Permanent Absent Voter Application List

If you would like to be placed on our Permanent Absent Voter Application List, fill in the form below. By doing so, the Clerk's Office will automatically mail you an application for an absent voter ballot prior to each election. State Law requires the application be completed and returned prior to a ballot being issued. Your e-mail address and phone number will be used only for official election purposes.

Voter List

First Name

M.I.

Last Name

Street Number

Street Name

Apt #

City

State

Zip

Email

Phone Number



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