State Absentee Registration And Voting Procedures Notify Your Local Election Official About Your Current Mailing Address. ===================================== ALASKA 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. (Required field) c. Race. d. Date of Birth. MM/DD/YY (Month, Day, Year) (Required field). e. Social Security Number. (Social Security number or Voter Number are not mandatory, but assist the election official in establishing your eligibility to vote.) f. Other Identification Number (If you are an overseas citizen, you must provide your passport or identity card number here.) 2. I LAST VOTED OR PLACE OF LAST REGISTRTION: (Do not leave blank. Enter not applicable if not applicable or if you are a first time voter.) a. Year. (Required field) b. County, City, or Township. (Required field) 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: Provide the complete street address of your voting residence. Your eligibility to vote and determination of your voting precinct depend on the physical location of your residence while you were in the state. A post office box, rural route number, general delivery, etc., are not sufficient. If there is no street address, give a specific identifying description, such as a highway name and milepost, trailer park and space number, subdivision name, etc., in Item 7. IMPORTANT: When registering by mail from outside the State of Alaska, you must enclose proof of Alaska residency (such as a copy of a current Alaska driver's license, leave and earnings statement or any other type of documentation showing Alaska residency) with the FPCA.) 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. f. Zip Code (9 digit, if known). (Required field) 4. MAIL ABSENTEE BALLOT TO: (Print the complete address where you want your ballot sent If you want your ballot sent by mail, print the complete address. Be sure to advise the Division of Elections in writing if your mailing address changes from the time of the request for a ballot to the time of mailing the ballot. If you wish to vote by fax, please indicate so and write the number where you want an application faxed. (See instructions at I.B and II.B)) (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 (Example: Democrat, Republican, Republican Moderate, Alaskan Independence, Green or Libertarian) or write "undeclared" or "non-partisan". For the primary election, if you are a registered non-partisan or undeclared, you must indicate which party ballot you want to vote. If you are currently registered and want to change your political party affiliation, you must submit a completed FPCA which includes your new party preference to the local election official not later than 30 days prior to the election.) 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote. It is mandatory to give any former name under which you were registered in Alaska.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d (OPTIONAL). 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 provided 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 Alaska 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 register and request ballots for all elections in a calendar year by mail. Absentee by mail ballots are available at least 22 days before the election. If requesting a ballot by fax, you must apply separately for each election, using a different application form. You may use the FPCA to request this special application. Fax voting should be used only if you miss the by-mail application deadline. Only primary and general elections allow voting by fax. If you are unregistered, the Division of Elections must receive your FPCA request for registration and a ballot at least 30 days before the election. To register from outside the State, you must enclose proof of Alaska residence with the FPCA. If you are a registered voter and submit a ballot request by mail, the Division of Elections must receive it not less than 7 days before the election. If you are a registered voter you may submit a ballot request by fax beginning 15 days before a primary or general election. To vote absentee by fax, you must apply on a different application. The absentee by fax application must be requested directly from the Division of Elections and must be returned to them no later than 5 p.m. Alaska time on the day before the election. C. Casting Your Vote Ballot Return Deadline: If returning by mail, the envelope must be postmarked on or before election day and returned by mail service equal to first class. Ballots mailed from outside the U.S. or from a military APO or FPO address must be received not later than 15 days after the election. Ballots mailed from other addresses must be received not later than 10 days after the election. If returning by fax, the ballot must be received on or before 8 p.m. (Alaska time) on election day. 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: The absentee ballot must be voted in the presence of a witness. Ballot Return Envelope: If the ballot is returned by mail, the signature on the voter's certificate on the envelope must be witnessed, and signed and dated by the witness. If the ballot is returned by fax, the voter must sign a statement waiving his right to a secret ballot and an oath as to his identity. The oath must be witnessed, and signed and dated by the witness. A commissioned or non-commissioned officer, or other person qualified to administer oaths, can serve as a witness. When an authorized official is not available, two U.S. citizens 18 years or older may witness. E. Electronic Transmission of FPCAs and Ballots 1. Alaska allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. See instructions above at B. 2. Alaska allows you to receive the blank ballot by fax. 3. Alaska allows you to return the voted ballot by fax. Fax the FPCA and voted ballot to: Absentee Staff Division of Elections (907) 465-3807 Refer to Appendix C for specific instructions for sending election materials electronically. You may also use the FVAP fax service at one of the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot In addition to mailing a regular ballot, Alaska mails a special write- in absentee ballot 60 days before the election to any voter who has requested an absentee by-mail ballot and is living, working, or traveling outside the U.S. at the time of the election. You may request the state special write-in ballot at any time during the calendar year by mailing an FPCA. You may not use fax to request or receive this special 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 expect to be living, working, or traveling outside the U.S. at the time of the election. I request a special write-in absentee ballot." Vote the 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 Alaska 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 Alaska. 1. Alaska residents temporarily residing outside the U.S. (for local, state and Federal office ballots) 2. overseas electors (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to register and request ballots for all elections in a calendar year by mail. Absentee by mail ballots are available at least 22 days before the election. If requesting a ballot by fax, you must apply separately for each election, using a different application form. You may use the FPCA to request this special application. Fax voting should be used only if you miss the by-mail application deadline. Only primary and general elections allow voting by fax. If you are unregistered, the Division of Elections must receive your FPCA request for registration and a ballot at least 30 days before the election. To register from outside the State, you must enclose proof of Alaska residence with the FPCA. If you are a registered voter and submit a ballot request by mail, the Division of Elections must receive it not less than 7 days before the election. If you are a registered voter you may submit a ballot request by fax beginning 15 days before a primary or general election. To vote absentee by fax, you must apply on a different application. The absentee by fax application must be requested directly from the Division of Elections and must be returned to them no later than 5 p.m. Alaska time on the day before the election. C. Casting Your Vote Ballot Return Deadline: If returning by mail, the envelope must be postmarked on or before election day and returned by mail service equal to first class. Ballots mailed from outside the U.S. or from a military APO or FPO address must be received not later than 15 days after the election. Ballots mailed from other addresses must be received not later than 10 days after the election. If returning by fax, the ballot must be received on or before 8 p.m. (Alaska time) on election day. 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: The absentee ballot must be voted in the presence of a witness. Ballot Return Envelope: If the ballot is returned by mail, the signature on the voter's certificate on the envelope must be witnessed, signed and dated by the witness. If the ballot is returned by fax, the voter must sign a statement waiving his right to a secret ballot and an oath as to his identity. The oath must be witnessed, and signed and dated by the witness. A commissioned or non-commissioned officer, or other person qualified to administer oaths, can serve as a witness. When an authorized official is not available, two U.S. citizens 18 years or older may witness. E. Electronic Transmission of FPCAs and Ballots 1. Alaska allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. See instructions above at B. 2. Alaska allows you to receive the blank ballot by fax. 3. Alaska allows you to return the voted ballot by fax. Fax the FPCA and voted ballot to: Absentee Staff Division of Elections (907) 465-3807 Refer to Appendix C for specific instructions for sending election materials electronically. You may also use the FVAP fax service at one of the following numbers: DSN 223-5527 (703) 693-5527 1-800-368-8683 F. Special Write-in Absentee Ballot In addition to mailing a regular ballot, Alaska mails a special write- in absentee ballot 60 days before the election to any voter who has requested an absentee by-mail ballot and is living, working, or traveling outside the U.S. at the time of the election. You may request the state special write-in ballot at any time during the calendar year by mailing an FPCA. You may not use fax to request or receive this special 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 expect to be living, working, or traveling outside the U.S. at the time of the election. I request a special write-in absentee ballot." Vote the 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 & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of a felony involving moral turpitude may not register or vote unless civil rights have been restored. A copy of unconditional discharge papers must be included with the application. B. Action on Registration Requests Notice of acceptance or denial is sent. C. Action If Registration Is Denied Persons denied registration will be notified regarding the basis for denial and will be given the opportunity to reapply or otherwise correct the deficiency. Persons denied registration may contact the Division of Elections or consult a legal assistance officer or civilian counsel. D. Where To Send It Mail the FPCA to: Absentee Staff Division of Elections P.O. Box 110017 Juneau, AK 99811-0017. ========================= ARKANSAS 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 Arkansas 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. 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. If 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 to the local election official. 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 Applican. 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 Arkansas 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). Registration is waived. To request an absentee ballot, mail or fax a completed FPCA to the local election official so that it arrives not later than 7 days before the election. If application is delivered by designated bearer, it must be received by close of business on the day before the election. C. Casting Your Vote Ballot Return Deadline: Your ballot must be executed not later than the date of the election and returned to the local election official so that it arrives by 5:00 p.m ten calendar days after the election. Local election officials mail ballots approximately 25 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. Arkansas allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail. 2. Arkansas does not allow you to receive the blank ballot by fax. 3. Arkansas 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. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Arkansas 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 Arkansas. 1. citizens of the U.S. temporarily residing outside the territorial limits of the U.S. and the District of Columbia and their spouses and dependents when residing with or accompanying them (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 to request ballots for all elections in a calendar year. Registration is waived. To request an absentee ballot, mail or fax a completed FPCA to the local election official so that it arrives not later than 7 days before an election. If application is delivered by designated bearer, it must be received by close of business the day before the election. C. Casting Your Vote Ballot Return Deadline: Your ballot must be executed not later than the date of the election, signed, dated, postmarked and mailed by election day and received by the local election official by 5:00 p.m. ten calendar days after the election. Local election officials mail ballots approximately 25 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. Arkansas allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail. 2. Arkansas does not allow you to receive the blank ballot by fax. 3. Arkansas 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 Persons convicted of crimes of felonies, unless the sentence has been pardoned or discharged. Persons having been adjudged mentally incompetent specifically as to the right to vote by a court of competent jurisdiction. B. Cancellation Of Registration Registration is canceled when a voter fails to vote in two (2) consecutive Federal elections and fails to respond to a notice of cancellation. However, registration is waived for citizens defined in Sections I & II. C. Action on Registration Requests A registration notice is sent. D. Where To Send It Mail the FPCA to the County Clerk in the county of your legal voting residence, as listed below: County County Seat Zip Code Arkansas Dewitt 72042-3429 Ashley Hamburg 71646-3043 Baxter Mountain Home 72653-4461 Benton Bentonville 72712-5373 Boone Harrison 72601-4228 Bradley Warren 71671-2744 Calhoun Hampton 71744-1175 Carroll Berryville 72616-4248 Chicot Lake Village 71653-1998 Clark Arkadelphia 71923-0001 Clay Piggot 72454-0306 Cleburne Hot Springs 72543-3016 Cleveland Rison 71665-0368 Columbia Magnolia 71753-3595 Conway Morrilton 72110-3425 Craighead Jonesboro 72403-1167 Crawford Van Buren 72965-5793 Crittenden Marion 72364-1850 Cross Wynne 72396-3099 Dallas Fordyce 71742-3250 Desha Arkansas City 71630-0218 Drew Monticello 71655-4731 Faulkner Conway 72032-5358 Franklin Ozark 72949-3296 Fulton Salem 72576-0485 Garland Hot Springs 71901-5161 Grant Sheridan 72150-2493 Greene Paragould 72450-0062 Hempstead Hope 71802-1420 Hot Spring Malvern 72104-3791 Howard Nashville 71852-2008 Independence Batesville 72501-5510 Izard Melbourne 72556-0095 Jackson Newport 72112-3329 Jefferson Pine Bluff 71611-6317 Johnson Clarksville 72830-0057 Lafayette Lewisville 71845-0945 Lawrence Walnut Ridge 72476-8801 Lee Marianna 72360-2326 Lincoln Star City 71667-5104 Little River Ashdown 71822-2753 Logan Paris 72855 Lonoke Lonoke 72086-0188 Madison Huntsville 72740-0037 Marion Yellville 72687-0385 Miller Texarkana 71854-5245 Mississippi Blytheville 72315-2831 Monroe Clarendon 72629-2796 Montgomery Mount Ida 71957-0377 Nevada Prescott 71857-0621 Newton Jasper 72641-0410 Ouachita Camden 71701-1041 Perry Perryville 71216-0358 Phillips Helena 72342-3399 Pike Murfreesboro 71958-0219 Poinsett Harrisburg 72432-1900 Polk Mena 71953-3258 Pope Russellville 72801-3723 Prairie Des Arc 72040-1011 Pulaski Little Rock 72203-2659 Randolph Pocahontas 72455-3406 Saint Francis Forest City 72335-1653 Saline Benton 72015-3763 Scott Waldon 72958-2165 Searcy Marshall 72650-0935 Sebastian Fort Smith 72902-1087 Sevie De Queen 71832-2852 Sharp Ash Flat 72513-0307 Stone Mountain View 72560-0120 Union El Dorado 71730-5661 Van Buren Clinton 72031-9025 Washington Fayetteville 72701-4279 White Searcy 72143-7719 Wadruff Augusta 72006-2056 Yell Danville 72833-6219 =========================== American Samoa 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 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 address of your American Samoa voting residence. This address must be different from the one provided in item 4 and must be within American Samoa. 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.) 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.) If you use this form to register, you must write here: (1) your age, (2) your place of current employment and (3) a statement that the residence listed in item 3 was acquired with the intent to make American Samoa your legal residence. 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. If using the FPCA to register, it must be signed by a notary public, commissioned officer, consular officer or other authorized person. 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 not yet registered, 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 American Samoa 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. (Consult Section B below for ballot type eligibility). B. Registering and Requesting an Absentee Ballot You must submit a separate FPCA for each election in a calendar year. You must register in person to vote a ballot for local offices. You may register absentee to vote a ballot for Federal offices only. If you are an unregistered citizen, the chief election officer must receive your FPCA not later than 4:30 p.m., 30 days before the election. If you are a registered citizen, the chief election officer must receive your FPCA between 75 and 15 days before the election. C. Casting Your Vote Ballot Return Deadline: Return your voted ballot so that it arrives at the Election Office by the close of polls on election day. Local election officials mail ballots as soon as official ballots are printed and available, and if your request for absentee ballot was sent no later than 15 days before the election. Due to its territorial status, American Samoa 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 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 by a notary public, commissioned officer, consular officer or other authorized person. Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots 1. American Samoa allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. American Samoa does not allow you to receive the blank ballot by fax. 3. American Samoa 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. A. Who Can Do It The following procedures apply to persons who are U.S. citizens, residents of American Samoa 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 American Samoa. B. Registering and Requesting an Absentee Ballot You must submit a separate FPCA for each election in a calendar year. You must register in person to vote a ballot for local offices. You may register absentee to vote a ballot for Federal offices only. If you are an unregistered overseas citizen, the chief election officer must receive your FPCA not later than 4:30 p.m., 30 days before the election. If you are a registered overseas citizen, the chief election officer must receive your FPCA between 75 and 15 days before the election. C. Casting Your Vote Ballot Return Envelope: Return your voted ballot so that it arrives at the Election Office by the close of polls on election day. Local election officials mail ballots as soon as official ballots are printed and available, and if your request for absentee ballot was sent no later than 15 days before the election. Due to its territorial status, American Samoa 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 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 by a notary public, commissioned officer, consular officer or other authorized person. Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots 1. American Samoa allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. American Samoa does not allow you to receive the blank ballot by fax. 3. American Samoa 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 Persons under guardianship, found incompetent, or convicted of a felony may not register or vote. Felons may vote if restored to civil rights or on good behavior for two years from the date of conviction or release from prison, whichever is later. B. Cancellation of Registration Registration is canceled for failure to vote in two consecutive elections. C. Action on Registration Request No notice of registration is sent. D. Action If Registration Is Denied Persons denied registration may appeal to the board of registration. Consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to: Chief Election Officer American Samoa Government P.O. Box 3970 Pago Pago, American Samoa 96799 AMERICAN SAMOA ================================= ARIZONA 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. Please provide the last four (4) digits of your Social Security number in Item 1e. Although this information is optional, your voluntary cooperation will assist the state of Arizona in the identification of voters. 