22201-5400 Augusta PO Box 590, Verona 24482-0590 Bath PO Box 157, Warm Springs 24484-0157 Bedford 122 E. Main St., Bedford 24523-2000 Bland PO Box 535, Bland 24315-0535 Botetourt PO Box 62, Fincastle 24090-0062 Brunswick 100 Tabacco St., Lawrenceville 23868-1823 Buchanan PO Box 975, Grundy 24614-0975 Buckingham PO Box 222, Buckingham 23921-0222 Campbell PO Box 103, Rustburg 24588-0103 Caroline PO Box 617, Bowling Green 22427-0617 Carroll 605-3 Pine St. Rm 110, Hillsville 24343-1404 Charles City PO Box 146, Charles City 23030-0146 Charlotte PO Box 118, Charlotte Courthouse 23923-0118 Chesterfield PO Box 1690, Chesterfield 23832-1690 Clarke PO Box 555, Berryville 22611-0555 Craig PO Box 8, New Castle 24127-0008 Culpeper 131 W. Davis St., Culpeper 22701-3017 Cumberland PO Box 8, Cumberland 23040-0008 Dickenson PO Box 1306, Clintwood 24228-1306 Dinwiddie PO Box 365, Dinwiddie 23841-0365 Essex PO Box 1561, Tappahannock 22560-1561 Fairfax 12000 Govt Center Pkwy, Fairfax 22035-0081 Fauquier 32 Waterloo St., Warrenton 20186-3219 Floyd 100 E. Main St. Box 9, Floyd 24091-2101 Fluvanna PO Box 44, Palmyra 22963-0044 Franklin 70 E. Court St., Rocky Mount 24151-1720 Frederick 107 N. Kent St. Suite 102, Winchester 22601-5000 Giles 120 N. Main St. Suite 3, Pearisburg 24134-1625 Gloucester PO Box 208, Gloucester 23061-0208 Goochland PO Box 1013, Goochland 23063-1013 Grayson PO Box 449, Independence 24348-0077 Greene PO Box 341, Stanardsville 22973-0341 Greensville PO Box 1092, Emporia 23847-1092 Halifax PO Box 400, Halifax 24558-0400 Hanover PO Box 419, Hanover 23069-0419 Henrico PO Box 27032, Richmond 23273-7032 Henry PO Box 7, Collinsville 24078-0007 Highland PO Box 386, Monterey 24465-0386 Isle of Wight PO Box 77, Isle of Wight 23397-0077 James City PO Box 3567, Williamsburg 23187-3567 King and Queen PO Box 56, King and Queen C.H. 23085-0056 King George PO Box 1359, King George 22485-1359 King William PO Box 173, King William 23086-0173 Lancaster PO Box 159, Lancaster 22503-0159 Lee PO Box 363, Jonesville 24263-0363 Loudoun 26-C Fairfax St. SE, Leesburg 20175-3621 Louisa PO Box 220, Louisa 23093-0220 Lunenburg 11441 Courthouse Rd., Lunenburg 23952-9999 Madison PO Box 267, Madison 22727-0267 Mathews PO Box 328, Mathews 23109-0328 Mecklenburg PO Box 436, Boydton 23917-0436 Middlesex PO Box 358, Saluda 23149-0358 Montgomery 1 E. Main St., Suite 220, Christiansburg 24073-3038 Nelson PO Box 292, Lovingston 22949-0292 New Kent PO Box 128, New Kent 23124-0128 Northampton PO Box 510, Eastville 23347-0510 Northumberland PO Box 84, Heathsville 22473-0084 Nottoway PO Box 24, Nottoway 23955-0024 Orange 146 Madison Rd., Suite 204, Orange 22960-1449 Page 117 S. Court St., Luray 22835-1289 Patrick PO Box 635, Stuart 24171-0635 Pittsylvania PO Box 1136, Chatham 24531-1136 Powhatan 3834 Old Buckingham Rd., Powhatan 23139-7051 Prince Edward 121 E. Third St., Farmville 23901-0269 Prince George PO Box 34, Prince George 23875-0034 Prince William 9252 Lee Ave., Manassas 20110-5557 Pulaski 52 W. Main St., Rm 300, Pulaski 24301-5045 Rappahannock PO Box 236, Washington 22747-0236 Richmond PO Box 1000, Warsaw 22572-1000 Roanoke PO Box 20884, Roanoke 24018-0089 Rockbridge 1 E. Washington St., Lexington 24450-2528 Rockingham PO Box 1252, Harrisonburg 22801-1252 Russell PO Box 383, Lebanon 24266-0383 Scott 104 E. Jackson St., Gate City 24251-3417 Shenandoah 600 N. Main St., Suite 103, Woodstock 22664-1855 Smyth 121 Bagley Circle, Suite 111, Marion 24354-0067 Southampton PO Box 666, Courtland 23837-0666 Spotsylvania PO Box 133, Spotsylvania 22553-0133 Stafford PO Box 301, Stafford 22555-0301 Surry PO Box 264, Surry 23883-0264 Sussex PO Box 1302, Sussex 23884-0302 Tazewell PO Box 201, Tazewell 24651-0201 Warren 220 N. Commerce Ave., Front Royal 22630-3372 Washington 109-A Court St., NE, Abingdon 24210-2901 Westmoreland PO Box 354, Montross 22520-0354 Wise PO Box 309, Wise 24293-0309 Wythe 275 S. Fourth St., Wytheville 24382-2598 York PO Box 451, Yorktown 23690-0451 Independent Cities Zip Code Alexandria 132 N. Royal St., Alexandria 22314-3283 Bedford PO Box 807, Bedford 24523-0807 Bristol 510 Cumberland St. Suite 103, Bristol 24201-4386 Buena Vista 2039 Sycamore Ave., Buena Vista 24416-3133 Charlottesville PO Box 911, Charlottesville 22902-0911 Chesapeake PO Box 15225, Chesapeake 23328-0225 Clifton Forge** Colonial Heights PO Box 3401, Colonial Heights 23834-9001 Covington 1011-A N. Rockbridge Ave., Covington 24426-1534 Danville 515 Main St. PO Box 209, Danville 24543-0209 Emporia PO Box 1092, Emporia 23847-1092 Fairfax 10455 Armstrong St., Fairfax 22030-3640 Falls Church 300 Park Ave., Rm 101, Falls Church 22046-3332 Franklin PO Box 42, Franklin 23851-0042 Fredericksburg PO Box 7447, Fredricksburg 22404-7447 Galax PO Box 1045, Galax 24333-1045 Hampton 101 Kings Way, Hampton 23669-3500 Harrisonburg PO Box 20031, Harrisonburg 22801-3638 Hopewell 309 N. 2nd Ave., Hopewell 23860-2704 Lexington PO Box 922, Lexington 24450-0922 Lynchburg 3236 Odd Fellow Rd., Lynchburg 24501-0060 Manassas 9025 Center St., Manassas 20110-5403 Manassas Park 1 Park Center Court, Manassas Park 20111-2395 Martinsville PO Box 1323, Martinsville 24114-1323 Newport News 2400 Washington Ave., Newport News 23607-4305 Norfolk PO Box 1531, Norfolk 23501-1531 Norton PO Box 225, Norton 24273-0225 Petersburg PO Box 1031, Petersburg 23804-1031 Poquoson 500 City Hall Ave. Rm 139, Poquoson 23662-1996 Portsmouth 801 Crawford Sr. 1st floor, Portsmouth 23704-3822 Radford 106 Arlington Ave., Suite A, Radford 24141-1540 Richmond PO Box 61037, Richmond 23261-1037 Roanoke PO Box 1095, Roanoke 24005-1095 Salem PO Box 203, Salem 24153-0203 Staunton PO Box 58, Staunton 24402-0058 Suffolk PO Box 1966, Suffolk 23439-1966 Virginia Beach PO Box 6247, Virginia Beach 23456-0247 Waynesboro PO Box 1028, Waynesboro 22980-0748 Williamsburg PO Box 3538, Williamsburg 23187-3538 Winchester 15 North Cameron St., Winchester 22601-4764 **Note: The City of Clifton Forge has reverted to town status and become part of Allegheny County. Voters with residency in Clifton Forge should send their applications to the Allegheny County registrar. ============================== VIRGIN ISLANDS The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below before completing and signing your application. FEDERAL POST CARD APPLICATION REGISTRATION AND ABSENTEE BALLOT REQUEST - FEDERAL POST CARD APPLICATION (FPCA) Application For State Of_________ (Required field). County Of________. City Or Township Of_______ (Required field). I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. APPLICANT INFORMATION: a. Typed or Printed Name (Last, First, Middle Initial) (Required field) b. Sex. (Required field) c. Race. d. Date of Birth. MM/DD/YY (Month, Day, Year) (Required field). e. Social Security Number. (Required field) f. Other Identification Number (passport, ID card) 2. I LAST VOTED OR PLACE OF LAST REGISTRATION: (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. b. County, City, or Township. (Required field) c. State. (Required field) d. Voter Registration Number(if known). 3. VOTING RESIDENCE: (For military: legal residence. For overseas civilians: last residence in U.S. If Using Rural Route: Provide the complete street address of your Virgin Islands voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the Virgin Islands.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box). (Required field) c. City, Town or Village. (Required field) d. State. (Required field) e. County or Parish. (Required field) f. Zip Code (9 digit, if known). (Required field) 4. MAIL ABSENTEE BALLOT TO: (Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address provided in Item 3.) (Required field) 5. YOUR FAX NUMBER: (If this application is faxed, include all international prefixes.) 6. POLITICAL PARTY AFFILIATION: (If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation, you must submit a completed FPCA which indicates your new political party choice so that the local election official receives it not later than 30 days before the election in which you wish to vote.) 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d (Required field). Read e through h.) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. (You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct.) (Required field) j. Date MM/DD/YY (Month, Day, Year) (Required field) 9. WITNESS/NOTARY ADDRESS AND SIGNATURE: (Not required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of the Virgin Islands and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. They also apply to members of religious, welfare or service agencies assisting or attached to the Armed Forces. