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Request Permanent Vote-by-Mail Ballot Status

To become a permanent vote-by-mail voter, simply complete the following form, then print and return it to our office using the instructions provided on the printed form. Current State law requires your original signature appear on a request to become a permanent vote-by-mail voter.
Full name:
Date of birth:
Residential address:
Zip code:
Mailing address
(if different than residential):