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 Arizona 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 or if you register as independent or with a party that does not have primary election ballot status you may designate the ballot of a party that does have representation on the ballot and vote that ballot (Example: Democrat, Republican). You must identify the party ballot you wish to request for the primary. If you are currently registered and want to change your political party affiliation or you have previously declined to indicate a political party, you must submit a completed FPCA to the local election official not later than 29 days before election day. 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 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 Arizona 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 primary and general elections in a calendar year (for local, state and Federal offices). If you are a registered citizen, the county recorder must receive your FPCA request not later than 5 p.m. on the second Friday before the election. If you are an unregistered citizen residing temporarily outside the state, the county recorder must receive your FPCA request for registration anytime before 7 p.m. on election day. If you are an unregistered citizen residing within the state, the county recorder must receive your FPCA request for registration not later than 29 days before the election. C. Casting Your Vote Ballot Return Deadline: Return your voted ballot so that it arrives at the county recorder's office not later than 7 p.m. on election day. Local election officials mail ballots approximately 15 days before the Presidential preference election. Ballots are mailed approximately 33 days before all other 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 1. Arizona allows you to send the FPCA application for registration and absentee ballot requests by fax. After faxing, submit the FPCA by mail. 2. Arizona does not allow you to receive the blank ballot by fax. 3. Arizona 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 Early Ballot Arizona provides a state special write-in early ballot available 36 days before the Presidential preference election, 60 days before all other primary elections and 50 days before the general election if you are a member of the Armed Forces, merchant marine, or a spouse or dependent of these and cannot vote an early ballot during the normal voting period. You may 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.E. If no labels are available, in Item 7 write: "Due to military or other contingencies that preclude normal mail delivery, I cannot vote an early ballot during the normal early voting period. I request a special write-in early ballot." You may not request this special write-in ballot earlier than 90 days before the election. You may vote the ballot 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, residents of Arizona and overseas citizens. The term "overseas citizen(s)" means a U.S. citizen who resides outside the U.S., and who was qualified to register, except for age, in Arizona immediately prior to his/her departure from Arizona. 1. Arizona residents temporarily residing outside the U.S. (for local, state and Federal office ballots) 2. 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 primary and general elections in a calendar year. If you are a registered Arizona resident temporarily residing outside the U.S., the county recorder must receive your FPCA request not later than 5 p.m. on the second Friday before the election. If you are an unregistered Arizona resident temporarily residing outside the U.S., the county recorder must receive your FPCA request not later than 29 days before the election. If you are an overseas citizen, the county recorder must receive your FPCA ballot request not later than 5 p.m. on the second Friday before the election. You are not required to register. C. Casting Your Vote Ballot Return Deadline: Return your voted ballot so that it arrives at the county recorder's office not later than 7 p.m. on election day. Local election officials mail ballots approximately 15 days before the Presidential preference elections. Ballots are mailed approximately 33 days before all other 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 1. Arizona allows you to send the FPCA application for registration and early ballot requests by fax. After faxing, submit the FPCA by mail. 2. Arizona does not allow you to receive the blank ballot by fax. 3. Arizona 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 Early Ballot Arizona provides you with a state special write-in early ballot available 36 days before the Presidential preference election, 60 days before all other primary elections and 50 days before the general election if you are overseas and cannot vote an early ballot during the normal voting period. You may 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. If no labels are available, in Item 7 write: "Due to military or other contingencies that preclude normal mail delivery, I cannot vote an early ballot during the normal early voting period. I request a special write-in early ballot." You may not request this special write-in ballot earlier than 90 days before the election. You may vote the ballot 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 treason or a felony (unless civil rights restored), and persons adjudicated or incapacitated as defined in A.R.S. 14-5101, may not register or vote. B. Action on Registration Requests Notice of registration is sent. The county recorder must notify the applicant within 10 business days of receipt if his or her application cannot be read or is missing required information. C. Action If Registration Is Denied No formal appeal process exists. If denied registration, consult a legal assistance officer or civilian counsel. D. Where To Send It Mail the FPCA to the County Recorder, county of voting residence, as listed below: County County Seat Zip Code Apache PO Box 425, Saint Johns 85936-0425 Cochise PO Box 184, Bisbee 85603-0184 Coconino 110 East Cherry Avenue, Flagstaff 86001-4696 Gila 1400 East Ash Street, Globe 85501-1496 Graham 921 Thatcher Boulevard, Safford 85546-2858 Greenlee PO Box 1625, Clifton 85533-1625 La Paz 1112 Joshua Avenue, Suite 201, Parker 85344-5755 Maricopa 111 South 3rd Avenue, #103, Phoenix 85003-2225 Mohave PO Box 70, Kingman 86401-0070 Navajo PO Box 668, Holbrook 86025-0668 Pima 115 North Church, Tucson 85701-1199 Pinal PO Box 848, Florence 85232-0848 Santa Cruz 2150 North Congress Drive, Nogales 85621-1090 Yavapai 1015 Fair Street, Prescott 86305-1852 Yuma 410 South Maiden Lane, Yuma 85364-2311 ================================ CALIFORNIA 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 California voting residence. A post office box is not acceptable. 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 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. Print the name of the political party (i.e., Democratic, Republican, American Independent, Green, Libertarian, Natural Law or Reform), write "Decline to State," or write in the name of a non-qualified political body. If you do not complete Item 6, you will be registered "Decline to State." If you are currently registered and want to make changes, you must submit a completed FPCA to your local elections official not later than 15 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 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). You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. The information contained herein is for official use only. Any unauthorized release of this information may be punishible by law. Notify Your Local Election Official About Your Current Mailing Address I. UNIFORMED SERVICES A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of California 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 A single FPCA may be used to request both primary and general election absentee ballots in a calendar year (for local, state and Federal offices). If you are unregistered, complete and sign the FPCA and return it to the county election official. It must be received not later than 15 days before the election. If you are already registered, you may use the FPCA form or submit a letter to the county election official to request a full ballot (local, state, Federal offices). Your request must be received not later than 7 days before the election. If you send a letter, you must provide your name as registered, voting residence address, address to which the absentee ballot should be sent, and the name and date of the election. You must sign and date the letter. C. Casting Your Vote Ballot Return Deadline: Return your voted ballot so that it arrives at the county elections office by the close of polls (8:00 p.m.) on election day. Local election officials begin mailing ballots approximately 29 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 1. California allows you to send the FPCA application for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. At the discretion of the county elections official, a blank ballot will be faxed. 3. California 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 California provides a state special absentee voter ballot if you cannot vote an absentee ballot during the normal absentee voting period because of military or other contingencies which preclude normal mail delivery. This ballot is available 60 days before the election to both registered voters and citizens eligible to vote but not yet registered. To request this special ballot, place one of the special absentee labels from Section III.G in Item 7 of the FPCA. You must state the reason(s) why you cannot vote using normal mail delivery. If no labels are available, write in Item 7: "I cannot vote an absentee ballot during the normal absentee voting period due to military or other contingencies that preclude normal mail delivery. {Specify reason(s).}I request a special absentee ballot." The elections official will provide a list of all the candidates qualified by the 60th day before the election as well as the measures to be voted on. You vote the ballot by writing in the names of the candidates you select. 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 California or overseas citizens. The term "overseas citizen(s)" means a United States citizen who resides outside the United States and (but for such residence) would be qualified to vote in California. 1. California residents temporarily residing outside the U.S (for ballots for local, state and Federal offices) B. Registering and Requesting an Absentee Ballot A single FPCA may be used to request both primary and general election absentee ballots in a calendar year (for local, state and Federal offices). If you are unregistered, complete and sign the FPCA and return it to the county election official. It must be received not later than 15 days before the election. If you are already registered, you may use the FPCA form or submit a letter to the county election official to request a full ballot (local, state, Federal offices). Your request must be received not later than 7 days before the election. If you send a letter, you must provide your name as registered, voting residence address, address to which the absentee ballot should be sent, and the name and date of the election. You must sign and date the letter. C. Casting Your Vote Ballot Return Deadline: Return your voted ballot so that it arrives at the county elections office by the close of polls (8:00 p.m.) on election day. Local election officials begin mailing ballots approximately 29 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 FPCAs and Ballots 1. California allows you to send the FPCA application for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. At the discretion of the county elections official, a blank ballot will be faxed. 3. California 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 California provides a state special absentee voter ballot if you cannot vote an absentee ballot during the normal absentee voting period because of military or other contingencies which preclude normal mail delivery. This ballot is available 60 days before the election to both registered voters and citizens eligible to vote but not yet registered. To request this special ballot, place one of the special absentee labels from Section III.G in Item 7 of the FPCA. You must state the reason(s) why you cannot vote using normal mail delivery. If no labels are available, write in Item 7: "I cannot vote an absentee ballot during the normal absentee voting period due to military or other contingencies that preclude normal mail delivery. {Specify reason(s).}I request a special absentee ballot." The elections official will provide a list of all the candidates qualified by the 60th day before the election as well as the measures to be voted on. You vote the ballot by writing in the names of the candidates you select. 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 are not U.S. citizens, are not 18 years of age, are currently imprisoned or on parole for a felony conviction or persons judged mentally incompetent, may not register or vote. B. Cancellation of Registration Registration is permanent only when a state Affidavit of Registration is filed with the county elections official. It can be cancelled for specified reasons, including a change of residence address. C. Action on Registration Request When the FPCA is used for registration, notice of acceptance or denial is sent by the elections official. D. Action If Registration Is Denied Any person notified that registration has been denied should correct all deficiencies and resubmit the request. If a second denial is received, consult a legal assistance officer or civilian counsel. E. Late Registration (1) If a registered voter is unable to appear at his/her polling place because of being recalled to service after the final day for applying for an absentee voter's ballot, but before 5 p.m. on the day before the election, he/she may appear before the elections official and apply for an absentee ballot. The ballot may be voted at the official's office or elsewhere and returned before the close of the polls on election day. (2) Discharged military personnel and civilians outside the U.S. who return to their county of residence following the close of the registration period for the upcoming election may apply in person to the elections official for permission to register and vote in the election. You must provide documentary proof that your release was after the registration closing date. F. Where To Send It Mail FPCA to the voting official in your county of voting residence as listed below. County Address Zip Code Alameda Registrar of Voters 1225 Fallon St., Room G1 Oakland, CA 94612-4229 Alpine County Clerk PO Box 158 Markleeville, CA 96120-0158 Amador Registrar of Voters 500 Argonaut Lane Jackson, CA 95642-9534 Butte County Clerk 25 County Center Dr. Oroville, CA 95965-3375 Calaveras County Clerk Elections Department 891 Mountain Ranch Road San Andreas, CA 95249-9709 Colusa County Clerk 546 Jay St. Colusa, CA 95932 Contra Costa County Clerk PO Box 271 Martinez, CA 94553-0027 Del Norte County Clerk-Recorder 981 H Street, Room 160 Crescent City, CA 95531-3415 El Dorado Registrar of Voters PO Box 678001 Placerville, CA 95667- 8001 Fresno County Clerk 2221 Kern St. Fresno, CA 93721-2600 Glenn County Clerk 516 W. Sycamore St. Willows, CA 95988-2746 Humboldt County Clerk 3033 H St. Eureka, CA 95501-4483 Imperial County Clerk Courthouse, 940 W. Main St., Rm.202 El Centro, CA 92243-2865 Inyo County Clerk P.O. Drawer F Independence, CA 93526-0606 Kern County Clerk Elections Office 1115 Truxtan Avenue Bakersfield, CA 93301-4639 Kings County Clerk Government Center 1400 W. Lacey Blvd. Hanford, CA 93230-5997 Lake County Clerk 255 N. Forbes St. Lakeport, CA 95453-4748 Lassen County Clerk 220 S. Lassen St. Susanville, CA 96130-4397 Los Angeles Registrar-Recorder/County Clerk 12400 Imperial Highway PO Box 1024, Norwalk, CA 90051-1024 Madera County Clerk 209 W. Yosemite Ave. Madera, CA 93637-3596 Marin County Clerk-Recorder P.O. Box E San Rafael, CA 94913-3904 Mariposa County Clerk PO Box 247 Mariposa, CA 95338-0247 Mendocino County Clerk 501 Low Gap Road, Room 1020 Ukiah, CA 95482- 3738 Merced County Clerk 2222 M St., Rm. 14 Merced, CA 95340-3780 Modoc County Clerk PO Box 130 Alturas, CA 96101-0130 Mono County Clerk PO Box 237 Bridgeport, CA 93517-0237 Monterey Registrar of Voters P.O. Box 1848 Salinas, CA 93901-1848 Napa County Clerk 900 Coombs St., Room 256 Napa, CA 94559-2946 Nevada County Clerk 10433 Willow Valley Road, Suite E Nevada City, CA 95959-2367 Orange Registrar of Voters PO Box 11298 Santa Ana, CA 92711-1298 Placer County Clerk P.O. Box 5278 Auburn, CA 95604-5278 Plumas County Clerk 520 Main Street, Room 102 Quincy, CA 95971-9366 Riverside Registrar of Voters 2724 Gateway Drive Riverside, CA 92507-0918 Sacramento Registrar of Voters 3700 Branch Center Rd. Sacramento, CA 95827-3892 San Benito County Clerk Court House, Rm 206 440 Fifth St. Hollister, CA 95023-3843 San Bernardino Registrar of Voters 777 E. Rialto Ave. San Bernardino, CA 92415-0770 San Diego Registrar of Voters P.O.Box 85656 San Diego, CA 92186-5656 San Francisco Acting Director of Elections City Hall - 1 Dr. Carlton Goodlett Place, Room 48, San Francisco, CA 94102-4634 San Joaquin Registrar of Voters PO Box 810 Stockton, CA 95201-3010 San Luis Obispo County Clerk 1144 Monterey St., Suite A San Luis Obispo, CA 93408-3237 San Mateo County Clerk - Registrar 40 Tower Rd. San Mateo, CA 94402-4098 Santa Barbara County Clerk PO Box 159 Santa Barbara, CA 93102-0159 Santa Clara Registrar of Voters PO Box 1147 San Jose, CA 95108-1147 Santa Cruz County Clerk 701 Ocean St., Rm. 210 Santa Cruz, CA 95060- 4076 Shasta County Clerk P.O. Box 990880 Redding, CA 96099-0880 Sierra County Clerk PO Drawer D Downieville, CA 95936-0398 Siskiyou County Clerk PO Box 338 Yreka, CA 96097-0338 Solano Registrar of Voters 510 Clay Street Fairfield, CA 94533-5625 Sonoma County Clerk PO Box 11485 Santa Rosa, CA 95406-1485 Stanislaus County Clerk 1021 "I" Street, Suite 101 Modesto, CA 95354-2331 Sutter County Clerk 433 Second Street Yuba City, CA 95991 Tehama County Clerk PO Box 250 Red Bluff, CA 96080-0250 Trinity County Clerk PO Box 1258 Weaverville, CA 96093-1258 Tulare County Registrar of Voters 221 S Mooney Blvd., Room G-28 Visalia, CA 93291-4596 Tuolumne County Clerk Administration Center 2 S. Green St. Sonora, CA 95370-4696 Ventura County Clerk 800 S. Victoria Ave., L-1200 Ventura, CA 93009-1200 Yolo County Clerk PO Box 1820 Woodland, CA 95776-1820 Yuba County Clerk Courthouse 935 14th Street Marysville, CA 95901- 5793 CALIFORNIA "I cannot vote an absentee ballot during the normal absentee voting period due to military or other contingencies that preclude normal mail delivery {specify reason(s).} I request a special absentee ballot." =============================== COLORADO 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 Colorado 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. If you have changed your name since the last time you registered or voted, write your previous name in Item 7. 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, 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 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 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. Indicate if you are a native-born or naturalized citizen.) 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 Colorado 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 If properly and timely requested, you may use a single FPCA to request both primary and general election absentee ballots in a calendar year (for local, state and Federal offices). If you are an unregistered citizen, the county clerk and recorder must receive your FPCA not later than 29 days before the election. If you are a registered citizen, the county clerk and recorder must receive your FPCA not earlier than January 1 immediately preceding the election and no later than the Friday 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 mail ballots approximately 30 days before the primary election and not later than 30 days before the 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 No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Colorado does not allow you to fax in the FPCA to register. Colorado does allow you to fax in the FPCA to request an absentee ballot, but you must mail in the original FPCA after faxing it. 2. Colorado does not allow you to receive the blank ballot by fax. 3. Colorado 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 If you reside outside the U.S., Colorado provides a state special write-in absentee ballot if you cannot vote a regular absentee ballot during the normal absentee voting period because of military or other contingencies which preclude normal mail delivery. This ballot is available 60 days before an election and you can use the FPCA to request it. In Item 7 of the FPCA place one of the labels from Section III.F or write: "I cannot vote an absentee ballot during the normal absentee voting period due to military or other contingencies that preclude normal mail delivery (specify reasons). I request a special absentee ballot." You may vote the ballot by writing in the names of the party or specific candidates you wish to vote for. 