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request registration and ballots for all elections in a calendar year (for local and Federal office ballots). To register and/or request an absentee ballot, the Supervisor of Elections must receive your FPCA not later than 14 working days before the election. C. Casting Your Vote Ballot Return Deadline: Mail your voted ballot by the day of the election. Voted ballot must arrive not later than 10 days after the election. Local election officials shall prepare ballots not later than 30 days before the election. Due to its territorial status, the Virgin Islands does not send representatives to the U.S. Senate or directly participate in the election of the President and Vice President of the U.S. At the Federal level, only a Delegate to the House of Representatives is elected. If you are outside the U.S. and have not received your Virgin Islands ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. The Virgin Islands allows you to send the FPCA for registration and ballot request by fax. After faxing, submit the FPCA by mail. 2. The Virgin Islands allows you to receive the blank ballot by fax. 3. The Virgin Islands allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Ballot Application By Proxy If you are currently registered, anyone may apply for an absentee ballot on your behalf if that person can satisfactorily provide the required information about you. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of the Virgin Islands and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in the Virgin Islands. overseas electors (for local and Federal office ballots) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request registration and ballots for all elections in a calendar year. To register and/or request an absentee ballot, the Supervisor of Elections must receive your FPCA not later than 14 working days before the election. C. Casting Your Vote Ballot Return Deadline: Mail your voted ballot by the day of the election. Voted ballot must arrive not later than 10 days after the election. Local election officials shall prepare ballots not later than 30 days before the election. Due to its territorial status, the Virgin Islands does not send representatives to the U.S. Senate or directly participate in the election of the President and Vice President of the U.S. At the Federal level, only a Delegate to the House of Representatives is elected. If you have not received your Virgin Islands ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No registration or voting materials are notarized or witnesses. E. Electronic Transmission of FPCAs and Ballots 1. The Virgin Islands allows you to send the FPCA for registration and ballot request by fax. After faxing, submit the FPCA by mail. 2. The Virgin Islands allows you to receive the blank ballot by fax. 3. The Virgin Islands allows you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Ballot Application by Proxy If you are currently registered, anyone may apply for an absentee ballot on your behalf if that person can satisfactorily provide the required information about you. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of a felony or of a crime involving moral turpitude or declared mentally incompetent may not register or vote. B. Cancellation of Registration Registration can be canceled if the elector changes domicile, registers in another state, or does not vote in two consecutive general elections. C. Action If Registration is Cancelled The elector can register after cancellation if they meet residency requirements. D. Action If Registration Is Denied Persons denied registration may appeal to the District Court. Persons seeking to appeal should consult a legal assistance officer or civilian counsel. E. Late Registration Members of the Armed Forces or merchant marine who have been discharged within sixty days of an election may register and vote in that election by presenting the local election official with his or her discharge papers. F. Where to Send it Mail the FPCA to: Supervisor of Elections P.O. Box 6038, Charlotte Amalie St. Thomas, Virgin Islands 00804-6038 Or to: Supervisor of Elections P.O. Box 1499, Kingshill St. Croix, Virgin Islands 00851-1499 ========================== VERMONT The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. Vermont requires that the state and city or township fields must be completed. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial. Required field. b. Sex. Required field. c. Race. d. Date of Birth MM/DD/YY(Month, Day, Year). Required field. e. Social Security Number. f. Other Identification Number (passport, ID card). 2. I Last Voted or Place of Last Registration. a. Year. The Year Last Voted field must be completed. Enter not applicable if not applicable or if you are a first time voter. b. County, City, or Township. Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter. c. State. d. Voter Registration Number(if known). 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S. If Using Rural Route, See Instructions.). Provide the complete E- 911 address of your Vermont voting residence. A post office box is not sufficient. If you do not have an E-911 address, describe the physical location of your residence. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be within the town where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year). b. Number and Street (Do Not Use Post Office Box). c. City, Town or Village. d. State. e. County or Parish. f. Zip Code (9 digit, if known). 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provided in Item 3. 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote.). If you have not been administered the oath previously, you must place an oath label or write the oath in Item 7, Remarks (See Section I.C. and II.C.). Also, you must specify your desire for acceptance of your application as a ballot request for both the primary and general elections, otherwise, your FPCA will serve as a request for one election only. 8. Affirmation By Applicant (X only one: a, b, c or d). You must select ONE box. Note: Item 8f is not applicable for voting purposes in Vermont. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year). If you are using the FPCA to register and have not taken the Voter's Oath previously, a notary public, commissioned officer, or any official authorized to administer oaths must complete this section. The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Vermont and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general election in a calendar year by specifying such on your FPCA (for local, state and Federal offices). However, you must submit a separate FPCA for special elections. To register and request an absentee ballot, send a completed FPCA to the town clerk so that it is postmarked not later than the second Saturday before the election. To request an absentee ballot if you are already registered, send a completed FPCA to the town clerk so that it arrives not later than 5 p.m. or the closing of the town clerk's office on the day preceding the election. Alternatively, you may request a ballot by telephone. (Although Vermont law allows absentee ballot requests as stated, you must time your request in order for you to receive your ballot in time to actually return it so it arrives at the Town Clerks office before 7 p.m. on election day.) C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the town clerk not later than the close of polls on election day. Local election officials mail absentee ballots approximately 35 days before Federal and state elections. Ballots for local elections are available 20 days before the election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: If you have never registered before in Vermont, you must take the "Voter's Oath" as part of the registration process. You must take this oath before a commissioned officer, notary, or other official authorized to administer oaths. Voter's Oath "I solemnly swear (or affirm) that whenever I give my vote or suffrage, touching any matter that concerns the State of Vermont, I will do it so as in my conscience I shall judge will most conduce to the best good of the same, as established by the Constitution, without fear or favor of any person." (Vermont Constitution, Chapter II, Section 42). Following completion of the oath, place one of the state oath labels from Section III.E in Item 7 of the FPCA. If no labels are available, write the above oath in Item 7. Ballot Return Envelope: The ballot return envelope is not sworn to or witnessed. However, your signature must be on the inside envelope certificate E. Electronic Transmission of FPCAs and Ballots Vermont allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. Vermont allows you to receive the blank absentee ballot by fax. Vermont does not allow you to return your voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application for Ballot by Proxy A member of your immediate family may request a ballot from the town clerk for you. This request by proxy must be received by 5 p.m., the day before the election. