ABSENTEE BALLOT REQUEST FORM INSTRUCTIONS
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/ŽǁĂ ƌŝǀĞƌƐ >ŝĐĞŶƐĞ Žƌ EŽŶ-KƉĞƌĂƚŽƌ / EƵŵďĞƌ KZ &KZ K&&/ h^ KE>z zÊçÙ EÃ Ä ã Ê¥ ®Ùã« DŝĚĚůĞ ^Ƶĸdž / EçÃÙ zÊçÙ /Êó ZÝ®Ä㮽 ÙÝÝ zŽƵ ŵƵƐƚ ďĞ ƌĞŐŝƐƚĞƌĞĚ ƚŽ ǀŽƚĞ ŝŶ ƚŚĞ ĐŽƵŶƚLJ ƚŽ ƌĞĐĞŝǀĞ ĂŶ ĂďƐĞŶƚĞĞ ďĂůůŽƚ /Ĩ LJŽƵ ĂƌĞ ƌĞŐŝƐƚĞƌĞĚ ƚŽ ǀŽƚĞ ŝŶ ƚŚĞ ĐŽƵŶƚLJ ƚŚŝƐ ĨŽƌŵ ǁŝůů ďĞ ƵƐĞĚ ƚŽ ƵƉĚĂƚĞ LJŽƵƌ ǀŽƚĞƌ ƌĞŐŝƐƚƌĂƟŽŶ ŝĨ ƚŚĞ ŝŶĨŽƌŵĂƟŽŶ ƉƌŽǀŝĚĞĚ ŽŶ ƚŚŝƐ ĨŽƌŵ ŝƐ ĚŝīĞƌĞŶƚ ƚŚĂŶ ƚŚĞ ŝŶĨŽƌŵĂƟŽŶ ŽŶ LJŽƵƌ ƌĞŐŝƐƚƌĂƟŽŶ ƌĞĐŽƌĚ ,ŽŵĞ ^ƚƌĞĞƚ ĚĚƌĞƐƐ ;ŝŶĐůƵĚĞ ĂƉƚ ůŽƚ ĞƚĐ ŝĨ ĂƉƉůŝĐĂďůĞͿ ŝƚLJ ŝƉ ŽƵŶƚLJ t«Ù zÊçÙ ÝÄã ½½Êã ^«Êç½ D®½ /Ĩ ĚŝīĞƌĞŶƚ ƚŚĂŶ ĂďŽǀĞ DĂŝůŝŶŐ ĚĚƌĞƐƐWK Ždž WŚŽŶĞ ŵĂŝů 'ĞŶĞƌĂů WƌŝŵĂƌLJ ŝƚLJ^ĐŚŽŽů ^ƉĞĐŝĂů KZ DO NOT ADD THIS INFORMATION TO MY VOTER RECORD ůĞĐƟŽŶ Date: ŚĞĐŬ ŽŶĞ ƉŽůŝƟĐĂů ƉĂƌƚLJ ĞŵŽĐƌĂƟĐ ZĞƉƵďůŝĐĂŶ ZØçÝãÙ ¥¥®ò®ã WŽǁĞƌƐ ŽĨ ĂƩŽƌŶĞLJ ĚŽ ŶŽƚ ŚĂǀĞ ůĞŐĂů ĂƵƚŚŽƌŝƚLJ ƚŽ ƌĞƋƵĞƐƚ ĂŶ ĂďƐĞŶƚĞĞ ďĂůůŽƚ ŽŶ ďĞŚĂůĨ ŽĨ ĂŶŽƚŚĞƌ / ƐǁĞĂƌ Žƌ Ăĸƌŵ ƚŚĂƚ / Ăŵ ƚŚĞ ƉĞƌƐŽŶ ŶĂŵĞĚ ĂďŽǀĞ ĂŶĚ / Ăŵ Ă ƌĞŐŝƐƚĞƌĞĚ ǀŽƚĞƌ Žƌ / Ăŵ ĞŶƟƚůĞĚ ƚŽ ƌĞŐŝƐƚĞƌ Ăƚ ƚŚĞ ĂĚĚƌĞƐƐ ůŝƐƚĞĚ ŽŶ ƚŚŝƐ ĨŽƌŵ / Ăŵ ĞůŝŐŝďůĞ ƚŽ ƌĞĐĞŝǀĞ ĂŶĚ ǀŽƚĞ ĂŶ ĂďƐĞŶƚĞĞ ďĂůůŽƚ ĨŽƌ ƚŚĞ ĞůĞĐƟŽŶ ŝŶĚŝĐĂƚĞĚ ĂďŽǀĞ ^ŝŐŶĂƚƵƌĞ y ĂƚĞ ^dd K& /Kt K&&//> ^Ed >>Kd ZYh^d &KZD ŝƚLJ ^ƚĂƚĞ ŝƉ ŽƵŶƚƌLJ ;ŽƚŚĞƌ ƚŚĂŶ h^Ϳ ŽŵƉůĞƚĞ ŽŶĞ ĂƚĞ ŽĨ ŝƌƚŚ ;ŵŽŶƚŚ ĚĂLJ LJĞĂƌͿ &ŝƌƐƚ >ĂƐƚ sŽƚĞƌƐ ǁŚŽ ĚŽ ŶŽƚ ĂƉƉĞĂƌ ŝŶ ƚŚĞ /ŽǁĂ ĞƉƚ ŽĨ dƌĂŶƐƉŽƌƚĂƟŽŶƐ ƌŝǀĞƌƐ >ŝĐĞŶƐĞ Žƌ EŽŶ-KƉĞƌĂƚŽƌ / ĮůĞƐ ĂƌĞ ŵĂŝůĞĚ ĂŶ /ŽǁĂ sŽƚĞƌ /ĚĞŶƟĮĐĂƟŽŶ ĂƌĚ Ăƚ ƚŚĞ ƟŵĞ ŽĨ ƌĞŐŝƐƚƌĂƟŽŶ ŶLJ ǀŽƚĞƌ ŵĂLJ ƌĞƋƵĞƐƚ Ă sŽƚĞƌ /ĚĞŶƟĮĐĂƟŽŶ ĂƌĚ ÊÄãã /Ä¥Ê /ŵƉŽƌƚĂŶƚ WÙ®ÃÙù ½ã®ÊÄ KĽù ½ã®ÊÄ ã ÊÙ dùÖ ŚŽŽƐe ŽŶůLJ ŽŶĞ ĞůĞĐƟŽŶ ZĞǀŝƐĞĚ July Ϯ020 &ŽƵƌ-ĚŝŐŝƚ sŽƚĞƌ W/E ;ĨŽƵŶĚ only ŽŶ sŽƚĞƌ /ĚĞŶƟĮĐĂƟŽŶ ĂƌĚͿ ABSENTEE BALLOT REQUEST FORM INSTRUCTIONS A 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. Name 2. Date of birth 3. Iowa residential address 4. 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 ballot 6. Party affiliation - only required for Primary Elections, which are held in even numbered years 7. 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.
Transcript of ABSENTEE BALLOT REQUEST FORM INSTRUCTIONS
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'ĞŶĞƌĂů WƌŝŵĂƌLJ ŝƚLJ^ĐŚŽŽů ^ƉĞĐŝĂů KZ
DO NOT ADD THIS INFORMATION TO MY VOTER RECORD
ůĞĐƟŽŶ Date:
ŚĞĐŬŽŶĞƉŽůŝƟĐĂůƉĂƌƚLJ ĞŵŽĐƌĂƟĐ ZĞƉƵďůŝĐĂŶ
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ZĞǀŝƐĞĚJulyϮ020
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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.
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