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 Colorado 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 Colorado. 1. civilian employees of the U.S. Government serving overseas and their spouses and dependents when residing with or accompanying them (for local, state and Federal office ballots) 2. members of religious groups or welfare agencies who are officially attached to and serving with the U.S. Armed Forces and their spouses and dependents (for local, state and Federal office ballots) 3. Colorado residents temporarily residing outside the U.S. (for local, state and Federal office ballots) 4. overseas citizens (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot If properly and timely requested, you may use a single FPCA to request both primary and general election absentee ballots in a calendar year. If you are an unregistered citizen, the county clerk and recorder must receive your FPCA not later than 29 days before the election. If you are a registered citizen, the county clerk and recorder must receive your FPCA not earlier than January 1 immediately preceding the election and no later than the Friday before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot so that it arrives at the local elections office by 7 p.m. on election day. Local election officials mail ballots approximately 30 days before the primary election and not later than 30 days before the 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 No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Colorado does not allow you to fax in the FPCA to register. Colorado does allow you to fax in the FPCA to request an absentee ballot, but you must mail in the original FPCA after faxing it. 2. Colorado does not allow you to receive the blank ballot by fax. 3. Colorado 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 If you reside outside the U.S., Colorado provides a state special write-in absentee ballot if you cannot vote a regular absentee ballot during the normal absentee voting period because of military or other contingencies which preclude normal mail delivery. This ballot is available 60 days before an election and you can use the FPCA to request it. In Item 7 of the FPCA place one of the labels from Section III.F or write: "I cannot vote an absentee ballot during the normal absentee voting period due to military or other contingencies that preclude normal mail delivery (specify reasons). I request a special absentee ballot." You may vote the ballot by writing in the names of the party or specific candidates you wish to vote for. 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 and serving any part of their sentence in detention or confinement in a correctional facility or on parole may not register or vote. B. Cancellation of Registration All registered voters are mailed a voter information card not more than 29 days before and no more than 30 days after a primary election. These cards are non-forwardable. Those voters whose cards are returned as undeliverable to the county clerk and recorder's office will be placed on the inactive list. A registered voter who fails to vote in a general election will also be placed on the inactive list. At any time before January 10 after any general election, voters who are recorded as "Inactive" will be sent a voter continuance card. If the voter does not complete and return the continuance card within 60 days and if the voter has been designated "Inactive" for two general elections, then the voter's registration will be cancelled. C. Action On Registration Requests Within two (2) business days after receipt of the application, the county clerk and recorder shall notify each applicant of the disposition of the application by non-forwardable mail. D. Action If Registration Is Denied If registration is denied, resubmit the application, correcting any deficiencies. If a second denial is received, consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the County Clerk and Recorder, county of voting residence, as listed below: County County Seat Zip Code Adams 450 S. 4th Avenue Brighton 80601-3195 Alamosa Box 630 Alamosa 81101-0630 Arapahoe 5334 S. Prince Littleton 80166-0001 Archuleta Box 2589 Pagosa Springs 81147-2589 Baca 741 Main Springfield 81073-1548 Bent Box 350 Las Animas 81054-0350 Boulder 1750 33rd st., Ste. 200 Boulder 80306-2546 Broomfield 1 DesCombes Drive Broomfield 80020-2495 Chaffee Box 699 Salida 81202-0699 Cheyenne Box 567 Cheyenne Wells 80810-0567 Clear Creek Box 2000 Georgetown 80444-2000 Conejos Box 127 Conejos 81129-0127 Costilla Box 308 San Luis 81152-0318 Crowley 110 E. 6th Street Ordway 81063-1092 Custer Box 150 Westcliffe 81252-0150 Delta 501 Palmer, Suite 211 Delta 81416-1764 Denver Denver Election Commission 303 W. Colfax, Room 101 Denver 80204-2617 Dolores Box 58 Dove Creek 81324-0058 Douglas P.O. Box 1360 Castle Rock 80104-1360 Eagle Box 537 Eagle 81631-0537 Elbert Box 37 Kiowa 80117-0037 El Paso Box 2007 Colorado Springs 80901-2007 Fremont 615 Macon Avenue, #100 Canon City 81212-3381 Garfield 109 8th Street, Suite 200 Glenwood Springs 81601-3303 Gilpin Box 429 Central City 80427-0429 Grand P.O. Box 120 Hot Suphur Springs 80451-0120 Gunnison 221 N. Wisconsin St., Ste C Gunnison 81230-2433 Hinsdale Box 9 Lake City 81235-0009 Huerfano 401 Main Street, Ste. 204 Walsenburg 81089-2045 Jackson Box 337 Walden 80480-0337 Jefferson 100 Jefferson County Parkway Golden 80419-2560 Kiowa Box 37 Eads 81036-0037 Kit Carson Box 249 Burlington 80807-0249 Lake Box 917 Leadville 80461-0917 La Plata Box 519 Durango 81302-0519 Larimer Box 1280 Fort Collins 80522-1280 Las Animas Box 115 Trinidad 81082-0115 Lincoln Box 67 Hugo 80821-0067 Logan Logan County Courthouse 315 Main Street Sterling 80751-4357 Mesa Box 20,000 Grand Junction 81502-5009 Mineral Box 70 Creede 81130-0070 Moffat 221 W. Victory Way Craig 81625-2716 Montezuma 109 W. Main, Room 108 Cortez 81321-3150 Montrose Box 1289 Montrose 81402-1289 Morgan Box 1399 Fort Morgan 80701-1399 Otero Box 511 La Junta 81050-0511 Ouray Box C Ouray 81427-0615 Park Box 220 Fairplay 80440-0220 Phillips 221 S. Interocean Avenue Holyoke 80734-1354 Pitkin 530 E. Main Street, Suite 101 Aspen 81611-1993 Prowers 301 S. Main St., Ste. 210 Lamar 81052-2868 Pueblo Box 878 Pueblo 81002-0878 Rio Blanco Box 1067 Meeker 81641-1067 Rio Grande Box 160 Del Norte 81132-0160 Routt Box 773599 Steamboat Springs 80477-3598 Saguache Box 176 Saguache 81149-0176 San Juan Box 466 Silverton 81433-0466 San Miguel Box 548 Telluride 81435-0548 Sedgwick Box 50 Julesburg 80737-1537 Summit Box 1538 Breckenridge 80424-1538 Teller Box 1010 Cripple Creek 80813-1010 Washington Box L Akron 80720-0380 Weld Box 459 Greeley 80632-0450 Yuma 310 Ash St., Ste. F Wray 80758-0426 COLORADO "I cannot vote an absentee ballot during the normal absentee voting period due to military or other contingencies that preclude normal mail delivery (specify reasons). I request a special absentee ballot." ====================================== CONNECTICUT 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. 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. If Using Rural Route, Provide the complete street address of your Connecticut 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 town 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. 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, 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 enrolled in one political party and change to another political party, you will have rights in no party for three months from the date of filing your change of political party. 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 Connecticut 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 Submit a separate FPCA to request a ballot for each election (for local, state and Federal office ballots). To register and request an absentee ballot, send your completed FPCA to the local town clerk so that it arrives not later than 5 p.m. on the day before the election. You may use the same FPCA to register and apply for an absentee ballot. If you are already registered and wish to request an absentee ballot only, send your completed FPCA to the local town clerk so that it arrives anytime before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local election office before the close of polls on election day. The local election official will send you a blank write-in absentee ballot which includes a list of all candidates and questions on the ballot approximately 30 days before the primary election and approximately 45 days before the general election. Regular absentee ballots are available 21 days before the primary and 31 days before the 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. Connecticut accepts the Federal Write-In Absentee Ballot only for federal elections. See Section III.A. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Connecticut allows you to send the FPCA for absentee ballot request by fax. If you are using the FPCA to register, you may fax the FPCA but you must also mail the original FPCA separately to the local town clerk so that it arrives before 5:00 p.m. on the day before the election. 2. Connecticut does not allow you to receive the blank ballot by fax. 3. Connecticut 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 If you are a member of the Armed Forces or merchant marine, or the spouse or dependent of a member residing where the member is stationed, anyone may ask the town clerk to send you registration materials and/or a ballot. G. Special Write-in Absentee Ballot A state special blank write-in absentee ballot is available beginning 90 days before an election to Armed Forces members and their spouses and dependents accompanying them who, due to military contingencies, are unable to follow the regular absentee application process. Vote this ballot by writing in the names of specific candidates and their offices. 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: "Due to military contingencies, I am unable to follow the regular absentee ballot application process. I request a special write-in absentee ballot." You may request the state special write-in ballot at any time and it is available 90 days before the general 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 Connecticut and overseas electors. The term "overseas elector" means a U.S. citizen who resides outside the Unites States and (but for such residence) would be qualified to vote in Connecticut. 1. Connecticut residents temporarily residing outside the U.S. (for local, state and Federal office ballots) 2. overseas electors (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot Submit a separate FPCA to request a ballot for each election. Overseas electors are not required to register. If you are an unregistered citizen temporarily outside the U.S., you may register and request an absentee ballot by sending your completed FPCA to the local town clerk so that it arrives not later than 5 p.m. on the day before the election. You may use the same FPCA to register and apply for an absentee ballot. If you are already registered, or you are an overseas elector (not required to register) and wish to request an absentee ballot only, send your completed FPCA to the local town clerk so that it arrives anytime before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local election office before the close of polls on election day. Local election officials mail a blank write-in absentee ballot to registered persons temporarily residing outside the U.S. approximately 30 days before the primary and approximately 45 days before the general election. Local election officials mail ballots to overseas electors 30 days before the primary and 45 days before the 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. Connecticut accepts the Federal Write-In Absentee Ballot only for federal elections. See Section III.A. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. If you are a Connecticut resident temporarily residing outside the U.S., you may send the FPCA for absentee ballot request by fax. If you are using the FPCA to register, you may fax your FPCA, but you must also mail the original FPCA separately to the local town clerk so that it arrives before 5:00 p.m. on the day before the election. 2. If you are an overseas elector (not required to register), you may send the FPCA for absentee ballot request by fax, but you must also mail the original FPCA to the local town clerk either separately or with the voted ballot so that it arrives before the close of polls on election day, in order for the ballot to be counted. 3. Connecticut does not allow you to receive the blank ballot by fax. 4. Connecticut 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 If you are a Connecticut citizen residing temporarily outside the U.S., anyone may ask the town clerk to send you registration materials and/or a ballot. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. Federal Write-in Absentee Ballot Connecticut is not required to accept the FWAB, but in 1996 began accepting it for only Federal offices in regular elections for Federal office. B. Bars to Registration and Voting Persons convicted of a felony and confined or paroled who have not had their voting rights restored and persons declared mentally incompetent to vote may not register or vote. C. Cancellation of Registration For Armed Forces members and their spouses and dependents, a registration cancellation procedure is initiated for failure to vote at least once during a four-year period. D. Action on Registration Requests Notice of acceptance or denial is sent. E. Action If Registration Is Denied If you receive notice that your registration is denied, resubmit and provide the information requested in the notice. If you receive a second denial, consult a legal assistance officer or civilian counsel. F. Late Registration Any military member currently in the military or who has been discharged within the calendar year who returns to Connecticut too late to register during the regular registration period may still register to vote not later than 5:00 p.m. on the last weekday before the election. G. Where To Send It Mail the FPCA to the Town Clerk in the town or city of voting residence. City or Town Address Zip Code Andover PO Box 328 06232-0328 Ansonia 253 Main Street 06401-1410 Ashford 25 Pompey Hollow Road 06278 Avon 60 West Main Street 06001-3719 Barkhamsted 67 Ripley Hill Road 06063-3340 Beacon Falls 10 Maple Avenue 06403-1198 Berlin PO Box 1 06037-0001 Bethany 40 Peck Road 06524-3338 Bethel 1 School Street 06801-0003 Bethlehem PO Box 160 06751-0053 Bloomfield PO Box 337 06002-0337 Bolton 222 Bolton Center Road 06040-7698 Bozrah Town Hall 06334-0158 Branford PO Box 150 06405-0150 Bridgeport 45 Lyon Terrace 06604-4062 Bridgewater PO Box 216 06752-0216 Bristol 111 North Main Street 06010-8184 Brookfield PO Box 5106 06804-5106 Brooklyn PO Box 356 06234-0356 Burlington 200 Spielman Highway 06013-1710 Canaan PO Box 155 06031-0155 Cnaterbury PO Box 27 06331-0027 Canton PO Box 168 06022-0168 Chaplin PO Box 286 06235 Cheshire 84 Shouth Maint Street 06410 Chester 65 Main Street, PO Box 328 06412 Clinton 54 East Main Street 06413-0174 Colchester 127 Norwich Avenue 06415-0146 Colebrook Box 5 06021-0005 Columbia PO Box 165 06237-0165 Cornwall PO Box 97 06753-0097 Conventry 1712 Main Street 06238 Cromwell 41 West Street 06416 Danbury 155 Deer Hill Road 06810 Darien 2 Renshaw Road 06820 Deep River 174 Main Street 06417 Derby 35 Fifth Street 06418-1897 Durham PO Box 428 06422-0428 East Granby 9 Center Street 06026-0459 East Haddam Town Office Building, PO Box K 06423-0295 East Hampton 20 East High Street 06424-1091 East Hartford 740 Main Street 06108-3114 East Haven 250 Main Street 06512-3004 East Lyme 108 Pennsylvania Ave., PO Box 519 06357-0519 East Windsor Box 123 06016-0213 Eastford Westford Road, PO Box 273 06242-0296 Easton 225 Center Road 06612-1398 Ellington PO Box 187 06029 Enfield 820 Enfield Street q 06082-2997 Essex PO Box 98 06426-1140 Fairfield 611 Old Post Road 06430-6690 Farmington 1 Monteith Drive Road 06032-1053 Franklin 7 Meeting House Hill Road 06254-9775 Glastonbury 2155 Main Street 06033-2208 Goshen 42 North Street, Box 54 06756-0054 Granby 15 North Granby Road 06035-9442 Greenwich Town Hall, PO Box 2540 06836-2540 Griswold PO Box 369 06351-2398 Groton 45 Fort Hill Road 06340 Guilford 31 Park Street 06437-2629 Haddam PO Box 87 06438-0087 Hamden 2372 Whitney Avenue 06518-3207 Hampton PO Box 143 06247-0143 Hartford 550 Main Street 06103-2992 Hartland South Road 06027-9999 Harwinton 100 Bentley Drive 06791-0065 Hebron PO Box 156 06248-0156 Kent PO Box 678 06757-0678 Killingly PO Box 6000 06239-1832 Killingworth 323 Route 81 06417-1298 Lebanon PO Box 28 06249-0028 Ledyard 741 Colonel Ledyard Highway 06339-1541 Lisbon 1 Newent Road 06351-2926 Litchfield 74 West Street 06759-9602 Lyme Route 156, RR 2 06371-9614 Madison 8 Campus Drive 06443-2563 Manchester PO Box 191 06045-0191 Mansfield 4 South Eagleville Road, RT 275 06268-2503 Marlborough North Main Street, PO Box 29 06447-0029 Meriden 142 East Main Street 06450-5605 Middlebury 1212 Whittemore Road 06762-2425 Middlefield 382 Jackson Hill Road 06455-1208 Middletown Box 1300, DeKoven Drive & Court St. 06457-1300 Milford 70 West River Street 06460-3364 Monroe 7 Fan Hill Road 06468-1823 Montville 310 Norwich-New London Road 06382-2599 Morris PO Box 66 06763-0066 Naugatuck 229 Church Street 06770-4199 New Britain 27 West Main Street 06051-2298 New Canaan 77 Main Street 06840-4790 New Fairfield Town Hall, 4 Brush Hill Road 06812 New Hartford Main Street, Box 316 06057-0316 New Haven 200 Orange Street 06510-2067 New London 181 State Street 06320-6302 New Milford PO Box 360 06776-0360 Newington 131 Cedar Street 06111 Newtown 45 Main Street 06470-2185 Norfolk PO Box 552 06058-0552 North Branford PO Box 287 06471-1501 North Canaan PO Box 338 06018-0338 North Haven 18 Church Street 06473-0336 North Stonington 40 Main Street 06359 Norwalk PO Box 5125 06856-5125 Norwich 100 Broadway 06360-4431 Old Lyme 52 Lyme Street 06371 Old Saybrook 302 Main Street 06475-0618 Orange 617 Orange Center Road 06477-2423 Oxford 486 Oxford Road 06483-1298 Plainfield 8 Community Avenue 06374 Plainville PO Box 250 06062-0250 Plymouth 80 Main Street 06786-1295 Pomfret 5 Haven Road 06259-0180 Portland PO Box 71 06480-0071 Preston 389 Route 2 06365 Prospect 36 Center Street 06712-2101 Putnam 126 Church Street 06260-1831 Redding 100 Hill Road, PO Box 28 06875-0028 Ridgefield 400 Main Street 06877-4699 Rocky Hill 699 Old Main Street 06067-0657 Roxbury PO Box 203, 29 North Street 06783-0365 Salem 270 Hartford Road 06420 Salisbury PO Box 548 06068-0548 Scotland PO Box 122 06264-0122 Seymour 1 First Street 06483-2817 Sharon PO Box 224 06069-0224 Shelton PO Box 364 06484-0364 Sherman Mallory Town Hall, Route 39, Box 39 06784-0039 Simsbury 933 Hopemeadow Street, 06070-0495 Somers PO Box 308 06071-0203 South Windsor 1540 Sullivan Avenue 06074-2786 Southbury 501 Main Street, South 06488-2295 Southington 75 Main Street 06489-2504 Sprague PO Box 162 06330-0162 Stafford PO Box 11 06076-0011 Stamford PO Box 891 06904-0891 Sterling PO Box 157 06373-0157 Stonington PO Box 352 06378-0352 Stratford 2725 Main Street 06497-5892 Suffield 83 Mountain Road 06078 Thomaston 158 Main Street 06787-1720 Thompson PO Box 160 06255-0160 Tolland 21 Tolland Green 06084-9445 Torrington 140 Main Street 06790-5201 Trumbull 5866 Main Street 06611-3193 Union 1024 Buckley Highway 06076-9520 Vernon 14 Park Place 06066 Voluntown PO Box 96 06384-0096 Wallingford PO Box 427 06492-0427 Warren 7 Sackett Hill Road 06754 Washington PO Box 383 06794-0383 Waterbury 235 Grand Street 06702-1983 Waterford 15 Rope Ferry Road 06385-2806 Watertown 37 DeForest Street 06795-2195 West Hartford 50 South Main Street 06107-2431 West Haven 355 Main Street 06516-4310 Westbrook 1163 Boston Post Road, PO Box G 06498-0676 Weston PO Box 1007 06883-1007 Westport 110 Myrtle Avenue 06880 Wethersfield 505 Silas Deane Highway 06109-2219 Willington 40 Old Farms Road 06279 Wilton 238 Danbury Road 06897-4008 Winchester 338 Main Street 06098-1697 Windham PO Box 94 06226-0094 Windsor PO Box 472 06095-0472 Windsor Locks 50 Church Street 06096 Wolcott 10 Kenea Avenue 06716-2114 Woodbridge 11 Meetinghouse Lane 06525-1597 Woodbury PO Box 369 06798-0369 Woodstock 415 Route 169 06281-3039 CONNECTICUT "Due to military contingencies, I am unable to follow the regular absentee ballot application process. I request a special write-in ballot." ======================================== DISTRICT OF COLUMBIA 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 District of Columbia voting residence. A post office box is not sufficient.) 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 to be 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.) 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 submit a completed FPCA to the local election official which includes your new political party affiliation.) 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote.) 