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Vermont and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Vermont. residents of Vermont temporarily residing outside the U.S. (for local, state and Federal office ballots) overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general election in a calendar year by specifying such on your FPCA. However, you must submit a separate FPCA for special elections. To register and request an absentee ballot, send a completed FPCA to the town clerk so that it is postmarked not later than the second Saturday before the election. To request an absentee ballot if you are already registered, send a completed FPCA to the town clerk so that it arrives not later than 5 p.m. or the closing of the town clerk's office on the day preceding the election. Alternatively, you may request a ballot by telephone. (Although Vermont law allows absentee ballot requests as stated, you must time your request in order for you to receive your ballot in time to actually return it so it arrives at the Town Clerks office before 7 p.m. on election day.) C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the town clerk by close of polls on election day. Local election officials mail absentee ballots approximately 35 days before Federal and state elections. Ballots for local elections are available 20 days before the election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: If you have never registered before in Vermont, you must take the "Voter's Oath" as part of the registration process. You must take this oath before a commissioned officer, notary, or other official authorized to administer oaths. Voter's Oath "I solemnly swear (or affirm) that whenever I give my vote or suffrage, touching any matter that concerns the State of Vermont, I will do it so as in my conscience I shall judge will most conduce to the best good of the same, as established by the Constitution, without fear or favor of any person." (Vermont Constitution, Chapter II, Section 42). Following completion of the oath, place one of the state oath labels from Section III in Item 7 of the FPCA. If no labels are available, write the above oath in Item 7. Ballot Return Envelope: The ballot return envelope is not sworn to or witnessed. E. Electronic Transmission of FPCAs and Ballots Vermont allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. Vermont allows you to receive the absentee ballot by fax. Vermont does not allow you to return your voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Application For Ballot By Proxy A member of your immediate family may request a ballot from the town clerk for you. This request by proxy must be received by 5 p.m., the day before the election. (Although Vermont law allows absentee ballot requests as stated, you must time your request in order for you to receive your ballot in time to actually return it so it arrives at the Town Clerks office before 7 p.m. on election day.) Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Cancellation of Registration Persons who are no longer residents of Vermont may be removed from the voting checklist. B. Action on Registration Requests Notice of acceptance or denial is sent. C. Action If Registration Is Denied Persons denied registration should reapply, providing the information requested in the first notice of denial. If a second denial is received, consult a legal assistance officer or civilian counsel. D. Where To Send It Mail the FPCA to the Town Clerk, town or city of voting residence. A list of towns and cities follows. If your town is not listed below, please call the Federal Voting Assistance Program at 703-588-1584, 1-800-438-8683 (VOTE), DSN 425-1584 (military) or e-mail at vote@fvap.ncr.gov. City/Town Mailing Address Addison 7099 VT RTE 22A 05491 Albany PO Box 284 05820 Alburg PO Box 346 05440 Andover 953 Weston-Andover Rd. 05143 Arlington PO Box 304 05250 Athens 25 Brookline Rd. 05143 Bakersfield PO Box 203 05441 Baltimore 1902 Baltimore Rd. 05143 Barnard PO Box 274 05031 Barnet PO Box 15 05821 Barre City 6 North Main Street, Ste. 6, Barre 05641 Barre Town PO Box 124, Websterville, VT 05678 Barton 34 Main Street 05822 Belvidere 3996 VT RTE 109 05442 Bennington 205 South Street 05201 Benson PO Box 163 05731 Berkshire 4454 Watertower Rd, Enosburg Falls, VT 05450 Berlin 108 Shed Road 05602 Bethel RR 2, Box 85 05032 Bloomfield 3399 VT Rte. 102 05905 Bolton 3045 T. Roosevelt Hwy., Waterbury, VT 05676 Bradford PO Box 339 05033 Braintree 932 Vt. Rt. 12A 05060 Brandon 49 Center Street 05733 Brattleboro 230 Main St., Suite 108 05301 Bridgewater PO Box 14 05034 Bridport PO Box 27 05734 Brighton 1506 Rt. 114, Norton Road, Island Pond, VT 05846 Bristol PO Box 249 05443 Brookfield PO Box 463 05036 Brookline PO Box 403, Newfane, VT 05345 Brownington 509 Dutton Brook Lane 05860 Brunswick 4495 VT RTE 102 05905 Burke 212 School Street., West Burke, VT 05871 Burlington 149 Church St. 05401 Cabot PO Box 36 05647 Calais 668 West County Rd. 05648 Cambridge PO Box 127, Jeffersonville, VT 05464 Canaan PO Box 159 05903 Castleton PO Box 727 05735 Cavendish PO Box 126 05142 Charleston 5063 Vt. Rte. 105, West Charleston, VT 05872 Charlotte PO Box 119 05445 Chelsea PO Box 266 05038 Chester PO Box 370 05143 Chittenden PO Box 89 05737 Clarendon PO Box 30, Clarendon, VT 05759 Colchester PO Box 55 05446 Concord PO Box 317 05824 Corinth PO Box 461 05039 Cornwall 2629 Route 30 05753 Conventry PO Box 104 05825 Craftsbury PO Box 55 05826 Danby PO Box 231 05739 Danville PO Box 183 05828 Derby PO Box 25 05829 Dorset PO Box 0024, East Dorset, VT 05253 Dover PO Box 527, West Dover, VT 05356 Dummerston 1523 Middle Rd., East Dummerston, VT 05346 Duxbury 3316 Crossett Hill, Waterbury, VT 05676 East Haven PO Box 10 05837 East Montpelier PO Box 157 05651 Eden 71 Old Schoolhouse Rd., Eden Mills, VT 05653 Elmore PO Box 123, Lake Elmore, VT 05657 Enosburgh PO Box 465, Enosburg Falls, VT 05450 Essex 81 Main Street, Essex Junction, VT 05452 Fair Haven 3 North Park Place 05743 Fairfax PO Box 27 05454 Fairfield PO Box 5 05455 Fairlee PO Box 95 05045 Fayston 866 N. Fayston Rd., North Fayston, VT 05660 Ferrisburgh PO Box 6 05456 Fletcher 215 Cambridge Rd., Cambridge, VT 05444 Franklin PO Box 82 05457 Georgia 47 Town Common Rd., N. St. Albans, VT 05478 Glover 51 Bean Hill 05839 Goshen 50 Carlisle Hill Rd. 05733 Grafton PO Box 180 05146 Granby PO Box 56 05840 Grand Isle PO Box 49 05458 Granville PO Box 66 05747 Greensboro PO Box 119 05841 Groton 314 Scott Highway 05046 Guildhall PO Box 10 05905 Guilford 236 School St. 05301 Halifax PO Box 45, West Halifax 05358 Hancock PO Box 100 05748 Hardwick PO Box 523 05843 Hartford 171 Bridge St., White River Junction, VT 05001 Hartland PO Box 349 05048 Highgate PO Box 67, Highgate Center, VT 05459 Hinesburg PO Box 133 05461 Holland 120 School Rd., Derby Line, VT 05830 Hubbardton 66 Hortonia Rd-Hubbardton, Fair Haven, VT 05743 Huntington 4930 Main Road 05462 Hyde Park PO Box 98 05655 Ira 808 Route 133-IRA, W. Rutland, VT 05777 Irasburg PO Box 51 05845 Isle La Motte PO Box 250 05463 Jamaica PO Box 173 05343 Jay 1036 VT RTE 242 05859 Jericho PO Box 67 05465 Johnson PO Box 383 05656 Killington PO Box 429 05751 Kirby 346 Town Hall Rd., Lyndonville, VT 05851 Landgrove Box 508, Londonderry, VT 05148 Leicester 44 Schoolhouse Rd. 05733 Lemington 2549 River Rd., VT 102 05903 Lincoln 62 Quaker St. 05443 Londonderry PO Box 118, South Londonderry, VT 05155 Lowell 2170 VT Rt. 100 05847 Ludlow PO Box 307 05149 Lunenburg Box 54 05906 Lyndon PO Box 167, Lyndonville 05851 Maidstone PO Box 118, Guildhall, VT 05905 Manchester PO Box 830, Manchester Center, VT 05255 Marlboro PO Box E 05344 Marshfield 122 School St., RM 1 05658 Mendon 34 US Route 4 05701 Middlebury 94 Main Street 05753 Middlesex 5 Church St. 05602 Middletown Spgs. PO Box 1232 05757 Milton PO Box 18 05468 Monkton 280 Monkton Ridge, N. Ferrisburgh, VT 05473 Montgomery PO Box 356, Montgomery Center, VT 05471 Montpelier 39 Main St. 05602 Moretown PO Box 666 05660 Morgan PO Box 45 05853 Morristown PO Box 748, Morrisville, VT 05661 Mount Holly PO Box 248 05758 Mount Tabor PO Box 245 05739 New Haven 78 North St. 05472 Newark 1336 Newark St. 05871 Newbury PO Box 126 05051 Newfane PO Box 36 05345 Newport City 222 Main St., Newport, VT 05855 Newport Town PO Box 85, Newport Center 05857 North Hero PO Box 38 05474 Northfield 51 South Main