For Ocial Use Only:
EA-5 - Approved by the Idaho Secretary of State
Revised 06/10/2020
ABSENTEE BALLOT APPLICATION
2020 CALENDAR YEAR
VOTER INFORMATION
First
MI Last Sux
Residence Address
Address
City State Zip Code
Mailing Address (If dierent than your Residence Address above. Your absentee ballot will be sent to this address.)
Address
City State Zip Code Country (if other than USA)
Contact Information (Optional - Will become public record.)
Phone Number
Email Address
ABSENTEE BALLOT SELECTION
I am requesting an absentee ballot for the Election taking place on August 25, 2020.
Deadline: Must be received by the County Clerk before August 14, 2020 at 5:00 pm local time.
I am requesting an absentee ballot for the General Election taking place on November 3, 2020.
Deadline: Must be received by the County Clerk before October 23, 2020 at 5:00 pm local time.
SIGNATURE
WARNING:
Any elector who supplies any information knowing it to be false is guilty of perjury which is punishable by imprisonment and a ne of up to $50,000.
Signature of voter Date
COUNTY CLERK MAILING ADDRESSES
Ada 400 N Benjamin Lane Ste 100, Boise, ID 83704 Gem 415 E. Main Street, Emmett, ID 83617
Adams PO Box 48, Council, ID 83612-0048 Gooding 624 Main Street, Gooding, ID 83330
Bannock PO Box 4489, Pocatello, ID 83205 Idaho 320 W Main Rm 5, Grangeville, ID 83530-1948
Bear Lake PO Box 190, Paris, ID 83261-0190 Jeerson 210 Courthouse Way Ste 100, Rigby, ID 83442
Benewah 701 W College Ave Ste 101, St Maries, ID 83861-1852 Jerome 300 N. Lincoln Avenue, Jerome, Idaho 83338
Bingham 501 N Maple St #205, Blackfoot, ID 83221-1776 Kootenai PO Box 9000, Coeur d’Alene, ID 83816-9000
Blaine 206 1st Ave. S. Ste 100, Hailey, ID 83333-8429 Latah Latah County Elections, PO Box 8068, Moscow, ID 83843
Boise PO Box 1300, Idaho City, ID 83631-1300 Lemhi 206 Courthouse Drive, Salmon, ID 83467-3900
Bonner 1500 Hwy 2 Ste 124, Sandpoint, ID 83864-1794 Lewis 510 Oak Street Room 1, Nezperce, ID 83543-5065
Bonneville 605 N Capital Ave, Idaho Falls, ID 83402-3582 Lincoln 111 West B Street Suite C, Shoshone, ID 83352-5364
Boundary PO Box 419, Bonners Ferry, ID 83805-0419 Madison PO Box 389, Rexburg, ID 83440-0389
Butte PO Box 737, Arco, ID 83213-0737 Minidoka PO Box 368, Rupert, ID 83350-0368
Camas PO Box 430, Faireld, ID 83327-0430 Nez Perce PO Box 896, Lewiston, ID 83501-0896
Canyon 1102 East Chicago Street, Caldwell, ID 83605 Oneida 10 Court Street, Malad, ID 83252-1200
Caribou PO Box 775, Soda Springs, ID 83276-0775 Owyhee PO Box 128, Murphy, ID 83650-0128
Cassia 1459 Overland Avenue Rm #105, Burley, ID 83318-1862 Payette 1130 3rd Ave N Rm 104, Payette, ID 83661-2473
Clark PO Box 205, Dubois, ID 83423-0205 Power 543 Bannock Ave, American Falls, ID 83211-1200
Clearwater PO Box 586, Orono, ID 83544-0586 Shoshone 700 Bank St., STE 120, Wallace, ID 83873
Custer PO Box 385, Challis, ID 83226-0385 Teton 150 Courthouse Drive #208, Driggs, ID 83422
Elmore 150 S 4th E #3, Mountain Home, ID 83647-3000 Twin Falls PO Box 126, Twin Falls, ID 83303-0126
Franklin 39 W Oneida, Preston, ID 83263-1232 Valley PO Box 1350, Cascade, ID 83611-1350
Fremont 151 W 1st N #12, St Anthony, ID 83445-1548 Washington 256 E. Court St. P.O. Box 670, Weiser, ID 83672