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 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) You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct. 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 District of Columbia 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 and Federal offices) To register and request an absentee ballot, send a completed FPCA to the Board of Elections and Ethics postmarked not later than 30 days before the election. If your FPCA is not postmarked, your FPCA must arrive at the Board of Elections and Ethics not later than 23 days before the election. If you are already registered and only wish to apply for an absentee ballot, send a completed FPCA to the Board of Elections and Ethics so that it arrives not later than 7 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be postmarked not later than midnight on the day of the election and must arrive not later than 10 days after the election. Local election officials mail absentee ballots not later than 35 days before the election. If you are outside the U.S. and have not received your ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instruction in Chapter 2, page 12. Due to its Federal status, the District of Columbia does not send representatives to the U.S. Senate, however, it does participate in the election of the President and Vice President of the U.S. Additionally, a Delegate to the House of Representatives is elected. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. The District of Columbia allows you to send the FPCA application for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. The District of Columbia permits faxing of the absentee ballot only when military service prevents the applicant from receiving the absentee ballot and returning the voted ballot within 45 days. An application shall contain the reason that the applicant's military service prevents the applicant from receiving and returning the voted ballot through the mail process. Upon approval of an application, the voter is assigned a fax authorization number and required to sign an affidavit to waive his/her right to a secret ballot. 3. Except in the special circumstances outlined above, the District of Columbia does not allow you to receive and 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 the District of Columbia 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 the District of Columbia. 1. District of Columbia residents temporarily outside the U.S. (for local 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 to request ballots for all elections in a calendar year. To register and request an absentee ballot, send a completed FPCA to the Board of Elections and Ethics postmarked not later than 30 days before the election. If your FPCA is not postmarked, your FPCA must arrive at the Board of Elections and Ethics not later than 23 days before the election. If you are already registered and only wish to apply for an absentee ballot, send a completed FPCA to the Board of Elections and Ethics so that it arrives not later than 7 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be postmarked not later than midnight on the day of the election and must arrive not later than 10 days after the election. Local election officials mail absentee ballots not later than 35 days before the election. If you have not received your ballot in a timely manner, use the Federal Write-In Absentee Ballot. See instructions in Chapter 2, page 12. Due to its Federal status, the District of Columbia does not send representatives to the U.S. Senate, however, it does participate in the election of the President and Vice President of the U.S. Additionally, a Delegate to the House of Representatives is elected. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. The District of Columbia allows you to send the FPCA application for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. The District of Columbia does not allow you to receive the blank ballot by fax. 3. The District of Columbia 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 Persons currently imprisoned for a felony or found mentally incompetent by a court may not register or vote. B. Action on Registration Requests A voter registration card is sent. C. Action If Registration Is Denied Persons denied registration may appeal to the Board. Consult a legal assistance officer or civilian counsel. D. Where To Send It Mail the FPCA to: The District of Columbia Board of Elections and Ethics 441 4th Street, N.W. Suite 250 Washington, DC 20001-2745 =============================== Delaware 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 Delaware 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 in be 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 if you declined to indicate a party affiliation upon registering and now wish 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 March 1st before the primary election. The FPCA must be signed and dated for it to be processed by the local election official. 7. Remarks (Provide additional information which will assist local election officials in determining your eligibility to register and vote.) Provide an e-mail address that you can access and/or a phone number at which you can be reached for use in contacting you in a timely manner in the event that there is a question regarding your application 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 Delaware 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, submit a completed FPCA to the Department of Elections so that it arrives not later than 20 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA requesting an absentee ballot to the Department of Elections so that it arrives during the year of the election and not later than 3 days before the election. In years when a Presidential primary election is held, the county Department of Elections will accept requests for the primary ballot beginning August 15 of the year prior to the year of the Presidential election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be returned to the Department of Elections in the county of your voting residence so that it arrives not later than 12:00 noon on the day before the election. Voted ballots for Federal offices received after 12:00 noon on the day before the election but prior to the close of polls on election day will be counted. County Departments of Elections mail ballots as soon as they are available. Ballots for primary elections will be mailed approximately 30 days prior to the election. Ballots for general elections will be mailed approximately 45 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 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. Delaware allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. Delaware does not allow you to receive the blank ballot by fax. 3. Delaware 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. State Special Write-in Ballot Delaware 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 isolated or extremely remote areas 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 by regular absentee ballot or in person due to requirements of military service. I request a special write-in ballot." The special write-in ballot may be requested at any time before the election. The special write-in ballot only includes the offices of President and Vice President, U.S. Senator and Representative in Congress. The regular ballot that you are eligible to vote will be sent if the request for the special write-in ballot is received after the standard ballots are available. Vote the special write-in ballot by writing in the name of person for whom you wish to vote or by writing in the 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 Delaware 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 Delaware. 1. Delaware residents 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 to request ballots for all elections in a calendar year. To register and request an absentee ballot, submit a completed FPCA to the Department of Elections so that it arrives not later than 20 days before the election. If you are already registered and only wish to request an absentee ballot, send a completed FPCA requesting an absentee ballot to the Department of Elections so that it arrives during the year of the election and not later than 3 days before the election. In years when a Presidential primary election is held, the county Department of Elections will accept requests for the primary ballot beginning August 15 of the year prior to the year of the Presidential election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be returned to the Department of Elections in the county of your voting residence so that it arrives not later than 12:00 noon on the day before the election. Voted ballots for Federal offices received after 12:00 noon on the day before the election but prior to the close of polls on election day will be counted. County Departments of Elections mail ballots as soon as they are available. Ballots for primary elections will be mailed approximately 30 days prior to the election. Ballots for general elections will be mailed approximately 45 days prior to 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 FPCAs and Ballots 1. Delaware allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. Delaware does not allow you to receive the blank ballot by fax. 3. Delaware 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. State Special Write-in Ballot Delaware 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 isolated or extremely remote areas 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 by regular absentee ballot or in person due to living in isolated or extremely remote areas of the world. I request a special write-in ballot." The special write-in ballot may be requested at any time before the election. The special write-in ballot only includes the offices of President and Vice President, U.S. Senator and Representative in Congress. The regular ballot that you are eligible to vote will be sent if the request for the special write-in ballot is received after the standard ballots are available. Vote the special write-in ballot by writing in the name of person for whom you wish to vote or by writing in the 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 who have been convicted of a felony (unless pardoned or whose voting rights have been restored) or found mentally incompetent may not register to vote or vote. B. Action on Registration Requests You are notified when your application is accepted. If your application is rejected, you are so notified with the reason(s) for rejection. C. Action if Registration is Denied Denial of registration may be appealed to the county board of elections and/or superior court. Consult a legal assistance officer or civilian counsel. D. Where To Send It Mail the FPCA to the Department of Elections, county of voting residence, as listed below: County Address City & Zip Code New Castle 820 North French St., 4th Floor Wilmington 19801-3531 Kent 455 Court St. Dover 19901-3729 Sussex 119 N Race St. Georgetown 19947-9985 DELAWARE "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." ===================== FLORIDA 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. The Department of Justice requests this data 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) Your Driver's License number should be listed if available. 2. I Last Voted or Place of Last Registration (Do not leave this section blank). If you are using the FPCA to register and you have never voted, write "I have never voted" in the open spaces along the line of Item 2. If you are using the FPCA to register and you have previously voted, provide complete information on where you last registered and voted. 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 Florida 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.) 6. Political Party Affiliation (This information is required by most states to send you a ballot for primary elections.) If you wish to register to vote in a partisan primary election, you must be a registered voter in the party for which the primary is being held. You must indicate your political party affiliation when applying for a primary ballot (Example: Democrat, Republican) or "none" in Item 6 of the FPCA. However, if all candidates for an office have the same party affiliation and the winner will have no opposition in the general election, all qualified electors, regardless of party affiliation, may vote in the primary elections for that office. All registered voters, regardless of party affiliation can vote on issues and non-partisan candidates. 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 to the local election official no 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.) 8. Affirmation By Applicant (X only one: a, b, c or d) I swear/affirm, under penalty of perjury, that I am: (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. You must sign and date the FPCA. If you are using the FPCA to register, read the following oath before signing, "I do solemnly swear (or affirm) that I will protect and defend the Constitution of the U.S. and the Constitution of the State of Florida, and that I am qualified to register as an elector under the Constitution and laws of the State of Florida and that I am a citizen of the U.S. and a legal resident of Florida.". Art. VI, s. 3, Fla. Const., s. 97.051 and 104.011 Fla. Stat. 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 Florida 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. If you are or were a registered voter and maintain a Florida residence, you may use it for local, state and Federal offices. If you are or were a registered voter and no longer maintain a Florida residence but intend to return, you may use it for everything except local offices. If you have never registered in any Florida county and maintain a Florida residence, you will receive a full ballot. If you have never registered and no longer maintain a Florida residence but this was the last place you lived, you will receive a ballot for Federal offices only. To register and request an absentee ballot, send a completed FPCA to the local supervisor of elections so that it arrives not later than 29 days before the election. If you maintain a Florida residence, you will receive a full ballot. If not and this is the last place you lived, you will receive a ballot for Federal offices only. If you are already registered and only wish to request an absentee ballot, send a completed FPCA or other written correspondence to the supervisor of elections so that it arrives not later than the Friday before the election. Alternatively, you may request ballots for the primary and general elections from the county supervisor by telephone, or designate someone to pick up your ballot as provided in Section E below. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. If you are voting from outside the U.S., the Federal portion of your ballot will be counted if the ballot envelope is dated or postmarked not later than the day of the election and received up to 10 days after the general election or presidential primary. If you reside in the U.S., local election officials will mail you your ballot as soon as the ballots are available. If you reside outside the U.S., local election officials will mail your absentee ballot to you approximately 35 days before a primary election. They also will mail out an advance ballot 45 days before the run-off and general elections. Regular absentee ballots for the run-off and general elections are sent out as soon as they are available. Always vote and return each ballot regardless of when you receive it. 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: If you have never registered to vote in the Florida county where you wish to register or if you had been registered but failed to re- register, you must read the oath under Application Instructions, Item H before signing. Ballot Return Envelope: When returning a voted ballot, the certificate on the return envelope must be witnessed by one person over the age of 18. The name and address of the witness are required on the certificate. E. Electronic Transmission of FPCAs and Ballots 1. Florida allows you to send the FPCA for ballot request by fax. After faxing, submit the FPCA by mail. 2. Florida allows you to receive the blank ballot by fax. 3. Florida 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 If you are currently registered, you may designate someone to pick up an absentee ballot for you. This authorization must be in writing and the person you designate to pick up your ballot must present the authorization in person to the supervisor of elections. The person you designate may not be a candidate, unless you are a member of that candidate's immediate family. G. State Write-in Absentee Ballot An overseas voter may request a state write-in ballot not earlier than 180 days before a general election from the supervisor of elections in the county of registration. The voter will need to state that due to military or other contingencies that preclude normal mail delivery, the voter cannot vote an absentee ballot during the normal absentee voting period. State write-in absentee ballots shall be available 90 to 180 days prior to a general 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 Florida 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 Florida. 1. Florida residents temporarily absent from their county (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 to request ballots for all elections in a calendar year. If you are or were a registered voter and maintain a Florida residence, you may use it for local, state and Federal offices. If you are or were a registered voter and no longer maintain a Florida residence but intend to return, you may use it for everything except local offices. If you have never registered in any Florida county and maintain a Florida residence, you will receive a full ballot. If you have never registered and no longer maintain a Florida residence but this was the last place you lived, you will receive a ballot for Federal offices only. To register and request an absentee ballot, send a completed FPCA to the local supervisor of elections so that it arrives not later than 29 days before the election. If you maintain a Florida residence, you will receive a full ballot. If not and this is the last place you lived, you will receive a ballot for Federal offices only. If you are already registered and only wish to request an absentee ballot, send a completed FPCA or other written correspondence to the supervisor of elections so that it arrives not later than the Friday before the election. Alternatively, you may request ballots for the primary and general elections from the county supervisor by telephone, or designate someone to pick up your ballot as provided in Section E below. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive by the close of polls on election day. The Federal portion of your ballot will be counted if the ballot envelope is dated or postmarked not later than the day of the election and received up to 10 days after the general election or presidential primary. Local election officials will mail your absentee ballot to you approximately 35 days before a primary election. They also will mail out an advance ballot 45 days before the run-off and general elections. Regular absentee ballots for the run-off and general elections are sent out as soon as they are available. Always vote and return each ballot regardless of when you receive it. 