Street 05663 Norton PO Box 148 05907 Norwich PO Box 376 05055 Orange PO Box 233, East Barre, VT 05649 Orwell PO Box 32 05760 Panton PO Box 174, Vergennes, VT 05491 Pawlet PO Box 128 05761 Peacham PO Box 244 05862 Peru PO Box 127 05152 Pittsfield PO Box 556 05762 Pittsford PO Box 10 05763 Plainfield PO Box 217 05667 Plymouth 68 Town Office Rd. 05056 Pomfret PO Box 286, North Pomfret, VT 05053 Poultney 9 Main St., Ste. 2 05764 Pownal PO Box 411 05261 Proctor 45 Main Street 05765 Putney PO Box 233 05346 Randolph Drawer B, 7 Summer St. 05060 Reading PO Box 72 05062 Readsboro PO Box 246 05350 Richford PO Box 236 05476 Richmond PO Box 285 05477 Ripton PO Box 10 05766 Rochester PO Box 238 05767 Rockingham PO Box 339, Bellows Falls, VT 05101 Roxbury PO Box 53 05669 Royalton PO Box 680, South Royalton, VT 05068 Rupert PO Box 140, West Rupert, VT 05776 Rutland City PO Box 969, Rutland, VT 05702 Rutland Town PO Box 225, Center Rutland, VT 05736 Ryegate PO Box 332 05042 St. Albans City PO Box 867, St. Albans, VT 05478 St. Albans Town PO Box 37, St. Albans Bay, VT 05481 St. George 1 Barber Road 05495 St. Johnsbury 1187 Main St., Ste. 2 05819 Salisbury PO Box 66 05769 Sandgate 3266 Sandgate Rd. 05250 Searsburg PO Box 157, Wilmington, VT 05363 Shaftsbury PO Box 409 05262 Sharon PO Box 250 05065 Sheffield PO Box 165 05866 Shelburne PO Box 88 05482 Sheldon PO Box 66 05483 Shoreham 297 Main St. 05770 Shrewsbury 9823 Cold River Rd. 05738 South Burlington 575 Dorset Street 05403 South Hero PO Box 175 05486 Springfield 96 Main Street 05156 Stamford 986 Main Road 05352 Stannard PO Box 94, Greensboro Bend, VT 05842 Starksboro PO Box 91 05487 Stockbridge PO Box 39 05772 Stowe PO Box 248 05672 Strafford PO Box 27 05072 Stratton PO Box 166, West Wardsboro, VT 05360 Sudbury 4694 Rte. 30 05733 Sunderland PO Box 295, East Arlington, VT 05252 Sutton PO Box 106 05867 Swanton PO Box 711 05488 Thetford PO Box 126, Thetford Center, VT 05075 Tinmouth 515 North End Rd. 05773 Topsham PO Box 69 05076 Townshend PO Box 223 05353 Troy PO Box 80, North Troy, VT 05859 Tunbridge PO Box 6 05077 Underhill PO Box 32, Underhill Center, VT 05490 Vergennes PO Box 35 05491 Vernon 567 Governor Hunt Rd. 05354 Vershire 6894 VT Rte. 113 05079 Victory PO Box 609, North Concord, VT 05858 Waitsfield 9 Bridge St. 05673 Walden 12 VT RTE 215, West Danville, VT 05873 Wallingford PO Box 327 05773 Waltham PO Box 175 05491 Wardsboro PO Box 48 05355 Warren PO Box 337 05674 Washington 2974 VT RTE 110 05675 Waterbury 51 South Main Street 05676 Waterford PO Box 56, Lower Waterford, VT 05848 Waterville PO Box 31 05492 Weathersfield PO Box E, Ascutney, VT 05030 Wells PO Box 585 05774 West Fairlee PO Box 615 05083 West Haven RD 1 Box 3895, Fair Haven, VT 05743 West Rutland 35 Marble Street 05777 West Windsor PO Box 6, Brownsville, VT 05037 Westfield 1257 VT Rt. 100 05874 Westford 1713 Vt. Route 128 05494 Westminster PO Box 147 05158 Westmore 54 Hinton Hill Rd., Orleans, VT 05860 Weston PO Box 98 05161 Weybridge 1727 Quaker Village Rd. 05753 Wheelock PO Box 1328, Lyndonville, VT 05851 Whiting 29 South Main Street 05778 Whitingham PO Box 529, Jacksonville, VT 05342 Williamstown PO Box 646 05679 Williston 7900 Williston Road 05495 Wilmington PO Box 217 05363 Windham 5976 WIndham Hill Road 05359 Windsor PO Box 47 05089 Winhall Box 389, Bondville, VT 05340 Winooski 27 West Allen Street 05404 Wolcott PO Box 100 05680 Woodbury PO Box 10 05681 Woodford 1391 VT RTE 9 05201 Woodstock 31 The Green 05091 Worcester Drawer 161 05682 ======================== WASHINGTON The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below before completing and signing your application. FEDERAL POST CARD APPLICATION REGISTRATION AND ABSENTEE BALLOT REQUEST - FEDERAL POST CARD APPLICATION (FPCA) Application For State Of_________ (Required field). County Of________. City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. APPLICANT INFORMATION: a. Typed or Printed Name (Last, First, Middle Initial) (Required field) b. Sex. c. Race. d. Date of Birth. MM/DD/YY (Month, Day, Year) (Required field). e. Social Security Number. f. Other Identification Number (passport, ID card) 2. I LAST VOTED OR PLACE OF LAST REGISTRATION: (Do not leave blank. Enter "N/A" if not applicable or if you are a first time voter.) a. Year. (Required field) b. County, City, or Township. (Required field) c. State. (Required field) d. Voter Registration Number(if known). 3. VOTING RESIDENCE: (For military: legal residence. For overseas civilians: last residence in U.S. If Using Rural Route: Provide the complete street address of your Washington voting residence. A post office box or rural route is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be within the county or township where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box). (Required field) c. City, Town or Village. (Required field) d. State. (Required field) e. County or Parish. (Required field) f. Zip Code (9 digit, if known). (Required field) 4. MAIL ABSENTEE BALLOT TO: (Print the complete address where you want your ballot sent - usually your current mailing address. Your current mailing address must be different from the address you provided in Item 3.) (Required field) 5. YOUR FAX NUMBER: (If this application is faxed, include all international prefixes.) 6. POLITICAL PARTY AFFILIATION: (Washington is an open primary state, so designation of political party affiliation is not required.) 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote. If you do not wish to request an absentee ballot for all future elections, indicate in this section for which elections you are requesting an absentee ballot. You may also use this section to include any former name under which you may be registered or a telephone number where you can be reached.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d (Required field). Read e through h.) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. (You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct.) (Required field) j. Date MM/DD/YY (Month, Day, Year) (Required field) 9. WITNESS/NOTARY ADDRESS AND SIGNATURE: (Not required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Washington and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request absentee ballots for all future elections, except if you are requesting a special write-in ballot (see Section E). You may also request absentee ballots by telephone, fax, e-mail or by filling out and mailing the request form printed from the Secretary of State web site. Notifying the county auditor of any mailing address changes is required for an individual to receive absentee ballots for all future elections (for local, state and Federal offices). Washington will automatically use a completed FPCA as a form for voter registration. To register to vote only, send a completed FPCA to the auditor in the county where your voting residence is located at any time. It must be received 30 days prior to the election. To register and request an absentee ballot, send your FPCA to the auditor in the county where your voting residence is located. The county auditor must receive your FPCA not earlier than 90 days before and not later than one day before the election. If you are already registered and only wish to request an absentee ballot, send your FPCA to the auditor in the county where your voting residence is located. The county auditor must receive your FPCA or any other written and signed request not earlier than 90 days before and not later than one day before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county auditor within 10 days after the primary election or 15 days after the general election. Postmark your voted ballot by election day. Local election officials mail ballots approximately 20 days before the election. You must sign an oath validating the ballot If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Washington allows you to send your FPCA ballot request by fax. If you are registering to vote, the original form must also be mailed. 