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DO NOT ADD THIS INFORMATION TO MY VOTER RECORD

ůĞĐƟŽŶ Date:

ŚĞĐŬŽŶĞƉŽůŝƟĐĂůƉĂƌƚLJ ĞŵŽĐƌĂƟĐ ZĞƉƵďůŝĐĂŶ

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ZĞǀŝƐĞĚJulyϮ020

&ŽƵƌ-ĚŝŐŝƚsŽƚĞƌW/E;ĨŽƵŶĚonly ŽŶsŽƚĞƌ/ĚĞŶƟĮĐĂƟŽŶĂƌĚͿ

ABSENTEE BALLOT REQUEST FORM INSTRUCTIONSA registered voter may make written application to their County Auditor for an absentee ballot. A written application for a mailed absentee ballot must be received by the voter's County Auditor no later than 5:00 p.m. 10 days before a General Election or 11 days before any other election.

In order to receive an absentee ballot, a registered voter MUST provide the following necessary information:

1. Name2. Date of birth3. Iowa residential address4. Voter Verification Number (ID Number)

- Iowa Driver's License or Non-Operator ID Number OR- Four digit Voter PIN located on the voter's Iowa Voter ID Card- Any voter may request an Iowa Voter ID Card by contacting their County Auditor's Office

5. The name OR date of the election for which you are requesting an absentee ballot6. Party affiliation - only required for Primary Elections, which are held in even numbered

years7. Signature

All voters are encouraged to provide their phone number and/or email address in the event their County Auditor needs to confirm any information on the request form.

If you have questions about absentee voting, please contact your County Auditor.