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 to vote in the Florida county where you wish to register or if you had been registered but failed to re- register, you must read the oath under Application Instructions, Item H before signing. Ballot Return Envelope: When returning a voted ballot, the certificate on the return envelope must be witnessed by one person over the age of 18. The name and address of the witness are required on the certificate. E. Electronic Transmission of FPCAs and Ballots 1. Florida allows you to send the FPCA for ballot request by fax. After faxing, submit the FPCA by mail. 2. Florida allows you to receive the blank ballot by fax. 3. Florida 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 If you are currently registered, you may designate someone to pick up an absentee ballot for you. This authorization must be in writing and the person you designate to pick up your ballot must present the authorization in person to the supervisor of elections. The person you designate must also present a picture identification and sign an affidavit. The person you designate may not be a candidate, unless you are a member of that candidate's immediate family. G. State Write-in Absentee Ballot An overseas voter may request a state write-in absentee ballot not earlier than 180 days before a general election from the supervisor of elections in the county of registration. The voter will need to state that due to contingencies that preclude normal mail delivery, the voter cannot vote an absentee ballot during the normal absentee voting period. State write-in absentee ballots shall be available 90 to 180 days prior to a general election. Instructions continue in Section III: Uniformed Services & Civilians Outside U.S. III. UNIFORMED SERVICES & CIVILIANS OUTSIDE U.S. A. In-Person Voting You may vote in-person even after requesting an absentee ballot. You must hand in the unvoted absentee ballot or swear that it was not voted. B. Bars to Registration and Voting Persons convicted of a felony and whose civil rights have not been restored or persons adjudicated as mentally incapacitated with respect to voting and who have not had their right to vote restored may not register or vote. C. Cancellation of Registration Periodically, supervisors of elections will send address confirmation final notices to voters where the post office has indicated that these voters have moved outside the supervisor's county or left no forwarding address. All voters who have been mailed an address confirmation final notice and who do not return the form within 30 days will be placed on the inactive voter registration list. Voters on the inactive list can be reinstated by updating their voter registration, appearing to vote, or requesting an absentee ballot. However, after two general elections for Federal office from the date the final notice was sent, all inactive voters who show no activity will be removed from the registration records and must register to regain their voting privilege. D. Action on Registration Requests Registered voters are sent an identification card. E. Action If Registration Is Denied Persons denied registration should consult a legal assistance officer or civilian counsel. F. Late Registration An individual or accompanying family member who has been discharged or separated from the Uniformed Services, merchant marine, or from employment outside the territorial limits of the United States may register, after the books close for an election, until 5 p.m. on the Friday before that election. G. Where To Send It Mail the FPCA to the Supervisor of Elections, county of voting residence, as listed below: County County Seat Zip Code Alachua PO Box 1496, Gainesville 32602-1496 Baker PO Box 505, MacClenny 32063-0505 Bay 300 E 4th Street, Room 112, Panama City 32401-3056 Bradford PO Box 58, Starke 32091-0058 Brevard PO Box 1119, Titusville 32781-1119 Broward PO Box 029001, Fort Lauderdale 33302-9001 Calhoun 425 E.Central Ave., Rm G-10, Blountstown 32424-3093 Charlotte PO Box 511229, Punta Gorda 33951-1229 Citrus 120 North Apopka Avenue, Inverness 34450-4238 Clay PO Box 337, Green Cove Springs 32043-0337 Collier 3301 Tamiami Trail East, Naples 34112-4902 Columbia 1701 W. Highway 90, Suite 2, Lake City 32055-3734 Dade (See Miami-Dade) De Soto PO Box 89, Arcadia 34265-0089 Dixie PO Box 2057, Cross City 32628-2057 Duval 105 East Monroe Street, Jacksonville 32202-3228 Escambia PO Box 12601, Pensacola 32574-2601 Flagler PO Box 901, Bunnell 32110-0901 Franklin 33 Market Street, Suite 100, Apalachicola 32320-2311 Gadsden PO Box 186, Quincy 32353-0186 Gilchrist 112 S. Main Street, Room 105, Trenton 32693-3200 Glades PO Box 968, Moore Haven 33471 Gulf 1000 Cecil G. Costin, Sr. Blvd., Port St. Joe 32456-1693 Hamilton 313 Hatley Street Northeast, Suite 1, Jasper 32052-6622 Hardee 315 N. 6th Avenue, Suite 110, Wauchula 33873-2361 Hendry PO Box 174, LaBelle 33975-0174 Hernando 20 N. Main St., Room 463, Brooksville 34601-2864 Highlands PO Box 1568, Sebring 33871-1568 Hillsborough 601 East Kennedy Blvd., 16th Floor, Tampa 33602-4932 Holmes 201 N. Oklahoma Street, Bonifay 32425-2243 Indian River 1840 25th Street, Suite N-109, Vero Beach 32960-3396 Jackson PO Box 6046, Marianna 32447-6046 Jefferson 380 West Dogwood Street, Monticello 32344-0158 Lafayette PO Box 76, Mayo 32066-0076 Lake PO Box 457, Tavares 32778-0457 Lee PO Box 2545, Fort Myers 33902-2545 Leon 301 S. Monroe St., Suite 301, Tallahassee 32301-1833 Levy PO Box 880, Bronson 32621-0880 Liberty PO Box 597, Bristol 32321-0597 Madison 112 East Pinckney St., Room 113, Madison 32340-2466 Manatee PO Box 1000, Bradenton 34206-1000 Marion PO Box 289, Ocala 34478-0289 Martin PO Box 1257, Stuart 34995-1257 Miami-Dade PO Box 012241, Miami 33101-2241 Monroe 530 Whitehead Street #101, Key West 33040-6547 Nassau 11 N. 14th St., Room 102, Fernandina Beach 32034-5140 Okaloosa 1804 Lewis Turner Blvd., Ste. 404, Fort Walton Beach 32547- 1285 Okeechobee 307 Northwest 2nd Street, Okeechobee 34972-4165 Orange PO Box 562001, Orlando 32856-2001 Osceola PO Box 420759, Kissimmee 34742-0759 Palm Beach 301 N. Olive Ave., Rm 105, West Palm Beach 33401-4795 Pasco PO Box 300, Dade City 33526-0300 Pinellas 315 Court Street, Room 117, Clearwater 33756-5190 Polk PO Box 1460, Bartow 33831-1460 Putnam PO Box 977, Palatka 32178-0977 St. Johns 4455 Ave. A, Suite 101, Saint Augustine 32095-5277 St. Lucie 2300 Virginia Avenue, Fort Pierce 34982-5652 Santa Rosa 6495 Caroline Street, Suite F, Milton 32570-4592 Sarasota PO Box 4194, Sarasota 34230-4194 Seminole PO Box 1479, Sanford 32772-1479 Sumter 220 East McCollum Avenue, Bushnell 33513-6124 Suwannee 200 South Ohio Avenue, Live Oak 32060-3292 Taylor PO Box 1060, Perry 32348-1060 Union 55 West Main Street, Lake Butler 32054-1654 Volusia 136 N. Florida Avenue, Deland 32720-4208 Wakulla PO Box 305, Crawfordville 32326-0305 Walton 312 College Ave., Unit E, Defuniak Springs 32435 Washington 1331 S. Boulevard, Suite 900, Chipley 32428 Notify Your Local Election Official About Your Current Mailing Address ============================== GEORGIA 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 GEORGIA County 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 (A. You are requested to fill out this box.) c. Race (B. You are requested to fill out this box. The Department of Justice requests this data 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 (C. Please provide your Social Security number in Item 1e. This information is mandatory and will be used in the identification of voters. Social security numbers remain confidential by state law.) f. Other Identification Number (passport, ID card) 2. I Last Voted or Place of Last Registration (D. 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 (E. Provide the complete street address of your Georgia 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.) (F. 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 fixes. 6. Political Party Affiliation(G. 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 "nonpartisan only" 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 vote in a primary election, you must submit a completed FPCA which includes your political party selection or "nonpartisan" selection to the local election official. A separate request is required for an absentee ballot for the Presidential Preference primary and special elections. Unregistered persons must submit the FPCA not later than the fifth Monday before the election. No absentee ballot shall be mailed on the day prior to an election or primary election. Timeliness in submitting the FPCA is critical to receipt and return of an absentee ballot.) 7. Remarks 8. Affirmation By Applicant (X only one: a, b, c or d)(H. 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 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)(I. You must sign and date the FPCA. When signing, you are swearing or affirming that the information is true and correct.) 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 Georgia 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 primary, runoff primary, and general election ballots (for local, state and Federal offices). You must submit a separate FPCA for presidential preference primaries or special elections. In Item 7, you may note "PPP". Provide political party affiliation in Item 6. If you are an unregistered citizen, the board of registrars must receive your FPCA registration request not later than the fifth Monday before the election. If you are a registered citizen, the board of registrars must receive your FPCA absentee ballot request at least two business days prior to the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the board of registrar's office by 7 p.m. on election day. Local election officials mail ballots approximately 45 days before the election. You must sign the self-administered oath on the voted ballot return envelope. In addition if you receive assistance, this person must complete and sign the necessary oath of assistance. 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. If you received assistance in voting, the person providing assistance must complete and sign the necessary oath of assistance. E. Electronic Transmission of FPCAs and Ballots 1. Georgia allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail. You may not submit the FPCA for registration by fax. 2. Georgia does not allow you to receive the blank ballot by fax. 3. Georgia 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 mother, father, grandparent, aunt, uncle, sister, brother, spouse, son, daughter, niece, nephew, mother-in-law, father-in-law, brother-in- law, sister-in-law, son-in-law, daughter-in-law, or grandchild (18 years of age or older) may request (in writing to the local registrar) that an absentee ballot be mailed to you if you are temporarily residing outside the county. G. Special Write-in Absentee Ballot Georgia can provide a state special write-in absentee ballot available 180 days before the general election 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 or 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.F. 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." The special write-in ballot must be requested not earlier than 180 days before the general election. You may vote it 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 Georgia 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 Georgia. 1. Georgia residents temporarily residing outside the state (for local, state and Federal office ballots) 2. overseas citizens (for Federal office ballots only) 3. U.S. citizens who have never resided in the U.S. but have a parent who is eligible to vote in Georgia. 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 primary, runoff primary, and general election ballots. You must submit a separate FPCA for presidential preference primaries or special elections. In Item 7, you may note "PPP". Provide political party affiliation in Item 6. If you are an unregistered citizen, the board of registrars must receive your FPCA registration request not later than the fifth Monday before the election. If you are a registered citizen, the board of registrars must receive your FPCA absentee ballot request at least two business days prior to the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the board of registrar's office by 7 p.m. on election day. Local election officials mail ballots approximately 45 days before the election. You must sign the self-administered oath on the voted ballot return envelope. In addition if you receive assistance, this person must complete and sign the necessary oath of assistance. 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. If you received assistance in voting, the person providing assistance must complete and sign the necessary oath of assistance. E. Electronic Transmission of FPCAs and Ballots 1. Georgia allows you to send the FPCA for absentee ballot request by fax. After faxing, submit the FPCA by mail. You may not submit the FPCA for registration by fax. 2. Georgia does not allow you to receive the blank ballot by fax. 3. Georgia 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 mother, father, grandparent, aunt, uncle, sister, brother, spouse, son, daughter, niece, nephew, mother-in-law, father-in-law, brother-in- law, sister-in-law, son-in-law, daughter-in-law, or grandchild (18 years of age or older) may request (in writing to the local registrar) that an absentee ballot be mailed to you if you are temporarily residing outside the county. G. Special Write-in Absentee Ballot Georgia can provide a state special write-in absentee ballot available 180 days before the general election 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 or 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.F. 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." The special write-in ballot must be requested not earlier than 180 days before the general election. You may vote it 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 & CIVILIANS OUTSIDE U.S. A. Bars to Registration and Voting Persons convicted of a felony involving moral turpitude may not register or vote until the sentence is completed. Persons adjudicated mentally incompetent may not register or vote unless the disability has been removed. B. Action on Registration Requests If eligible, precinct card is sent. If ineligible, notice of denial is sent. C. Action If Registration Is Denied Persons whose registration is cancelled due to a challenge and hearing may appeal in writing the removal of their name from the voters list within ten days from the date of the hearing to the Clerk of the Superior Court. Said hearing will be heard by the Judge of the Superior Court in that jurisdiction. Consult a legal assistance officer or civilian counsel. D. Voting By Citizens Who Have Never Resided In The U.S. If a U.S. citizen outside the U.S. has never lived in the U.S. and either parent is a qualified Georgia voter, then he or she is eligible to register and vote where his or her parent is a qualified voter. E. Where To Send It Mail the FPCA to the Board of Registrars, county of voting residence, as listed below: County County Seat Zip Code Appling Baxley 31513-1908 Atkinson Pearson 31642-0855 Bacon Alma 31510-0356 Baker Newton 31770-0450 Baldwin Milledgeville 31061-3399 Banks Homer 30547-0172 Barrow Winder 30680-1973 Bartow Cartersville 30120-3182 Ben Hill Fitzgerald 31750-2136 Berrien Nashville 31639-2250 Bibb Macon 31201-2678 Bleckley Cochran 31014-1633 Brantley Nahunta 31553-0326 Brooks Quitman 31643-0349 Bryan Pembroke 31321-9999 Bulloch Statesboro 30459-5355 Burke Waynesboro 30830-0089 Butts Jackson 30233-1965 Calhoun Morgan 31766-0111 Camden Woodbine 31569-6008 Candler Metter 30439-1429 Carroll Carrollton 30117-0338 Catoosa Ringgold 30736-2301 Charlton Folkston 31537-3745 Chatham Savannah 31401-3230 Chattahoochee Cusseta 31805-0125 Chattooga Summerville 30747-0165 Cherokee Canton 30114-2756 Clarke Athens 30601-4514 Clay Fort Gaines 31751-0218 Clayton Jonesboro 30236-3694 Clinch Homerville 31634-1415 Cobb Marietta 30090-3905 Coffee Douglas 31533-3854 Colquitt Moultrie 31776-0099 Columbia Appling 30809-0919 Cook Adel 31620-2400 Coweta Newnan 30263-1973 Crawford Knoxville 31078-0634 Crisp Cordele 31015-4295 Dade Trenton 30752-0152 Dawson Dawsonville 30534-0436 Decatur Bainbridge 31718-0246 DeKalb Decatur 30030-3221 Dodge Eastman 31023-1505 Dooly Vienna 31092-0322 Dougherty Albany 31702-1827 Douglas Douglasville 30134-2264 Early Blakely 31723-1811 Echols Statenville 31648-0337 Effingham Springfield 31329-0387 Elbert Elberton 30635-1840 Emanuel Swainsboro 30401-0267 Evans Claxton 30417-0634 Fannin Blue Ridge 30513-4581 Fayette Fayetteville 30214-1520 Floyd Rome 30161-2832 Forsyth Cumming 30040-2468 Franklin Carnesville 30521-4080 Fulton Atlanta 30303-3444 Gilmer Ellijay 30540-1149 Glascock Gibson 30810-0221 Glynn Brunswick 31521-0879 Gordon Calhoun 30703-0715 Grady Cairo 31728-4101 Greene Greensboro 30642-1443 Gwinnett Lawrenceville 30045-6935 Habersham Clarkesville 30523-5105 Hall Gainesville 30503-1435 Hancock Sparta 31087-0118 Haralson Buchanan 30113-0620 Harris Hamilton 31811-0123 Hart Hartwell 30643-0426 Heard Franklin 30217-0427 Henry McDonough 30253-3220 Houston Perry 31069-3825 Irwin Ocilla 31774-0514 Jackson Jefferson 30549-1013 Jasper Monticello 31064-9999 Jeff Davis Hazlehurst 31539-0602 Jefferson Louisville 30434-1657 Jenkins Millen 30442-1833 Johnson Wrightsville 31096-0264 Jones Gray 31032-1359 Lamar Barnesville 30204-1609 Lanier Lakeland 31635-1189 Laurens Dublin 31040-2102 Lee Leesburg 31763-0326 Liberty Hinesville 31313-0652 Lincoln Lincolnton 30817-0340 Long Ludowici 31316-0669 Lowndes Valdosta 31603-1349 Lumpkin Dahlonega 30533-1167 McDuffie Thomson 30824-0600 McIntosh Darien 31305-1987 Macon Oglethorpe 31068-0415 Madison Danielsville 30633-0328 Marion Buena Vista 31803-0444 Meriwether Greenville 30222-9999 Miller Colquitt 31737-1284 Mitchell Camilla 31730-0229 Monroe Forsyth 31029-0374 Montgomery Mount Vernon 30445-0317 Morgan Madison 30650-1345 Murray Chatsworth 30705-1015 Muscogee Columbus 31902-1340 Newton Covington 30014-2435 Oconee Watkinsville 30677-2718 Oglethorpe Lexington 30648-0232 Paulding Dallas 30132-1205 Peach Fort Valley 31030-0468 Pickens Jasper 30143-1598 Pierce Blackshear 31516-1236 Pike Zebulon 30295-0377 Polk Cedartown 30125-2944 Pulaski Hawkinsville 31036-1350 Putnam Eatonton 31024-1095 Quitman Georgetown 31754-0447 Rabun Clayton 30525-0806 Randolph Cuthbert 31740-0323 Richmond Augusta 30911-4406 Rockdale Conyers 30094-6619 Schley Ellaville 31806-0385 Screven Sylvania 30467-2026 Seminole Donalsonville 31745-1602 Spalding Griffin 30223-3341 Stephens Toccoa 30577-1557 Stewart Lumpkin 31815-0713 Sumter Americus 31709-0246 Talbot Talbotton 31827-0056 Taliaferro Crawfordville 30631-0009 Tattnall Reidsville 30453-0387 Taylor Butler 31006-2044 Telfair McRae 31055-1604 Terrell Dawson 31742-0525 Thomas Thomasville 31799-0110 Tift Tifton 31793-0826 Toombs Lyons 30436-0667 Towns Hiawassee 30546-3219 Treutlen Soperton 30457-1438 Troup LaGrange 30240-4441 Turner Ashburn 31714-5313 Twiggs Jeffersonville 31044-0130 Union Blairsville 30512-4302 Upson Thomaston 30286-0547 Walker LaFayette 30728-0628 Walton Monroe 30655-1842 Ware Waycross 31501-3596 Warren Warrenton 30828-0186 Washington Sandersville 31082-9999 Wayne Jesup 31546-4320 Webster Preston 31824-0029 Wheeler Alamo 30411-0431 White Cleveland 30528-1376 Whitfield Dalton 30720-3147 Wilcox Abbeville 31001-1000 Wilkes Washington 30673-1595 Wilkinson Irwinton 31042-0186 Worth Sylvester 31791-2182 ================================= Guam 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 Guam 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 within Guam and different from the one provided in Item 4. 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 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 Guam 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 and Federal offices). If you are an unregistered member of the Uniformed Services or merchant marine or a spouse or dependent of one of these, the Election Commission must receive your FPCA ballot request not later than 10 days before the election. If you are a registered member of the Uniformed Services or merchant marine or a spouse or dependent of one of these, the Election Commission must receive your FPCA ballot request not less than 3 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the Election Commission not later than 8 p.m. on election day. Local election officials mail ballots approximately 45 days before the election. Due to its territorial status, Guam 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 Guam 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: Must be sworn to before a commissioned officer, warrant officer, non-commissioned officer, or any other officer authorized to administer oaths. E. Electronic Transmission of FPCAs and Ballots Guam 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 Guam 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 Guam. 1. Guam residents outside of Guam (for local and Federal office ballots) 2. overseas electors (for local 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. If you are an unregistered citizen in one of the above categories, the Election Commission must receive your FPCA ballot request not later than 10 days before the election. If you are a registered citizen in one of the above categories, the Election Commission must receive your FPCA ballot request not less than 3 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the Election Commission not later than 8 p.m. on election day. Local election officials mail ballots approximately 45 days before the election. Due to its territorial status, Guam 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 Guam 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: Must be sworn to before a commissioned officer, warrant officer, non-commissioned officer, or any other officer authorized to administer oaths. E. Electronic Transmission of FPCAs and Ballots Guam 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 imprisoned, confined to a mental institution, or found insane may not register or vote. B. Cancellation of Registration Registration is cancelled for failure to vote in two (2) consecutive general elections. C. Action on Registration Requests Notice of denial of registration is sent. D. Action If Registration is Denied Persons denied registration may appeal to the Election Commission. Consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to: Guam Election Commission P.O. Box BG Hagatna, Guam 96932-8958 ================================== HAWAII 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. (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 or ID card) 2. I LAST VOTED OR PLACE OF LAST REGISTRTION: (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 Hawaii voting residence. A post office box is not acceptable. If there is no street address of your residence, describe its location in Item 7 (Remarks). 