2. Washington allows you to receive the blank ballot by fax. 3. Some Washington counties allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Washington provides a state special write-in absentee ballot, available 90 days before an election, if you believe that you will be unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. The FPCA may be used to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.F. If no labels are available, write in Item 7: "I am unable to vote and return a regular absentee ballot by normal mail delivery within the time provided for regular absentee ballots. I request a special write-in absentee ballot." Candidate and issue information may not be available at the time of your request. The state special write-in ballot must be requested not earlier than 90 days before the election. You may vote it by writing in the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens and residents of Washington, or overseas voters. The term "overseas voter" means any elector of the state of Washington outside the territorial limits of the U.S. or the District of Columbia. Washington residents residing outside the U.S. (for local, state and Federal office ballots) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request absentee ballots for all future elections, except if you are requesting a special write-in ballot (see Section E). You may also request absentee ballots by telephone, fax, e-mail or by filling out and mailing the request form printed from the Secretary of State web site. Notifying the county auditor of any mailing address changes is required for an individual to receive absentee ballots for all future elections. Washington will automatically use a completed FPCA as a form for voter registration. To register to vote only, send a completed FPCA to the auditor in the county where your voting residence is located at any time. It must be received 30 days prior to the election. To register and request an absentee ballot, send your FPCA to the auditor in the county where your voting residence is located. The county auditor must receive your FPCA not earlier than 90 days before and not later than one day before the election. If you are already registered and only wish to request an absentee ballot, send your FPCA to the auditor in the county where your voting residence is located. The county auditor must receive your FPCA or any other written and signed request not earlier than 90 days before and not later than one day before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county auditor within 10 days after the primary election or 15 days after the general election. Postmark your voted ballot by election day. Local election officials mail ballots approximately 20 days before the election. You must sign an oath validating the ballot. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Washington allows you to send your FPCA ballot request by fax. If you are registering to vote, the original form must also be mailed. 2. Washington allows you to receive the blank ballot by fax. 3. Some counties allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Washington provides a state special write-in absentee ballot available 90 days before an election if you believe that you will be unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. The FPCA may be used to request this state special write-in ballot. In Item 7 of the FPCA, place one of the state special write-in labels from Section III.F. If no labels are available, write in Item 7: "I am unable to vote and return a regular absentee ballot by normal mail delivery within the time provided for regular absentee ballots. I request a special write-in absentee ballot." Candidate and issue information may not be available at the time of your request. The state special write-in ballot must be requested not earlier than 90 days before the election. You may vote it by writing in the names of specific candidates. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Bars to Voting Persons convicted of a felony must have voting rights restored prior to voting. Persons judicially declared incompetent may not vote. B. Cancellation of Registration If you change your residence to a different county, you must re-register. If you change your residence within the same county, you must notify the county elections department by phone or in writing. Both of these actions must be completed at least 30 days before the election to be eligible to vote. C. Late Registration Unregistered qualified persons may register to vote in person at the office of the county auditor or a voter registration site in the county in which the applicant resides. This may be done after the close of registration for voting at the polls up until the 15th day before a primary, special election, or general election. These persons will be given an absentee ballot to vote and return by mail. D. Where To Send It Mail the FPCA or other signed request to the County Auditor in your county of voting residence as listed below: County Address City Zip Adams 210 Broadway St., West Ritzville 99169-1897 Asotin PO Box 129 Asotin 99402-0129 Benton PO Box 470 Prosser 99350-0470 Chelan PO Box 400 Wenatchee 98807-0400 Clallam PO Box 3030 Port Angeles 98362-0338 Clark PO Box 8815 Vancouver 98666-8815 Columbia 341 East Main St. Dayton 99328-1361 Cowlitz 207 4th Ave., N. Kelso 98626-4193 Douglas PO Box 456 Waterville 98858-0456 Ferry 350 E Delaware #2 Republic 99166-9747 Franklin PO Box 1451 Pasco 99301-1451 Garfield PO Box 278 Pomeroy 99347-0278 Grant PO Box 37 Ephrata 98823-0037 Grays Harbor 100 W Broadway, Ste. 2 Montesano 98563-3614 Island PO Box 5000 Coupeville 98239-5000 Jefferson PO Box 563 Port Townsend 98368-0563 King 500 4th Ave., Rm. 553 Seattle 98104-3280 Kitsap 1 026 Sidney Ave., Ste 175 Port Orchard 98366 Kittitas 205 W. 5th Ave. Ellensburg 98926-3129 Klickitat 205 Columbus St., Rm.203 Goldendale 98620-9293 Lewis PO Box 29 Chehalis 98532-0029 Lincoln PO Box 28 Davenport 99122 Mason PO Box 400 Shelton 98584-0400 Okanogan PO Box 1010 Okanogan 98840-1010 Pacific PO Box 97 South Bend 98586-0097 Pend Oreille PO Box 5015 Newport 99156-5015 Pierce 2401 S. 35th St, Rm 200 Tacoma 98409-7498 San Juan PO Box 638 Friday Harbor 98250-0638 Skagit PO Box 1306 Mt Vernon 98273-1306 Skamania PO Box 790 Stevenson 98648-0790 Snohomish 3000 Rockefeller Ave., (MS-505) Everett 98201-4046 Spokane W. 1116 Broadway Spokane 99260-0020 Stevens 215 South Oak, Room 106 Colville 99114-0189 Thurston 2000 Lakeridge Dr., SW Olympia 98502 Wahkiakum PO Box 543 Cathlamet 98612-0543 Walla Walla PO Box 1856 Walla Walla 99362-1856 Whatcom 311 Grand Ave., Ste 103 Bellingham 98225-4038 Whitman PO Box 350 Colfax 99111-0350 Yakima 128 N.Second St., #117 Yakima 98901- 2646 ================================== Wisconsin The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave blank. Enter "NA" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(Provide the complete street address of your Wisconsin voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "Box _____, Highway _____." This address must be different from the one provided in Item 4 and must be within the town, city or village where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address you provide in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections. See instructions.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. A. Who Can Do It These procedures apply to persons who are U.S. citizens and residents of Wisconsin. Under Wisconsin law, "military voters" are defined as:  members of the U.S. Armed Forces or merchant marine  civilians officially attached to the military overseas  civilian employees of the U.S. Government overseas  Peace Corps volunteers, members of the commissioned corps of the Federal Public Health Service or the commissioned corps of the National Oceanic and Atmospheric Administration  spouses and dependents of the above B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both any and all elections while in the service (for local, state and Federal offices). Registration is not required. To apply for an absentee ballot, send a completed FPCA to the municipal clerk so that it arrives not later than the Friday before the election. Or, you may request an absentee ballot by sending a written request, making sure to include the information needed on the FPCA (such as your full name, your legal voting address in Wisconsin, where you wish the ballot to be sent, signature, etc.). C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by close of polls on election day. Local election officials mail out absentee ballots 30 days before the fall primary election and 30 days before the subsequent general election. Absentee ballots are mailed out 21 days before a spring primary and 21 days before the subsequent spring general election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements FPCA: No notary or witness required. Ballot Return Envelope: The certificate on the ballot return envelope must be witnessed by one (1) adult U.S. citizen. List your date of birth. E. Electronic Transmission of FPCAs and Ballots  Wisconsin allows you to send the FPCA for absentee ballot request by fax. However, you must then mail the FPCA to the municipal clerk, making sure that it is postmarked the same day that it is faxed.  Wisconsin allows you to receive the blank ballot by fax.  Wisconsin does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Wisconsin provides a state special write-in absentee ballot. The ballot is sent automatically to those listed under Section I.A. "Who Can Do It" who have previously requested an absentee ballot for any election. Vote it by writing in the names of the specific candidates or the name of any recognized political party. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Wisconsin and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Wisconsin.  Wisconsin residents temporarily residing outside the U.S. not listed in Section I.A. (for local, state and Federal office ballots)  overseas electors (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot Wisconsin residents temporarily residing outside the U.S. may use a single FPCA or written correspondence to request ballots for any local, state and federal elections in a calendar year. Overseas electors may use a single FPCA or written correspondence to request ballots for both the primary and general election for Federal offices in a calendar year. To register and request an absentee ballot, send a completed FPCA to the municipal clerk so that it arrives not later than the second Wednesday (13 days) before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the municipal clerk so that it arrives not later than the Friday before the election. Or, you may request an absentee ballot by sending a written request, making sure to include the information needed on the FPCA (such as your full name, your legal voting address in Wisconsin, where you wish the ballot to be sent, signature, etc.). C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by close of polls on election day. Local election officials mail out absentee ballots 30 days before the primary election and 30 days before the subsequent general election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2. D. Notary/Witness Requirements FPCA: No notary or witness required. Ballot Return Envelope: The certificate on the ballot return envelope must be witnessed by one (1) adult U.S. citizen. Include your date of birth. E. Electronic Transmission of FPCAs and Ballots  Wisconsin allows you to send the FPCA for absentee ballot request by fax. However, you must then mail the FPCA to the municipal clerk, making sure that it is postmarked the same day that it is faxed.  Wisconsin allows you to receive the blank ballot by fax.  Wisconsin does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot Wisconsin provides a state special write-in absentee ballot to overseas electors. This special write-in ballot will be sent to those electors who request an absentee ballot not later than 30 days before the election. Vote it by writing in the names of specific candidates or the name of any recognized political party. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Persons convicted of treason, bribery, a felony, betting on the outcome of an election, those under a guardianship order, or persons who have been adjudicated to be incapable of understanding the objectives of the electoral process may not register or vote unless their civil rights have been restored. B. Cancellation of Registration Registration may be canceled for failure to vote within the four previous years. C. Action on Registration Requests Persons using the FPCA to register may be notified of registration. D. Action If Registration Is Denied If registration is denied contact the Municipal Clerk. If necessary, consult a legal assistance officer or civilian counsel for advice. E. Voting By Citizens Who Have Never Lived in the U.S. A U.S. citizen who was born abroad and who is eligible to vote and who has never lived in the U.S. may register and vote in the municipality where a parent would be eligible to register and vote (for Federal offices only). F. Where to Send it Mail the FPCA to the Municipal Clerk in the city, town or village of voting residence. Milwaukee voters should mail the FPCA to the City Board of Election Commissioners. Wisconsin has many municipal jurisdictions. A partial list of major cities and villages follows. A complete list of Municipal Clerks, along with addresses and telephone numbers, may be found on the Wisconsin website on the World Wide Web. The address for the Elections Division is "http://elections.state.wi.us/municipalclerkslist.txt". Or, you may contact the Federal Voting Assistance Program at (703) 588-1584, 1-800-438-8683 (VOTE), DSN 425-1584 (military) or by e-mail at vote@fvap.ncr.gov. City or Village Mailing Address Zip Code Appleton 100 North Appleton Street 54911-4799 City of Beloit 100 State Street 53511-6234 City of Brookfield 2000 North Calhoun Road 53005-5095 City of Cudahy PO Box 100380 53110-6106 City of Eau Claire PO Box 5148 54702-5148 City of Fond du Lac PO Box 150 54936-0150 City of Franklin 9229 West Loomis Road 53132-9728 City of Green Bay 100 North Jefferson Street, Room 106 54301-5026 Village of Greendale 6500 Northway 53129-1827 City of Greenfield 7325 West Forest Home Avenue 53220-3396 City of Janesville PO Box 5005 53547-5005 City of Kenosha 625 52nd Street, Room 105 53140-3480 CIty of Kaukauna PO Box 890 54130-0890 City of La Cross 400 La Crosse Street 54601-3396 City of Madison 210 Martin Luther King, Jr., Room 103 53703-3342 City of Manitowoc PO Box 1597 54221-1597 City of Marshfield PO Box 727 54449-0727 Village of Menomonee Falls W156 N8480 Pilgrom Road 53051-3140 City of Milwaukee 200 East Wells Street, Room 501 53202-3565 City of Neenah PO Box 426 54957-0426 City of New Berlin PO Box 510921 53151-0921 City of Oak Creek 8640 South Howell Avenue 53154-2948 City of Oshkosh PO Box 1130 54903-1130 City of Racine 730 Washington Avenue, #102 53403-1184 City of Sheboygan 828 Center Avenue 53081-4496 City of S. Milwaukee 2424 15th Avenue 53172-2499 City of Stevens Point 1515 Strongs Avenue 54481-3594 City of Superior 1407 Hammond Avenue 54880-1695 City of Watertown PO Box 477 53094-0477 City of Wausau 407 Grant Street 54403-4783 City of Waukesha 201 Delafield Street 53188-3692 City of Wauwatosa PO Box 13068 53213-0068 City of West Allis 7525 West Greenfield Avenue 53214-4688 City of West Bend 1115 South Main Street 53095-4658 City of Wisconsin Rapids 444 West Grand Avenue 54495-2780 ================================== West Virginia The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration. Do not leave blank. Enter "NA" if not applicable or if you are a first time voter. a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(For military, legal residence. For overseas civilians, last residence in U.S.) Provide the complete street address of your West Virginia voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location. For example: "2 miles up Low Gap Creek from Highway 11." This address must be different from the one provided in Item 4 and must be within the county or township where you claim legal voting residence. a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Mailing address where you want the ballot to be sent.) Print the complete address where you want your ballot sent - usually your current mailing address. The address used must be out of the county of your residence (Item 3). 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections). If you do not list a party affiliation, you will vote a nonpartisan ballot in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. (Since 1988, the Republican Party has allowed "no party affiliation voters" to vote in its primary election by requesting a Republican ballot. The Democratic Party allows only registered Democrats to vote in its primary election.) Political party affiliation is not required if only requesting absentee ballots for general elections. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party and you now want to vote in a partisan primary election, you must submit a completed FPCA which includes your new political party affiliation to the local election official not later than 20 days before the election. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. Sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of West Virginia and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. Persons who are not West Virginia residents are not eligible as a result of their spouses' residence. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA to the Clerk of the County Commission so that it is received not later than the 20th day before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the Clerk of the County Commission so that it arrives not earlier than January 1st or 84 days before the election (whichever is earlier) and not later than the sixth day before the election. C. Casting Your Vote Ballot Return Deadline: Your ballot will be counted if it is received through the mail before the start of canvassing which occurs 3 days after a primary and 5 days after a general or special election. The clerk mails out absentee ballots beginning 42 days before an election. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12 and Section I.E. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  West Virginia allows you to send the FPCA for absentee ballot by fax. If you are registering to vote, the original form must also be mailed.  West Virginia does not allow you to receive the blank ballot by fax.  West Virginia does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Federal Write-in Absentee Ballot West Virginia has expanded the use of the Federal Write-In Absentee Ballot (FWAB) (SF 186). The instructions described in Chapter 2 of this Guide remain the same, except that West Virginia also allows the FWAB to be used in the Presidential primary election, Congressional primary elections and Congressional general elections and local, state and Federal offices in general, special and primary elections. Use the FWAB only in accordance with the instructions described in Chapter 2 and only in those elections mentioned above. Otherwise, your ballot will not be counted. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. II. CIVILIANS OUTSIDE U.S. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of West Virginia and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in West Virginia. Persons who are not West Virginia residents are not eligible as a result of their spouses' residence.  residents of West Virginia temporarily residing outside the U.S. (for local, state and Federal office ballots)  overseas electors B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for all elections in a calendar year. To register and request an absentee ballot, send a completed FPCA to the Clerk of the County Commission so that it has a U.S. postmark date not later than the 20th day before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA to the Clerk of the County Commission so that it arrives not earlier than January 1st or 84 days before the election (whichever is earlier) and not later than the sixth day before the election. C. Casting Your Vote Ballot Return Deadline: However, your ballot will be counted if it is received through the mail before the start of canvassing which occurs 3 days after a primary and 5 days after a general or special election. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12 and Section II.E. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots  West Virginia allows you to send the FPCA for absentee ballot by fax. If you are registering to vote, the original form must also be mailed.  West Virginia does not allow you to receive the blank ballot by fax.  West Virginia does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instructions when transmitting election materials electronically. Use only the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Federal Write-in Absentee Ballot West Virginia has expanded the use of the Federal Write-In Absentee Ballot (FWAB) (SF 186). The instructions described in Chapter 2 of this Guide remain the same, except that West Virginia also allows the FWAB to be used in the Presidential primary election, Congressional primary elections and Congressional general elections and local, state and Federal offices in general, special and primary elections. Use the FWAB only in accordance with the instructions described in Chapter 2 and only in those elections mentioned above. Otherwise, your ballot will not be counted. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES AND CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of a felony, treason or election bribery and persons found of unsound mind may not vote. B. Cancellation of Registration If identified as "possible ineligible," permanent registration is canceled after two general elections for failure to respond to a confirmation notice and the citizen does not vote at least once during a period covering two (2) general elections for Federal office following that notice or otherwise updates his/her registration. C. Action on Registration Requests A registration receipt is sent. Incomplete applications are returned. D. Action If Registration Is Denied Persons denied registration may appeal to the county commission. Consult a legal assistance officer or civilian counsel. E. Where To Send It If you are registering and applying for an absentee ballot, mail the FPCA to the Clerk of the County Commission, county of voting residence, as listed below. If you are already registered and are only applying for an absentee ballot for Federal, state, county or local elections, mail the FPCA to the Clerk of the County Commission, county of voting residence, as listed below:* County County Seat Zip Code Barbour Philippi 26416-1154 Berkeley Martinsburg 25401-3210 Boone Madison 25130-1189 Braxton Sutton 26601-1313 Brooke Wellsburg 26070-0474 Cabell Huntington 25701-0545 Calhoun Grantsville 26147-0266 Clay Clay 25043-0129 Doddridge West Union 26456-1297 Fayette Fayetteville 25840-1517 Gilmer Glenville 26351-1246 Grant Petersburg 26847-1795 Greenbrier Lewisburg 24901-0751 Hampshire Romney 26757-1696 Hancock New Cumberland 26047-0428 Hardy Moorefield 26836-1155 Harrison Clarksburg 26301-2967 Jackson Ripley 25271-0427 Jefferson Charles Town 25414-1072 Kanawha Charleston 25301-2500 Lewis Weston 26452-0069 Lincoln Hamlin 25523-1419 Logan Logan 25601-3939 McDowell Welch 24801-0400 Marion Fairmont 26554-1269 Marshall Moundsville 26041-2129 Mason Point Pleasant 25550-1131 Mercer Princeton 24740-2626 Mineral Keyser 26726-3597 Mingo Williamson 25661-0435 Monongalia Morgantown 26505-5427 Monroe Union 24983-0350 Morgan Berkeley Springs 25411-1501 Nicholas Summersville 26651-1489 Ohio Wheeling 26003-3592 Pendleton Franklin 26807-0089 Pleasants St. Marys 26170-1317 Pocahontas Marlinton 24954-1394 Preston Kingwood 26537-1121 Putnam Winfield 25213-0358 Raleigh Beckley 25801-4688 Randolph Elkins 26241-4099 Ritchie Harrisville 26362-1271 Roane Spencer 25276-0122 Summers Hinton 25951-1058 Taylor Grafton 26354-1387 Tucker Parsons 26287-0267 Tyler Middlebourne 26149-0008 Upshur Buckhannon 26201-2259 Wayne Wayne 25570-0038 Webster Webster Springs 26288-1095 Wetzel New Martinsville 26155-0263 Wirt Elizabeth 26143-0465 Wood Parkersburg 26101-5353 Wyoming Pineville 24874-9802 NOTE: * If you wish to apply for an absentee ballot for a municipal election, mail a separate FPCA to the city clerk or recorder of your city of residence. *In some counties, the circuit clerk may perform absentee duties. =========================== Wyoming The Federal Post Card Application (FPCA) is the primary form for requesting registration and/or an absentee ballot from your local election official. Read all instructions below and on the FPCA before completing and signing your application. Federal Post Card Application Registration And Absentee Ballot Request-Federal Post Card Application(FPCA) Application For State Of_________ County Of________ City Or Township Of_______. I Request Absentee Ballots For All Elections Which I Am Eligible To Vote. 1. Applicant Information (See instruction 1.) a. Typed or Printed Name (Last, First, Middle Initial) b. Sex c. Race d. Date of Birth MM/DD/YY(Month, Day, Year) e. Social Security Number f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (Do not leave blank. Enter "NA" if not applicable or if you are a first time voter.) a. Year b. County, City, or Township c. State d. Voter Registration Number(if known) 3. Voting Residence(Provide the complete street address of your Wyoming voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Item 7. For example: "on Highway _____, 2 miles past Highway _____, across the street from the _____ gas station." This address must be different from the one provided in Item 4 and must be within the county where you claim legal voting residence.) a. Last Date of Residency MM/DD/YY(Month, Day, Year) b. Number and Street (Do Not Use Post Office Box) c. City, Town or Village d. State e. County or Parish f. Zip Code (9 digit, if known) 4. Mail Absentee Ballot To: (Print the complete address where you want your ballot sent - usually your current mailing address. It must be different from the address provided in Item 3.) 5. Your Fax Number (If this application is faxed, include all international prefixes. See instructions.) 6. Political Party Affiliation (If you do not list a party affiliation, you cannot vote in primary elections. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or write "none" in Item 6 of the FPCA. Political party affiliation is not required if only requesting absentee ballots for general elections.