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. This address must be different than 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: 7. REMARKS: (Provide additional information which will assist local election officials in determining your eligibility to register and vote. It is mandatory to give any former name under which you were registered in Alaska.) 8. AFFIRMATION BY APPLICANT: I swear/affirm, under penalty of perjury, that I am: (X only one of a, b, c or d. 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 provided is true and correct.) (Required field) j. Date MM/DD/YY (Month, Day, Year) (Required field) 9. WITNESS/NOTARY ADDRESS AND SIGNATURE: Date Signed: MM/DD/YY (Month, Day, Year). If you are unable to sign (item 8i.), your mark must be witnessed by another individual 18 years of age or older. 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 Hawaii 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 primary and general elections in an election year. In Hawaii, all Federal, state and county elections are held concurrently in even numbered years. You must submit a separate FPCA for special elections not held in conjunction with regularly scheduled ones. If you are unregistered, the county clerk must receive your FPCA not later than 30 days before the election. If you are registered, send your FPCA not earlier than 60 days before the election. However, in practice, each county holds any absentee ballot request received within a reasonable time before the election and processes them 60 days before the election. It must be received not later than 7 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by the close of polls on election day. Local election officials mail ballots approximately 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 instruction in Chapter 2. D. Notary/Witness Requirements FPCA: A self-subscribing oath is required to affirm the information entered on the voter registration application is true and correct. If you are unable to sign, your mark must be witnessed by another individual 18 years of age or older. Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots 1. Hawaii allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. Hawaii allows you to request that the blank ballot be sent to you by fax if you do not receive your requested ballot within five (5) days of the election. 3. Hawaii allows you to return the voted ballot by fax if you requested that the blank ballot be sent to you by fax. You must submit a waiver of secrecy of vote with the transmitted ballot. The waiver and ballot must be received by the issuing clerk no later than 6 p.m. (Hawaiian Standard Time) on election day 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 Hawaii and overseas citizens. The term "overseas citizen(s)" means a U.S. citizen who resides outside the U.S., was last domiciled (but no longer resides) in Hawaii, and (but for such residence) would be qualified to vote in Hawaii for Federal offices. 1. Hawaii residents temporarily residing outside the U.S. (for local, state and Federal office ballots) 2. overseas electors (for Federal office ballots only) B. Registering and Requesting an Absentee Ballot You may use a single FPCA to request ballots for primary and general elections in an election year. In Hawaii all Federal, state and county elections are held concurrently in even numbered years. You must submit a separate FPCA for special elections not held in conjunction with regularly scheduled ones. If you are unregistered, the county clerk must receive your FPCA not later than 30 days before the election. If you are registered, send your FPCA not earlier than 60 days before the election. It must be received not later than 7 days before the election. However, in practice, each county holds any absentee ballot requests received within a reasonable time before the election and processes them 60 days before the election C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office by the close of polls on election day. Local election officials mail ballots approximately 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 FPCA: A self-subscribing oath is required to affirm the information entered on the voter registration application is true and correct. If you are unable to sign, your mark must be witnessed by another individual 18 years of age or older. Ballot Return Envelope: No notary or witness required. E. Electronic Transmission of FPCAs and Ballots 1. Hawaii allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. Hawaii allows you to request that the blank ballot be sent to you by fax if you do not receive your requested ballot within five (5) days of the election. 3. Hawaii allows you to return the voted ballot by fax if you requested that the blank ballot be sent to you by fax. You must submit a waiver of secrecy of vote with the transmitted ballot. The waiver and ballot must be received by the issuing clerk no later than 6 p.m. (Hawaiian Standard Time) on election day. 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 Persons convicted of a felony may not register or vote while confined. Persons judged mentally incompetent may not register or vote. B. Cancellation of Registration Re-registration is required when a voter changes his/her voting residence or name or his/her name is removed from the voter register. Overseas citizens must submit an FPCA for registration each election year (for Federal offices only). C. Action on Registration Requests The county clerk is not required to notify absentee voters of their registration. D. Action If Registration Is Denied Persons denied registration by the clerk may appeal to the Board of Registration. Consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the County Clerk in your county of voting residence as listed below: County Address Zip Code Hawaii 25 Aupuni Street, Room 105, Hilo 96720-4245 Honolulu 530 S King Street Room 100, Honolulu 96813-3077 Kauai 4396 Rice Street, Suite 106, Lihue 96766-1399 Maui 200 S High Street, 7th Floor, Wailuku 96793-2155 ===================================== IOWA 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_______. The State and County fields must be completed for IOWA. 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. 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 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 Iowa 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. 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 in Item 6 when applying for a primary ballot (Example: Democrat, Republican, Green Party). Political party affiliation is not required if only requesting absentee ballots for other 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 to the local election official. Your voter registration record will be changed to reflect the party named on your application. 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 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 Iowa 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 request registration and/or an absentee ballot, the local county auditor must receive your FPCA at any time before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be postmarked not later than the day before the election. Mail your voted ballot to the local election official so that it arrives not later than noon on the Monday after the election. Local election officials mail ballots approximately 40 days before primary and general elections. For other elections, ballots are mailed later but will be sent as soon as they are ready. The affidavit on the ballot return envelope is the registration form. You will be permanently registered when you return the voted 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 and Section I.G. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Iowa allows you to send the FPCA for registration and absentee ballot request by fax. You must submit the original FPCA by mail. 2. Iowa does not allow you to receive the blank ballot by fax. 3.Iowa 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 Registration and Ballot By Proxy Within 70 days of the general election, your spouse, parent, parent-in- law, adult brother, adult sister, or adult child who resides in your county of voting residence may request registration and an absentee ballot for you. Forms are available from the county auditors and the Secretary of State. A handwritten request may be sent including the name and signature of the person requesting a ballot, Iowa address, name or date of election for which the ballot is requested (or for all ballots in a calendar year) and other information required to determine the correct ballot for the voter. G. Special Write-in Absentee Ballot Iowa provides a state special write-in absentee ballot available 90 days before the general election if you are overseas and unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. This special ballot is not available for the primary election. 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.H. If no labels are available, write in Item 7: "To the best of my belief I will be outside the continental U.S. and unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. I request a special write-in absentee ballot." The state special write-in ballot must be requested not earlier than 90 days before the general election. Vote the ballot by writing in the names of specific candidates. H. Federal Write-in Absentee Ballot Iowa has expanded the use of the Federal Write-In Absentee Ballot (FWAB). The instructions described in Chapter 2 of this Guide remain the same, except that Iowa also allows the FWAB to be used to vote in state and Federal primaries and in general and special elections to fill vacancies in the U.S. House of Representatives and Iowa Legislature. Iowa also allows the FWAB return envelope to be used as an application for registration if the person is otherwise eligible to vote in Iowa. 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 Iowa 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 Iowa. 1. Iowa residents temporarily residing outside the U.S. (for local, state and Federal office ballots) 2. overseas citizens (for local, state and Federal office ballots) 3. U.S. citizens who have never resided in the U.S. but have a parent who is eligible to vote in Iowa. These citizens are eligible to vote at the same voting residence claimed by their parent (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. To request registration and/or an absentee ballot, the local county auditor must receive your FPCA at any time before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must be postmarked not later than the day before the election. Mail your voted ballot to the local election official so that it arrives not later than noon on the Monday after the election. Local election officials mail ballots approximately 40 days before primary and general elections. For other elections, ballots are mailed later but will be sent as soon as they are ready. The affidavit on the ballot return envelope is the registration form. You will be permanently registered when you return the voted 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, and Section II.G. D. Notary/Witness Requirements No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Iowa allows you to send the FPCA for registration and absentee ballot request by fax. You must submit the original FPCA by mail. 2. Iowa does not allow you to receive the blank ballot by fax. 3. Iowa 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 Registration and Ballot By Proxy Within 70 days of the general election, your spouse, parent, parent-in- law, adult brother, adult sister, or adult child who resides in your county of voting residence may request registration and an absentee ballot for you. Forms are available from the county auditors and the Secretary of State. A handwritten request may be sent including the name and signature of the person requesting a ballot, Iowa address, name or date of election for which the ballot is requested (or for all ballots in a calendar year) and other information required to determine the correct ballot for the voter. G. Special Write-in Absentee Ballot Iowa provides a state special write-in absentee ballot available 90 days before the general election if you are overseas and unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. This special ballot is not available for the primary election. 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.H. If no labels are available, write in Item 7: "To the best of my belief I will be outside the continental U.S. and unable to vote and return a regular absentee ballot by normal mail delivery within the period provided for regular absentee ballots. I request a special write-in absentee ballot." The state special write-in ballot must be requested not earlier than 90 days before the general election. Vote the ballot by writing in the names of specific candidates. H. Federal Write-in Absentee Ballot Iowa has expanded the use of the Federal Write-In Absentee Ballot (FWAB). The instructions described in Chapter 2 of this Guide remain the same, except that Iowa also allows the FWAB to be used to vote in state and Federal primaries and in general and special elections to fill vacancies in the U.S. House of Representatives and Iowa Legislature. Iowa also allows the FWAB return envelope to be used as an application for registration if the person is otherwise eligible to vote in Iowa. 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 declared mentally incompetent to vote may not register or vote. B. Cancellation of Registration Registration is canceled after name is on the inactive list for two successive general elections. C. Action on Registration Requests The local election official will send an acknowledgment to the applicant at the mailing address provided on the FPCA. D. Action If Registration Is Denied Persons denied registration or ballot may appeal. Consult a legal assistance officer or civilian counsel. E. Voting by Citizens Who Have Never Lived in the U.S. If a U.S. citizen outside the U.S. has never lived in the U.S. and either parent is a qualified Iowa voter, then that person is eligible to register and vote where his or her parent is a qualified voter. F. Late Registration Members of the Armed Forces or merchant marine who have been discharged within thirty days of an election may register and vote in that election by presenting the precinct election official with his or her discharge papers. G. Where to Send it Mail the FPCA to the County Auditor, county of voting residence, as listed below: County County Seat Zip Code Adair Greenfield 50849-1291 Adams Corning 50841-0028 Allamakee Waukon 52172-1700 Appanoose Centerville 52544-1794 Audubon Audubon 50025-1255 Benton Vinton 52349-0549 Black Hawk Waterloo 50703-4774 Boone Boone 50036-3992 Bremer Waverly 50677-3536 Buchanan Independence 50644-0317 Buena Vista Storm Lake 50588-2371 Butler Allison 50602-0325 Calhoun Rockwell City 50579-1487 Carroll Carroll 51401-2413 Cass Atlantic 50022-1497 Cedar Tipton 52772-1752 Cerro Gordo Mason City 50401-3254 Cherokee Cherokee 51012-1700 Chickasaw New Hampton 50659-0311 Clarke Osceola 50213-1291 Clay Spencer 51301-3860 Clayton Elkader 52043-0416 Clinton Clinton 52733-2957 Crawford Denison 51442-0423 Dallas Adel 50003-1482 Davis Bloomfield 52537-1600 Decatur Leon 50144-1647 Delaware Manchester 52057-1796 Des Moines Burlington 52601-0784 Dickinson Spirit Lake 51360-1259 Dubuque Dubuque 52001-7056 Emmet Estherville 51334-2254 Fayette West Union 52175-0267 Floyd Charles City 50616-2790 Franklin Hampton 50441-0026 Fremont Sidney 51652-0610 Greene Jefferson 50129-2144 Grundy Grundy Center 50638-1496 Guthrie Guthrie Center 50115-1331 Hamilton Webster City 50595-3195 Hancock Garner 50438-0070 Hardin Eldora 50627-1700 Harrison Logan 51546-1398 Henry Mount Pleasant 52641-0149 Howard Cresco 52136-1526 Humboldt Dakota City 50529-0100 Ida Ida Grove 51445-1497 Iowa Marengo 52301-0126 Jackson Maquoketa 52060-2295 Jasper Newton 50208-0944 Jefferson Fairfield 52556-2820 Johnson Iowa City 52240-4207 Jones Anamosa 52205-0109 Keokuk Sigourney 52591-1499 Kossuth Algona 50511-2643 Lee Fort Madison 52627-0190 Linn Cedar Rapids 52404-2178 Louisa Wapello 52653-0186 Lucas Chariton 50049-1764 Lyon Rock Rapids 51246-1597 Madison Winterset 50273-0152 Mahaska Oskaloosa 52577-3189 Marion Knoxville 50138-2598 Marshall Marshalltown 50158-4978 Mills Glenwood 51534-1756 Mitchell Osage 50461-1229 Monona Onawa 51041-1699 Monroe Albia 52531-2075 Montgomery Red Oak 51566-0469 Muscatine Muscatine 52761-4168 O'Brien Primghar 51245-0803 Osceola Sibley 51249-1698 Page Clarinda 51632-2197 Palo Alto Emmetsburg 50536-0095 Plymouth Le Mars 51031-2190 Pocahontas Pocahontas 50574-1694 Polk Des Moines 50309-4757 Pottawattamie Council Bluffs 51501-0649 Poweshiek Montezuma 50171-0057 Ringgold Mount Ayr 50854-1642 Sac Sac City 50583-1750 Scott Davenport 52801-1187 Shelby Harlan 51537-1441 Sioux Orange City 51041-0018 Story Nevada 50201-2084 Tama Toledo 52342-1300 Taylor Bedford 50833-1394 Union Creston 50801-2430 Van Buren Keosauqua 52565-0475 Wapello Ottumwa 52501-2518 Warren Indianola 50125-0237 Washington Washington 52353-0889 Wayne Corydon 50060-0435 Webster Fort Dodge 50501-3892 Winnebago Forest City 50436-1793 Winneshiek Decorah 52101-1775 Woodbury Sioux City 51101-1246 Worth Northwood 50459-1599 Wright Clarion 50525-0147 ================================ IDAHO 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. List any place where you have been previously registered to vote or have voted. If none, write "none.") 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 Idaho 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 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 e. County or Parish d. State 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 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 Idaho 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 primary and general elections in a calendar year (for local, state and Federal offices). To register and request an absentee ballot, your FPCA must be postmarked by the 25th day before the election. If you are already registered and only wish to request an absentee ballot, the county clerk must receive your FPCA or a written application requesting a ballot by 5:00 p.m. on the day 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. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local election office by 8:00 p.m. on election day. Local election officials mail ballots approximately 35-40 days before the primary election and 45 days before the 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 1. Idaho allows you to send the FPCA or a written application for absentee ballot requests by fax. You may not submit the FPCA for registration by fax. 2. In certain emergency situations, Idaho may allow you to receive the blank ballot by fax. 3. Idaho 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. A. Who Can Do It These procedures apply to persons who are U.S. citizens, residents of Idaho and overseas electors. The term "overseas elector(s)" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Idaho. 1. Idaho 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 primary and general elections. If you are an Idaho resident temporarily residing outside the U.S., to register and request an absentee ballot, your FPCA must be postmarked by the 25th day before the election. If you are an Idaho resident temporarily residing outside the U.S. and are already registered and only wish to request an absentee ballot, the county clerk must receive your FPCA or a written application requesting a ballot by 5:00 p.m. on the day 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. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local election office by 8:00 p.m. on election day. Local election officials mail ballots approximately 35-40 days before the primary election and 45 days before the 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 1. Idaho allows you to send the FPCA or a written application for absentee ballot requests by fax. You may not submit the FPCA for registration by fax. 2. In certain emergency situations, Idaho may allow you to receive the blank ballot by fax. 3. Idaho does not allow you to return the voted ballot by fax. Please refer to Appendix C for specific instruction 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 Persons convicted of a felony who have not had their voting rights restored, or imprisoned on any criminal offense may not vote. B. Cancellation of Registration Registration is canceled for failure to vote in at least one primary or general election in the past four years. C. Action on Registration Requests County Clerks send a verification by First Class mail to all electors who register by mail. D. Action If Registration Is Denied Persons denied registration may appeal to the county clerk. Consult a legal assistance officer or civilian counsel. Where To Send It Mail the FPCA to the County Clerk, county of voting residence, as listed below: County County Seat Zip Code Ada Boise 83702-5960 Adams Council 83612-0048 Bannock Pocatello 83205-6094 Bear Lake Paris 83261-0190 Benewah Saint Maries 83861-1852 Bingham Blackfoot 83221-1776 Blaine Hailey 83333-8429 Boise Idaho City 83631-1300 Bonner Sandpoint 83864-1392 Bonneville Idaho Falls 83402-3582 Boundary Bonners Ferry 83805-0419 Butte Arco 83213-0737 Camas Fairfield 83327-0430 Canyon Caldwell 83605-3407 Caribou Soda Springs 83276-0775 Cassia Burley 83318-1862 Clark Dubois 83423-0205 Clearwater Orofino 83544-0586 Custer Challis 83226-0385 Elmore Mountain Home 83647-3000 Franklin Preston 83260-1232 Freemont Saint Anthony 83445-1409 Gem Emmett 83617-3059 Gooding Gooding 83330-0417 Idaho Grangeville 83530-1948 Jefferson Rigby 83442-0275 Jerome Jerome 83338-2344 Kootenai Coeur d'Alene 83816-9000 Latah Moscow 83843-0568 Lemhi Salmon 83467-3900 Lewis Nezperce 83543-0039 Lincoln Shoshone 83352-1501 Madison Rexburg 83440-0389 Minidoka Rupert 83350-0368 Nez Perce Lewiston 83501-0896 Oneida Malad City 83252-1245 Owyhee Murphy 83650-0128 Payette Payette 83661-0277 Power American Falls 83211-1200 Shoshone Wallace 83873-2356 Teton Driggs 83422-5164 Twin Falls Twin Falls 83303-0126 Valley Cascade 83611-1350 Washington Weiser 83672-0670 ============================== Illinois -no information was supplied to us in electronic form; Please request information for Illinois from the American Embassy in Tokyoby FAX at 03-3224-5856. ============================== INDIANA 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. Provide your Indiana driver's license number or Indiana identification card number as issued by the Indiana Bureau of Motor Vehicles. If you do not have an Indiana driver's license or identification card, provide the last four digits of your social security number. 