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote. See instructions.) 8. Affirmation By Applicant (X only one: a, b, c or d). Check ONE box. I swear/affirm, under penalty of perjury, that I am: (See instructions) a. a member of the Uniformed Services or merchant marine on active duty, or an eligible spouse or dependent. b. a U.S. citizen temporarily residing outside the U.S. c. a U.S. citizen overseas by virtue of employment or accompanying spouse or dependent. d. other U.S. citizen residing outside the U.S. e. I am a U.S. citizen, eligible to vote in the above jurisdiction, and subscribed to any state/local oath or statement. f. I have not been convicted of a felony or other disqualifying offense or been adjudicated mentally incompetent, or if so, my voting rights have been reinstated. g. I am not registering, requesting a ballot, or voting in any other jurisdiction in the U.S. h. The information on this form is true and complete. i. Signature Of Applicant. Sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. j. Date MM/DD/YY (Month, Day, Year) 9. Witness/Notary Address And Signature (if required by state law) Date Signed MM/DD/YY (Month, Day, Year) The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Wyoming and members of the Uniformed Services and their family members. Uniformed Services are defined as the U.S. Armed Forces, merchant marine, commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration. B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general election in a calendar year (for local, state and Federal offices). To register temporarily, and request an absentee ballot, send a completed FPCA to the county clerk anytime during the year, except the day of the election. You may use a single FPCA as an application for temporary registration and to request absentee ballots for both the primary election and the general election. To register permanently, request the state voter registration form from the county clerk on item 7 of the FPCA, complete the form, and return it to the county clerk so that it arrives not later than 30 days before the election. If you are already permanently registered and only wish to request an absentee ballot, send the completed FPCA to the county clerk any time during the year, except the day of the election. Alternatively, you may request ballots for the primary and general elections from the county clerk by telephone, e-mail or letter, by providing the information listed in I.E. below. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by close of polls on election day. Local election officials mail absentee ballots beginning 40 days before the primary and general elections. If you are outside the U.S. and have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting material are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Wyoming does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. F. Application For Ballot By Proxy A qualified voter may apply for an absentee ballot in person, in writing or by telephone. Request for a ballot may be made on behalf of an absentee qualified voter by another individual. In either instance, the information below must be provided to the county clerk. No organization shall obtain an absentee ballot for a voter.  Name in full; social security number (optional); residence by street, city, county and zip code; and date of birth.  The election for which the absentee ballot is requested.  If a primary election, your political party.  A statement that the applicant is entitled to vote in the election.  If not obtained in person by the voter, the address to which the absentee ballot should be mailed or the name of the person the voter designates in writing to deliver the ballot to him/her. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. These procedures apply to persons who are U.S. citizens, residents of Wyoming and overseas citizens. The term "overseas citizen" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Wyoming. A. Who Can Do It  Wyoming residents temporarily residing outside the U.S. (for local, state and Federal office ballots)  Overseas citizens last domiciled in Wyoming immediately prior to leaving the U.S. (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for both the primary election and general election in a calendar year. To register temporarily and request an absentee ballot, send a completed FPCA to the county clerk anytime during the year, except the day of the election. You may use a single FPCA as an application for temporary registration and to request absentee ballots for both the primary election and the general election. To register permanently, request the state voter registration form from the county clerk on item 7 of the FPCA, complete the form, and return it to the county clerk so that it arrives not later than 30 days before the election. If you are already permanently registered and only wish to request an absentee ballot, send the completed FPCA to the county clerk any time during the year, except the day of the election. Alternatively, you may request ballots for the primary and general elections from the county clerk by telephone, e-mail or letter, by providing the information listed in I.E. below. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by close of polls on election day. Local election officials mail absentee ballots beginning 40 days before the primary and general elections. If you have not received your state ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots Wyoming does not allow electronic transmission of the FPCA, the blank absentee ballot or the voted absentee ballot. F. Application For Ballot By Proxy A qualified voter may apply for an absentee ballot in person, in writing or by telephone. Request for a ballot may be made on behalf of an absentee qualified voter by another individual. In either instance, the information below must be provided to the county clerk. No organization shall obtain an absentee ballot for a voter.  Name in full; social security number (optional); residence by street, city, county and zip code; and date of birth  The election for which the absentee ballot is requested.  If a primary election, your political party  A statement that the applicant is entitled to vote in the election.  If not obtained in person by the voter, the address to which the absentee ballot should be mailed or the name of the person the voter designates in writing to deliver the ballot to him/her. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. A. Bars to Registration and Voting Persons convicted of a felony (unless civil rights restored) and persons judged mentally incompetent may not register or vote. B. Late Registration Members of the Armed Forces or merchant marine (and their spouses and dependents) who have been discharged or have terminated their service less than 30 days prior to an election, and who are otherwise eligible to register, may temporarily register for only that election with registry agents designated by the county clerk. C. Cancellation of Registration Permanent registration is canceled for failure to vote in any general election or for changing voting residence from the county or state more than 30 days before an election. A notice of intent to cancel is sent to the voter. D. Action on Registration Requests Notice of denial is sent. E. Action If Registration Is Denied Persons denied registration may appeal to a justice of the peace, county court or district court. Consult a legal assistance officer or civilian counsel. F. Where To Send It Mail the FPCA to the County Clerk in your county of voting residence, as listed below: County County Seat Zip Code Albany County Courthouse, Room 202, Laramie 82070 Big Horn County Courthouse, PO Box 31, Basin 82410-0031 Campbell PO Box 3010, Gillette 82717-3010 Carbon PO Box 6, Rawlins 82301-0006 Converse PO Drawer 990, Douglas 82633-0900 Crook PO Box 37, Sundance 82729-0037 Fremont 450 North 2nd Street, Room 220, Lander 82520-0090 Goshen PO Box 160, Torrington 82240-0160 Hot Springs 415 Arapahoe, Thermopolis 82443-2783 Johnson 76 North Main Street, Buffalo 82834-1883 Laramie PO Box 608, Cheyenne 82003-0608 Lincoln PO Box 670, Kemmerer 83101-0670 Natrona PO Box 863, Casper 82602-0863 Niobrara PO Box 420, Lusk 82225-0420 Park 1002 Sheridan, Cody 82414-3589 Platte PO Drawer 728, Wheatland 82201-0728 Sheridan 224 South Main Street, Suite B-2, Sheridan 82801-4855 Sublette PO Box 250, Pinedale 82941-0250 Sweetwater PO Box 730, Green River 82935-0730 Teton PO Box 1727, Jackson 83001-1727 Uinta PO Box 810, Evanston 82930-0810 Washakie PO Box 260, Worland 82401-0260 Weston 1 West Main, Newcastle 82701-2121