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 Indiana voting residence. A post office box is not sufficient. If your address includes a rural route or star route or if you were a homeless or mobile voter, describe the location of this address 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 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, 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 absentee ballots only for general elections, school board elections or public questions voted the same day as the primary election. If you are currently registered and 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 new political party choice to the local election official not later than 29 days before the election. Under some circumstances, your completed FPCA including a new political party choice may be processed if it arrives not later than 10 days before the primary 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 Indiana 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 primary, special and general 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 local circuit court so that it arrives not later than 29 days before the election. Under some circumstances, your registration may be processed if it arrives not later than 10 days 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 local circuit court so that it arrives not later than 8 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local circuit court clerk in time for the clerk to deliver the ballot to the appropriate precinct election board (for counting) before the close of polls on election day. It is recommended that you return your voted ballot so that it arrives by the Saturday before the election. Local election officials mail ballots beginning 45 days before primary and general elections and 32 days before special 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 sworn to or witnessed. By signing a registration form, you are swearing that "to the best of my belief and knowledge, I am a U.S. citizen, at least 18 years of age, and have resided in the precinct for 30 days." E. Electronic Transmission of FPCAs and Ballots 1. Indiana allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. In emergency situations declared by the President, Congress, or the Presidential designee under the Uniformed and Overseas Citizens Absentee Voting Act, Indiana allows you to receive the blank ballot by fax. 3. In emergency situations declared by the President, Congress, or the Presidential designee under the Uniformed and Overseas Citizens Absentee Voting Act, Indiana 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 Indiana provides a state special write-in absentee ballot available not earlier than the first Monday in June and not later than 45 days before a general election if you are outside the U.S. on general election day. This ballot is available if you cannot vote and return a regular absentee ballot by normal mail delivery. This ballot includes statewide offices and state public questions. Vote this ballot by writing in the name of a political party or the name of a candidate for each office and by checking "yes" or "no" on the public questions. Use the FPCA to request this state special write-in absentee ballot. All normal deadlines apply. The regular absentee ballot will be mailed to you as soon as it is available. Vote and return all ballots you receive. The state special write-in absentee ballot will be voided if local election officials timely receive your regular 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 Indiana and overseas citizens. The term "overseas citizens" means a U.S. citizen who resides outside the U.S. and (but for such residence) would be qualified to vote in Indiana. 1. Indiana residents 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 to request ballots for all primary, special and general elections in a calendar year. To register and request an absentee ballot, send a completed FPCA to the clerk of the local circuit court so that it arrives not later than 29 days before the election. Under some circumstances, your registration may be processed if it arrives not later than 10 days 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 local circuit court so that it arrives not later than 8 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local circuit court clerk in time for the clerk to deliver the ballot to the appropriate precinct election board (for counting) before the close of polls on election day. It is recommended that you return your voted ballot so that it arrives by the Saturday before the election. Local election officials mail ballots beginning 45 days before primary and general elections and 32 days before special 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 Requirement No registration or voting materials are sworn to or witnessed. By signing a registration form, you are swearing that "to the best of my belief and knowledge, I am a U.S. citizen, at least 18 years of age, and have resided in the precinct for 30 days." E. Electronic Transmission of FPCAs and Ballots 1. Indiana allows you to send the FPCA for registration and absentee ballot by fax. After faxing, submit the FPCA by mail. 2. Indiana does not allow you to receive the blank ballot by fax. 3. Indiana 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 Indiana provides a state special write-in absentee ballot available not earlier than the first Monday in June and not later than 45 days before a general election if you are outside the U.S. on general election day. This ballot is available if you cannot vote and return a regular absentee ballot by normal mail delivery. This ballot includes statewide offices and state public questions. Vote this ballot by writing in the name of a political party or the name of a candidate for each office and by checking "yes" or "no" on the public questions. Use the FPCA to request this state special write-in absentee ballot. All normal deadlines apply. The regular absentee ballot will be mailed to you as soon as it is available. Vote and return all ballots you receive. The state special write-in absentee ballot will be voided if local election officials timely receive your regular 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 currently imprisoned following conviction for a crime are prohibited from voting. B. Cancellation of Registration Registration is canceled upon receipt of written request for cancellation by the voter. C. Action on Registration Requests Separate notice of registration is sent following processing of your application. D. Action If Registration Is Denied Specific appeal procedures exist for denial of registration. Consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the County Voter Registration Officer, county of voting residence, as listed below: County Address Zip Code Adams Circuit Court Clerk 112 S. Second, PO Box 189, Decatur 46733- 0189 Allen Board of Voter Registration 602 South Calhoun St., Rm. 105 Fort Wayne 46802-1713 Bartholomew Circuit Court Clerk PO Box 924, Columbus 47202-0924 Benton Circuit Court Clerk 706 E. 5th Street, Suite 37, Fowler 47944-1556 Blackford Circuit Court Clerk, Courthouse 110 W. Washington Street, Hartford City 47348-2298 Boone Circuit Court Clerk Room 212, Courthouse Square, Lebanon 46052-2100 Brown Circuit Court Clerk, PO Box 85, Nashville 47448-0085 Carroll Circuit Court Clerk 101 W. Main Street, Delphi 46923-1566 Cass Circuit Court Clerk 200 Court Park, Room 103, Logansport 46947- 3192 Clark Circuit Court Clerk 500 E. Court Avenue, Jeffersonville 47130- 4090 Clay Circuit Court Clerk 609 E. National Avenue, Brazil 47834-0033 Clinton Circuit Court Clerk 265 Courthouse Square, Frankfort 46041- 1993 Crawford Circuit Court Clerk PO Box 375, Court Street, English 47118-0375 Daviess Circuit Court Clerk 200 E. Walnut Street, PO Box 739, Washington 47501-0739 Dearborn Circuit Court Clerk 215 W. High Street, Lawrenceburg 47025- 1909 Decatur Circuit Court Clerk 150 Courthouse Square, Suite 244, Greensburg 47240-2080 De Kalb Circuit Court Clerk PO Box 230, 100 S. Main Street, Auburn 46706-0230 Delaware Board of Voter Registration 100 West Main Street, Room 200, Muncie 47305-2836 Dubois Circuit Court Clerk One Courthouse Square, Room 104, Jasper 47546-3058 Elkhart Board of Voter Registration County Office Building, Room L4 117 North 2nd Street, Goshen 46526-3243 Fayette Circuit Court Clerk, PO Box 607, Connersville 47331-0607 Floyd Circuit Court Clerk 311 W. First Street, Room 235 PO Box 1056, New Albany 47150-1056 Fountain Circuit Court Clerk, PO Box 183 Covington 46932-0183 Franklin Circuit Court Clerk 459 Main Street, Brookville 47012-1486 Fulton Circuit Court Clerk, PO Box 524, Rochester 46975-0524 Gibson Circuit Court Clerk, PO Box 630, Princeton 47670-0630 Grant Board of Voter Registration Courthouse, Suite B-9 101 E. 4th Street, Marion 46952-4055 Greene Circuit Court Clerk, PO Box 229, Bloomfield 47424-0229 Hamilton Board of Voter Registration 1 Hamilton County Square Ste. 106, Noblesville 46060-2230 Hancock Board of Voter Registration 9 East Main Street, Room 202, Greenfield 46140-2320 Harrison Circuit Court Clerk, Courthouse, Room 203 300 North Capitol Avenue, Corydon 47112-1155 Hendricks Circuit Court Clerk, PO Box 599, Danville 46122-0599 Henry Board of Voter Registration PO Box B, New Castle 47362-1044 Howard Board of Voter Registration Courthouse, Room 106 104 North buckeye Street, Kokomo 46901-9004 Huntington Circuit Court Clerk, PO Box 228, 201 North Jefferson Street, Huntington 46750-2896 Jackson Circuit Court Clerk, 111 South Main Street PO Box 318, Brownstown 47220-0122 Jasper Circuit Court Clerk 115 West Washington, Rensselaer 47978 Jay Circuit Court Clerk Courthouse, 120, North Court, Portland 47371-2195 Jefferson Circuit Court Clerk, Courthouse, Room 203 300 East Main Street, Madison 47250-3594 Jennings Circuit Court Clerk, PO Box 385, Vernon 47282-0385 Johnson Board of Voter Registration PO Box 451, 5 East Jefferston St., Franklin 46131-0451 Knox Circuit Court Clerk 101 North 7th Street, Vincennes 47591-2022 Kosciusko Circuit Court Clerk 121 North Lake Street, Warsaw 46580- 2788 LaGrange Circuit Court Clerk 105 North Detroit Street, LaGrange 46761-1801 Lake Board of Voter Registration 2293 North Main St., Suite 16, Crown Point 46307-1854 La Porte Board of Voter Registration LaPorte Circuit Courthouse, Ste. 108 813 Lincolnway, La Porte 46350-3401 Lawrence Circuit Court Clerk, Courthouse, Room 31 1916 15th Street, Bedford 47421-3800 Madison Board of Voter Registration 16 East 9th Street, Suite 208, Anderson 46016-1588 Marion Board of Voter Registration 200 East Washington, W131, Indianapolis 46204-3355 Marshall Circuit Court Clerk 211 West Madison Street, Plymouth 46563-1762 Martin Circuit Court Clerk PO Box 120, 111 Main Street, Shoals 47581-0120 Miami Circuit Court Clerk, PO Box 184, Peru 46970-0184 Monroe Board of Voter Registration 301 North College Ave., Room 202 Bloomington 47404-3865 Montgomery Circuit Court Clerk 100 East Main Street, Room 203 PO Box 768, Crawfordsville 47933-0768 Morgan Circuit Court Clerk, PO Box 1556, Martinsville 46151-1556 Newton Circuit Court Clerk, PO Box 49, Kentland 47951-0049 Noble Circuit Court Clerk 101 North Orange Street, Albion 46701-1092 Ohio Circuit Court Clerk, PO Box 185, Rising Sun 47040-0185 Orange Circuit Court Clerk, Court Street, Paoli 47454-9632 Owen Circuit Court Clerk, PO Box 146, Spencer 47460-0146 Parke Circuit Court Clerk 116 West High Street, Room 204, Rockville 47872-1781 Perry Circuit Court Clerk 2219 Payne Street, Tell City 47586-2832 Pike Circuit Court Clerk 801 Main Street, 2nd Floor, Petersburg 47567-1298 Porter Board of Voter Registration Administration Center, Suite 105 155 Indiana Avenue, Valparaiso 46383-5555 Posey Circuit Court Clerk PO Box 606, Mount Vernon 47620-0606 Pulaski Circuit Court Clerk 112 East Main, Room 230, Winamac 46966- 1394 Putnam Circuit Court Clerk, PO Box 546, Greencastle 46135-0546 Randolph Circuit Court Clerk, PO Box 230, Winchester 47394-0230 Ripley Circuit Court Clerk PO Box 177, 115 N. Main Street, Versailles 47042-0177 Rush Circuit Court Clerk 101 East 2nd Street, PO Box 429, Rushville 46173-0429 St Joseph Board of Voter Registration City-County Building, 4th Floor 227 West Jefferson Boulevard, South Bend 46601-1871 Scott Circuit Court Clerk 1 East McClain Avenue, Scottsburg 47170- 1885 Shelby Circuit Court Clerk, PO Box 198, Shelbyville 46176-0198 Spencer Circuit Court Clerk PO Box 12, 200 Main, Rockport 47635-0012 Starke Circuit Court Clerk, Courthouse, Room E, 53 East Washington Street, Knox 46534-1197 Steuben Circuit Court Clerk 55 South Public Square, Angola 46703- 1945 Sullivan Circuit Court Clerk PO Box 370, 100 Courthouse Sq., Sullivan 47882-0370 Switzerland Circuit Court Clerk Courthouse, 212 West Main, Vevay 47043-1180 Tippecanoe Board of Voters 301 Main Street, Lafayette 47901-1360 Tipton Circuit Court Clerk Courthouse, 101 East Jefferson, Tipton 46072-1901 Union Circuit Court Clerk 26 West Union Street, Liberty 47353-1396 Vanderburgh Board of Voter Registration Civic Center Complex, Room 106 1 NW Martin Luther King Jr., Blvd. Evansville 47708-1828 Vermillion Circuit Court Clerk, PO Box 10, Newport 47966-0008 Vigo Board of Voter Registration Courthouse, Room 3 33 South 3rd Street, Terre Haute 47808-3472 Wabash Circuit Court Clerk One West Hill Street, Suite 6, Wabash 46992-3175 Warren Circuit Court Clerk 125 North Monroe St., Ste. 11, Williamsport 47993-1198 Warrick Circuit Court Clerk 1 County Squiare, Suite 220, Boonville 47601-1594 Washington Circuit Court Clerk Courthouse, 99 Public Square North, Salem 47167-2098 Wayne Circuit Court Clerk 301 E. Main Street, PO Box 1172, Richmond 47375-1172 Wells Circuit Court Clerk 102 West Market Street, Suite 201, Bluffton 46714-2091 White Circuit Court Clerk, PO Box 350, Monticello 47960-0350 Whitley Circuit Court Clerk 101 West Van Buren Street, Columbia City 46725-2087 ===================================== KANSAS 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_______. Kansas requires that the state and county fields 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. If Using Rural Route) Provide the complete street address of your Kansas 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. If you have changed your name since the last time you registered or voted, write your previous name in Item 7. 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. NOTE: Kansas primary elections are currently open only to members affiliated with the Democratic and Republican political parties. 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 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 Kansas 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 and general elections (for local, state and Federal offices). Your registration is waived. To request an absentee ballot for the August primary election, the county election official must receive your FPCA between April 1st and the last business day of the week before the August primary election. To request an absentee ballot for the November general election, the county election official must receive your FPCA between 90 days and the last business day of the week before the November general election. To request an absentee ballot for the April Presidential primary election, the county election official must receive your FPCA between January 1 and the last business day of the week preceding the April Presidential Preference Primary. If your ballot request arrives too early, county election officials will hold it and process your request when the period begins. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local election official not later than the close of polls on election day. Local election officials mail ballots no later than 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 No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Kansas allows you to send the FPCA for registration and ballot request by fax. After faxing, submit the FPCA by mail. 2. Kansas allows you to receive the blank ballot by fax. 3. Kansas 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 Kansas 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 Kansas. 1. Kansas residents 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 to request ballots for both the primary and general elections. Your registration is waived. To request an absentee ballot for the August primary election, the county election official must receive your FPCA between April 1st and the last business day of the week before the August primary election. To request an absentee ballot for the November general election, the county election official must receive your FPCA between 90 days and the last business day of the week before the November general election. To request an absentee ballot for the April Presidential primary election, the county election official must receive your FPCA between January 1 and the last business day of the week preceding the April Presidential Preference Primary. If your ballot request arrives too early, county election officials will hold it and process your request when the period begins. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local election official not later than the close of polls on election day. Local election officials mail ballots no later than 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 No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Kansas allows you to send the FPCA for registration and ballot request by fax. After faxing, submit the FPCA by mail. 2. Kansas allows you to receive the blank ballot by fax. 3. Kansas 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. Bars to Registration and Voting Persons convicted of a felony who have not been restored to their civil rights may not vote. B. Action on Registration Requests The local election official sends a certificate of registration to the applicant to the address provided on the FPCA. C. Action If Registration Is Denied The local election official notifies the applicant of the reason(s) for the rejection of his or her application. D. Late Registration Discharged military personnel, separated merchant marine members, and citizens terminated from overseas employment who return to Kansas following the close of the regular registration period for the upcoming election are still entitled to register to vote not later than 12:00 noon on the day before the election for that election only. E. Where To Send It Mail the FPCA to the County Clerk, county of voting residence, as listed below: (In Johnson, Sedgwick, Shawnee, and Wyandotte Counties, mail to County Election Commissioner). County County Seat Zip Code Allen Iola 66749-2895 Anderson Garnett 66032-1596 Atchison Atchison 66002-1821 Barber Medicine Lodge 67104-1499 Barton Great Bend 67530-1089 Bourbon Fort Scott 66701-1328 Brown Hiawatha 66434-2283 Butler El Dorado 67042-2193 Chase Cottonwood Falls 66845-0547 Chautauqua Sedan 67361-1395 Cherokee Columbus 66725-0014 Cheyenne Saint Francis 67756-0985 Clark Ashland 67831-0886 Clay Clay Center 67432-0098 Cloud Concordia 66901-3415 Coffey Burlington 66839-1796 Comanche Coldwater 67029-0397 Cowley Winfield 67156-2864 Crawford Girard 66743-0249 Decatur Oberlin 67749-0028 Dickinson Abilene 67410-0248 Doniphan Troy 66087-0278 Douglas Lawrence 66044-3096 Edwards Kinsley 67547-1099 Elk Howard 67349-0606 Ellis Hays 67601-3899 Ellsworth Ellsworth 67439-3118 Finney Garden City 67846-0450 Ford Dodge City 67801-1575 Franklin Ottawa 66067-2331 Geary Junction City 66441-2589 Gove Gove 67736-0128 Graham Hill City 67642-1697 Grant Ulysses 67880-2599 Gray Cimarron 67835-0487 Greeley Tribune 67879-0277 Greenwood Eureka 67045-0268 Hamilton Syracuse 67878-8025 Harper Anthony 67003-2748 Harvey Newton 67114-0687 Haskell Sublette 67877-0518 Hodgeman Jetmore 67854-0247 Jackson Holton 66436-1787 Jefferson Oskaloosa 66066-0321 Jewell Mankoto 66956-2095 Johnson* Olathe 66061-6002 Kearny Lakin 67860-0086 Kingman Kingman 67068-1697 Kiowa Greensburg 67054-2294 Labette Oswego 67356-0387 Lane Dighton 67839-0788 Leavenworth Leavenworth 66048-2748 Lincoln Lincoln 67455-2098 Linn Mound City 66056-0350 Logan Oakley 67748-1233 Lyon Emporia 66801-7212 McPherson McPherson 67460-0676 Marion Marion 66861-0219 Marshall Marysville 66508-1844 Meade Meade 67864-0278 Miami Paola 66071-1795 Mitchell Beloit 67420-0190 Montgomery Independence 67301-0446 Morris Council Grove 66846-1791 Morton Elkhart 67950-1116 Nemaha Seneca 66538-1795 Neosho Erie 66733-0138 Ness Ness City 67560-1558 Norton Norton 67654-0070 Osage Lyndon 66451-0226 Osborne Osborne 67473-2302 Ottawa Minneapolis 67467-2140 Pawnee Larned 67550-3098 Phillips Phillipsburg 67661-1929 Pottawatomie Westmoreland 66549-9998 Pratt Pratt 67124-0885 Rawlins Atwood 67730-1896 Reno Hutchinson 67501-5245 Republic Belleville 66935-0429 Rice Lyons 67554-2799 Riley Manhatten 66502-0109 Rooks Stockton 67669-1666 Rush La Crosse 67548-0220 Russell Russell 67665-0113 Saline Salina 67401-2396 Scott Scott City 67871-1197 Sedgwick* Wichita 67203-3798 Seward Liberal 67901-3473 Shawnee* Topeka 66611 Sheridan Hoxie 67740-0899 Sherman Goodland 67735-0011 Smith Smith Center 66967-2798 Stafford Saint John 67576-2042 Stanton Johnson 67855-0190 Stevens Hugoton 67951-2698 Summer Wellington 67152-4096 Thomas Colby 67701-2494 Trego Wakeeney 67672-2187 Wabaunsec Alma 66401-9797 Wallace Sharon Springs 67758-0070 Washington Washington 66968-1985 Wichita Leoti 67861-0279 Wilson Fredonia 66736-1382 Woodson Yates Center 66783-1497 Wyandotte* Kansas City 66112 *Send to Election Commissioner ======================================== KENTUCKY 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 Kentucky 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 .) Kentucky has closed party primary elections. You must register DEMOCRAT or REPUBLICAN to vote in that party's May primary election. If you register as OTHER, you cannot vote in Democratic or Republican Party primaries but can vote in nonpartisan primaries. All eligible voters can vote in the November general election. Political party affiliation is not required if only requesting absentee ballots for general elections. In order to change party affiliation, you must submit a completed FPCA (which includes your new political party affiliation) to the local election official by December 31 in order to be eligible to vote in your new party's May primary. For example, if you voted in the Democratic primary in 2002 and want to vote in the Republican primary in 2003, the change in political party must occur by December 31, 2002. If you vote in the 2003 Republican primary and want to vote in the 2004 Democratic primary, you must change political party affiliation by December 31, 2003. NOTE: An absentee ballot must be requested for each 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 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 Kentucky 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 Submit a separate FPCA to request a ballot for each election (for local, state and Federal offices). To register and request an absentee ballot, send a completed FPCA to the county clerk so that it is postmarked not later than 29 days before the election. 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 close of business 7 days before the election. The FPCA can be faxed to you. If you are already registered, you may request via telephone, fax, mail or in person that an "absentee ballot application" be sent to you. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county clerk by close of polls on election day. Local county election officials mail ballots 50 days before 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 1. Kentucky allows you to send the FPCA for registration and absentee ballot request by fax. 2. Kentucky allows you to receive the blank 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 Kentucky 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 Kentucky. A. Who Can Do It 1. Kentucky residents 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 Submit a separate FPCA to request a ballot for each election. To register, send a completed FPCA to the county clerk, requesting a state registration form. When you receive the state registration form from the county clerk, complete it and return it with a request for an absentee ballot to the county clerk so that it is postmarked not later than 29 days before the election. 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 close of business 7 days before the election. The FPCA can be faxed to you. If you are already registered, you may request via telephone, fax, mail or in person an "absentee ballot application form" be sent to you. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the county clerk by close of polls on election day. Local county election officials mail ballots 50 days before 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 Requirement No registration or voting materials are notarized or witnessed. E. Electronic Transmission of FPCAs and Ballots 1. Kentucky allows you to send the FPCA for registration and absentee ballot request by fax. 2. Kentucky allows you to receive the blank ballot by fax. 3. Kentucky 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 Persons convicted of a felony or those declared mentally incompetent may not register or vote. B. Cancellation of Registration Registration is not canceled for failure to vote. C. Action on Registration Requests A postcard is sent to the mailing address listed on the application to notify the registrant of his/her normal precinct assignment or whether more information is needed before the application can be processed. D. Action If Registration Is Denied Persons denied registration should consult a legal assistance officer or civilian counsel. E. Where To Send It Mail the FPCA to the County Clerk, county of voting residence, as listed below (In Jefferson County, mail to the County Board of Elections): County County Seat Zip Code Adair 424 Public Square, Suite 2 Columbia 42728-1493 Allen 201 W Main Street Room 6 Scottsville 42164-1161 Anderson 151 South Main Street Suite 3 Lawrenceburg 40342-1192 Ballard PO Box 145 Wickliffe 42087-0145 Barren 924 Happy Valley Road Suite A Glasgow 42141-1332 Bath PO Box 609 Owingsville 40360-0609 Bell PO Box 157 Pineville 40977-0157 Boone PO Box 874 Burlington 41005-0874 Bourbon PO Box 312 Paris 40362-0312 Boyd PO Box 523 Catlettsburg 41129-0523 Boyle 321 West Main Street, Suite 123 Danville 40422-1848 Bracken PO Box 147 Brooksville 41004-0147 Breathitt 1137 Main Street,Suite 202 Jackson 41339-1194 Breckinridge PO Box 538 Hardinsburg 40143-0538 Bullitt PO Box 6 Shepherdsville 40165-0006 Butler PO Box 449 Morgantown 42261-0449 Caldwell 100 E Market Street Room 3 Princeton 42445-1696 Calloway 101 S 5th Street Suite 5 Murray 42071-2569 Campbell 340 York Street Suite 2 Newport 41071-1682 Carlisle PO Box 176 Bardwell 42023-0176 Carroll 440 Main Street Carrollton 41008-1064 Carter 300 W Main Stree Room 232 Grayson 41143-1298 Casey PO Box 310 Liberty 42539-0310 Christian 511 South Main Street Suite 11 Hopkinsville 42240-2300 Clark PO Box 744 Winchester 40392-0744 Clay 316 Main Street Suite 143 Manchester 40962-1281 Clinton 100 S. Cross Street Albany 42602-1263 Crittenden 107 S. Main Street, Suite 203 Marion 42064-1563 Cumberland PO Box 275 Burkesville 42717-0275 Daviess PO Box 609 Owensboro 42302-0609 Edmonson PO Box 830 Brownsville 42210-0830 Elliott PO Box 225 Sandy Hook 41171-0225 Estill PO Box 59 Irvine 40336-0059 Fayette 162 East Main Street, Suite 100 Lexington 40507-1334 Fleming PO Box 324 Flemingsburg 41041-0324 Floyd PO Box 1089 Prestonsburg 41653-5089 Franklin PO Box 338 Frankfort 40602-0338 Fulton PO Box 126 Hickman 42050-0126 Gallatin PO Box 1309 Warsaw 41095-1309 Garrard 15 Public Square, Suite 5 Lancaster 40444-8151 Grant 101 N. Main Street, Room 15 Williamstown 41097-1188 Graves 101 E South Street, Suite 2 Mayfield 42066-2324 Grayson 10 Public Square Suite 2 Leitchfield 42754-1199 Green 203 West Court Street Greensburg 42743-1552 Greenup PO Box 686 Greenup 41144-0686 Hancock PO Box 146 Hawesville 42348-0146 Hardin PO Box 1030 Elizabethtown 42702-1030 Harlan PO Box 670 Harlan 40831-0670 Harrison 313 Oddville Avenue Cynthiana 41031-1242 Hart PO Box 277 Munfordville 42765-0277 Henderson PO Box 374 Henderson 42419-0374 Henry PO Box 615 New Castle 40050-0615 Hickman 110 E Clay Street Suite E Clinton 42031-1296 Hopkins 10 S. Main Street, Room 23 Madisonville 42431-2588 Jackson PO Box 700 McKee 40447-0700 Jefferson 810 Barret Avenue Suite 103 Louisville 40204-1766 Jessamine 101 N. Main Street Nicholasville 40356-1270 Johnson 124 Court Street Paintsville 41240-1607 Kenton PO Box 1109 Covington 41012-1109 Knott PO Box 446 Hindman 41822-0446 Knox 401 Court House Suite 102 Barbourville 40906-1463 Larue 209 W High Street Hodgenville 42748-1543 Laurel 101 S Main Street Room 203 London 40741-2308 Lawrence 122 S Ricky Skaggs Boulevard Louisa 41230-1393 Lee PO Box 551 Beattyville 41311-0551 Leslie PO Box 916 Hyden 41749-0916 Letcher 156 Main Street, Suite 102 Whitesburg 41858-7286 Lewis PO Box 129 Vanceburg 41179-0129 Lincoln 102 E Main Street Suite 5 Stanford 40484-1298 Livingston PO Box 400 Smithland 42081-0400 Logan PO Box 358 Russelville 42276-0358 Lyon PO Box 310 Eddyville 42038-0310 McCracken PO Box 609 Paducah 42002-0609 McCreary PO Box 699 Whitley City 42653-0699 McLean PO Box 57 Calhoun 42327-0057 Madison 101 W Main Street, Suite 7 Richmond 40475-1415 Magoffin PO Box 530 Salyersville 41465-0530 Marion 120 W Main Street, Suite 3 Lebanon 40033-1245 Marshall 1101 Main St. Benton 42025-1498 Martin PO Box 460 Inez 41224-0460 Mason PO Box 234 Maysville 41056-0234 Meade PO Box 614 Brandenburg 40108-0614 Menifee PO Box 123 Frenchburg 40322-0123 Mercer PO Box 426 Harrodsburg 40330-0426 Metcalfe PO Box 25 Edmonton 42129-0025 Monroe PO Box 188 Tompkinsville 42167-0188 Montgomery PO Box 414 Mount Sterling 40353-0414 Morgan PO Box 26 West Liberty 41472-0026 Muhlenberg PO 525 Greenville 42345-0525 Nelson PO Box 312 Bardstown 40004-0312 Nicholas PO Box 227 Carlisle 40311-0227 Ohio PO Box 85 Hartford 42347-0085 Oldham 100 W Jefferson Street, Suite 2 LaGrange 40031-1189 Owen PO Box 338 Owenton 40359-0338 Owsley PO Box 500 Booneville 41314-0500 Pendleton PO Box 112 Falmouth 41040-0112 Perry PO Box 150 Hazard 41702-0150 Pike PO Box 631 Pikeville 41502-0631 Powell PO Box 548 Stanton 40380-0548 Pulaski PO Box 724 Somerset 42502-0724 Robertson PO Box 75 Mt. Olivet 41064-0075 Rockcastle PO Box 365 Mount Vernon 40456-0365 Rowan 627 E Main Morehead 40351-1390 Russell PO Box 579 Jamestown 42629-0579 Scott 101 E Main Street Georgetown 40324-1794 Shelby PO Box 819 Shelbyville 40066-0819 Simpson PO Box 268 Franklin 42135-0268 Spencer PO Box 544 Taylorsville 40071-0544 Taylor 203 N Court Street Suite 5 Campbellsville 42718-2298 Todd PO Box 307 Elkton 42220-0307 Trigg PO Box 1310 Cadiz 42211-1310 Trimble PO Box 262 Bedford 40006-0262 Union PO Box 199 Morganfield 42437-0199 Warren PO Box 478 Bowling Green 42102-0478 Washington PO Box 446 Springfield 40069-0446 Wayne PO Box 565 Monticello 42633-0565 Webster PO Box 19 Dixon 42409-0019 Whitley PO Box 8 Williamsburg 40769-0008 Wolfe PO Box 400 Campton 41301-0400 Woodford 103 S Main Street Suite 120 Versailles 40383-1298 =============================== LOUISIANA 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_______. Louisiana requires the state and county (parish) 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. Providing your Social Security number is optional but your voluntary cooperation will assist in processing your form. 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. If Using Rural Route) Provide the complete street address of your Louisiana 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 parish 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 the Presidential preference primary and party committee elections. Political party affiliation is not required for any other election. 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 Presidential preference primary and party committee elections, you must submit a completed FPCA which includes your new political party affiliation to the local election official not later than 30 days before an election. Indicate on Item 7 if your FPCA is being submitted only to change your party choice. 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 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 Louisiana 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, the local registrar of voters must receive your FPCA not later than 30 days before the election. To request an absentee ballot if you are currently registered, the local registrar of voters must receive your FPCA not earlier than 12 months and not later than 7 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office no later than the day of the election. Louisiana elections, except the Presidential preference primary and party committee elections, are entirely open. All parties appear on the same ballot and you may vote for any candidate on the ballot. If any candidate receives more than 50% of the votes cast in the primary election that candidate is declared the winner and that office is not voted upon in the general election. Local election officials mail ballots not later than 20 days before the state primary election and 13 days before the general election. However, special ballots for the office of the President are available for mailing 45 days before the 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: Sign the ballot return envelope certificate in the presence of two witnesses. These witnesses must also sign the envelope. E. Electronic Transmission of FPCAs and Ballots 1. Louisiana allows you to send the FPCA for registration and absentee ballot request by fax. After faxing, submit the FPCA by mail. 2. Louisiana allows you to receive the blank ballot by fax. 3. Louisiana 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 Absentee Ballot for General Election If you request a primary ballot you will receive a special ballot for the general election along with the primary ballot. The special ballot permits you to vote in the following general election by writing in numbers according to your choice of preference for each candidate. You put the number one next to the name of the candidate who is your first choice, the number two for your second choice, and so forth so that, in consecutive numerical order, you write a number indicating your preference next to each candidate's name on the ballot. You shall not be required to number all of the candidates on the ballot if you so choose, but doing so will assure your having cast a ballot in the general election. 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 Louisiana 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 Louisiana. A. Who Can Do It 1. civilian employees of the U.S. Government serving outside the U.S. and their spouses and dependents (for local, state and Federal office ballots) 2. members of religious or welfare groups attached to and serving with the Armed Forces and their spouses and dependents (for local, state and Federal office ballots) 3. other residents of Louisiana temporarily residing outside the U.S. (for local, state and Federal office ballots) 4. 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. To register and request an absentee ballot, the local registrar of voters must receive your FPCA not later than 30 days before the election. To request an absentee ballot if you are currently registered, the local registrar of voters must receive your FPCA not earlier than 12 months and not later than 7 days before the election. C. Casting Your Vote Ballot Return Deadline: Voted ballot must arrive at the local elections office no later than the day of the election. Louisiana elections, except the Presidential preference primary and party committee elections, are entirely open. All parties appear on the same ballot and you may vote for any candidate on the ballot. If any candidate receives more than 50% of the votes cast in the primary election that candidate is declared the winner and that office is not voted upon in the general election. Local election officials mail ballots not later than 20 days before the state primary election and 13 days before the general election. However, special ballots for the office of the President are available for mailing 45 days before the general 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 FPCA: No notary or witness required. Ballot Return Envelope: Sign the ballot return envelope certificate in the presence of two witnesses. These witnesses must also sign the envelope. E. Electronic Transmission of FPCAs and Ballots 1. Louisiana allows you to send the FPCA for registration and absentee ballot request by fax. After faxing, submit the FPCA by mail. 2. Louisiana allows you to receive the blank ballot by fax. 3. Louisiana 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 Absentee Ballot for General Election If you request a primary ballot you will receive a special ballot for the general election along with the primary ballot. The special ballot permits you to vote in the following general election by writing in numbers according to your choice of preference for each candidate. You put the number one next to the name of the candidate who is your first choice, the number two for your second choice, and so forth so that, in consecutive numerical order, you write a number indicating your preference next to each candidate's name on the ballot. You shall not be required to number all of the candidates on the ballot if you so choose, but doing so will assure your having cast a ballot in the general election. 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 or judicially found mentally incompetent may not register or vote. B. Cancellation of Registration Registration of a voter whose canvassing postcard is returned by the postmaster as being undeliverable is canceled after due process and failure to vote for a period of two (2) consecutive federal general elections. C. Action on Registration Requests Notice of registration is sent. D. Action If Registration Is Denied If registration is denied, provide the information called for in the notice of denial and resubmit the application. If a second denial is received, consult a legal assistance officer or civilian counsel. E. Where To Send It Submit the FPCA to the Registrar of Voters, parish of voting residence, as listed below: Parish Mailing Address Acadia Courthouse, #115 Crowley 70526-4363 Allen PO Box 150 Oberlin 70655-0150 Ascension 828 S. Irma Blvd. #103 Gonzales 70737-3631 Assumption PO Box 578 Napoleonville 70390-0578 Avoyelles 312 N. Main St. #E Marksville 71351-2409 Beauregard PO Box 952 DeRidder 70634-0952 Bienville PO Box 697 Arcadia 71001-0697 Bossier PO Box 635 Benton 71006-0635 Caddo PO Box 1253 Shreveport 71163-1253 Calcasieu 1000 Ryan St. #7 Lake Charles 70601-5250 Caldwell PO Box 1107 Columbia 71418-1107 Cameron PO Box 1 Cameron 70631-0001 Catahoula PO Box 215 Harrisonburg 71340-0215 Claiborne 513 N. Main St. #2 Homer 71040-3914 Concordia 4001 Carter St., #4 Vidalia 71373-3021 DeSoto 105 Franklin Street Mansfield 71052-2046 East Baton Rouge 222 St. Louis #201 Baton Rouge 70802-5860 East Carroll 400 First St. Lake Providence 71254-2695 East Feliciana PO Box 488 Clinton 70722-0488 Evangeline 200 Court St., Suite 102 Ville Platte 70586-4463 Franklin Courthouse, 6560 Main St. Winnsboro 71295-2750 Grant Courthouse, 200 Main St. Colfax 71417-1828 Iberia 300 Iberia St., #110 New Iberia 70560-4543 Iberville PO Box 554 Plaquemine 70765-0554 Jackson 500 E. Court St. #102 Jonesboro 71251-3400 Jefferson PO Box 10494 Jefferson 70181-0494 Jefferson Davis Courthouse Rm. 107, 300 State St. Jennings 70546- 5361 Lafayette 1010 Lafayette #313 Lafayette 70501-6885 Lafourche 307 West 4th Street Thibodaux 70301-3105 LaSalle PO Box 2439 Jena 71342-2439 Lincoln 100 W. Texas Ave. #10 Ruston 71270-4463 Livingston PO Box 968 Livingston 70754-0968 Madison 100 N. Cedar St Tallulah 71282-3892 Morehouse 129 N. Franklin Bastrop 71220-3815 Natchitoches PO Box 677 Natchitoches 71458-0677 Orleans 1300 Perdido #1W23 New Orleans 70112-2127 Ouachita 400 St. John St., #106 Monroe 71201-7342 Plaquemines PO Box 989 Port Sulphur 70083-0989 Pointe Coupee 211 E. Main St. New Roads 70760-3661 Rapides 701 Murray St. Alexandria 71301-8099 Red River PO Box 432 Coushatta 71019-0432 Richland PO Box 368 Rayville 71269-0368 Sabine 400 Capitol St. Many 71449-3099 St Bernard 8201 W. Judge Perez Chalmette 70043-1696 St Charles PO Box 315 Hahnville 70057-0315 St Helena PO Box 543 Greensburg 70441-0543 St James PO Box 179 Convent 70723-0179 St John 1801 W. Airline Hwy. LaPlace 70068-3344 St Landry PO Box 826 Opelousas 70571-0826 St Martin Courthouse, 415 S. Main St Martinville 70582-4549 St Mary Courthouse, 500 Main St. #301 Franklin 70538-6144 St Tammany P.O. Box 1815 Covington 70434-1815 Tangipahoa PO Box 895 Amite 70422-0895 Tensas PO Box 183 St. Joseph 71366-0183 Terrebonne PO Box 9189 Houma 70361-9189 Union PO Box 235 Farmerville 71241-0235 Vermilion Courthouse Building, 100 N. State St., Suite 120 Abbeville 70510-5167 Vernon PO Box 626 Leesville 71496-0626 Washington 900 Washington St. Franklinton 70438-1719 Webster PO Box 674 Minden 71058-0674 W. Baton Rouge PO Box 31 Port Allen 70767-0031 W. Carroll PO Box 71 Oak Grove 71263-0071 W. Feliciana PO Box 2490 St. Francisville 70775-2490 Winn PO Box 951 Winnfield 71483-0951